On November 15, 2023, the Centers for Medicare & Medicaid Services released its proposed 2025 Notice of Benefit and Payment Parameters, the annual regulation which governs core provisions of the Affordable Care Act. This expert perspective focuses on aspects of the proposed rule likely to be of interest to state officials, including requirements for State-Based Marketplaces to align with the standards of the Federally Facilitated Marketplace, proposals for states to update essential health benefits, and initiatives to ease the eligibility and enrollment process for consumers.
Special Topics in Payment Reform: State Levers, Multi-Payer Approaches, and Measurement
Michael Bailit and Mary Beth Dyer, Bailit Health Purchasing, LLC
The final webinar in a three-part series on payment reform, this presentation by Bailit Health Purchasing addresses special topics in payment reform including using state levers to implement payment reform, multi-payer strategies, and measuring delivery system performance. Examples of state levers will include legislative and regulatory action, utilizing purchasing authority, and coordinating across public entities. The webinar also discusses the role of performance measurement in value-based payment models and the adoption of performance measurement sets.