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.
Laying the IT Foundation for 2014: Developing Infrastructure for Improved Eligibility and Enrollment Systems
National Academy for State Health Policy- Lynn Dierker; HealthTech Solutions – Sandeep Kapoor
One of the biggest challenges – and opportunities – for states as they strive to implement the Affordable Care Act’s (ACA) coverage expansions is the size and scope of technology solutions required to support exchanges in making eligibility determinations and enrolling consumers in coverage. This webinar provided insight into the latest federal guidance on information technology (IT) systems development and the impact it has on developing state IT infrastructure capable of meeting the high expectations and demand of seamless, real-time eligibility and enrollment under the ACA. The slides consider a number of key implementation issues, including the intersection of business and IT processes, the ability of new systems to integrate with existing legacy systems (e.g., Medicaid management information systems), governance, enterprise architecture and system financing.