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CMS Moves Forward on Standardized Plan Offerings But Steps Back from Instituting Minimum Network Adequacy Standards
Epstein Becker Green
[Guidance Overview] Mar. 17, 2016 "[In the Notice of Benefit and Payment Parameters for 2017,] CMS declined to finalize the more stringent network adequacy requirements that it previously suggested in its proposed rule ... although the agency incorporated other new and revised standards for QHPs. Other CMS proposals ... were also finalized, including revisions to [1] the grace period and other enrollment-related provisions; [2] cost-sharing standards; [3] medical loss ratio ('MLR') requirements; [4] the rate review program; and [5] the risk adjustment, reinsurance, and risk corridors programs[.]" MORE >> |
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