On November 25, 2020, the U.S. Departments of Health & Human Services (HHS) and Treasury released the proposed 2022 “Notice of Benefit & Payment Parameters” (NBPP), the annual rule governing core provisions of the Affordable Care Act (ACA), including the operation of the marketplaces, standards for insurers, and the risk adjustment program. This expert perspective focuses on several provisions that have implications for state oversight of insurance markets and the state-based marketplaces. Comments on the proposed rule are due by December 30, 2020.
All-Payer Claims Database Small Group Convening
The State Network hosted a APCD Small Group Convening on January 23-24, 2014 in New Orleans, LA.
The State Network hosted a Small Group Convening in New Orleans, LA on January 23-24, 2014, bringing together state officials and technical experts to discuss All-Payer Claims Databases and rate review. The agenda can be found here and selected presentations and resources from the meeting are compiled and listed by session below.
Colorado – Colorado APCD
Maine – Health Cost
Massachusetts – My Health Options
Massachusetts – Description of Massachusetts APCD data elements for risk adjustment in the HHS Notice of Benefit and Payment Parameters for 2014
North Carolina – Rate Filing Template
Oregon – Recommendations for Aligning ACA Implementation with Oregon’s Health System Reform – see specifically page 12 for information on transparency, rate review, and measurement dashboard.