On September 17, 2021, the U.S. Departments of Health and Human Services and Treasury finalized the 2022 Notice of Benefit and Payment Parameters (NBPP) rule and announced a significant expansion of their oversight of health plans’ provider networks. This expert perspective reviews provisions of the rule of particular import to the state-based marketplaces (SBMs) and state insurance regulators.
Revisiting Medicaid Provider Payment Strategies During the COVID-19 Crisis
On Thursday, September 17, State Health and Value Strategies hosted a webinar that will discuss the federal government’s response to the financial challenges facing providers. The COVID-19 pandemic has caused dramatic changes in utilization that threaten the financial stability of providers. Most of the Provider Relief Fund has been distributed, yet providers are still experiencing lost revenue and increased costs related to COVID-19. Medicaid payment strategies—especially for providers serving high numbers of Medicaid patients—remain a critical tool for states to support providers as new COVID-19 hotspots emerge and utilization patterns change. During the webinar, experts from Manatt Health reviewed examples of specific strategies states implemented between April and August 2020 to increase payments to providers in financial distress as a result of decreased health care utilization.
As a companion to the webinar, Manatt Health updated a toolkit for states that identifies available tools to support safety-net providers despite substantial utilization changes resulting from COVID-19.