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.
The Buying Value Measure Selection Tool: Strategies for Selecting Measures and Developing Aligned Measure Sets
The “Buying Value Measure Selection Tool” was developed to assist state agencies, private purchasers and other stakeholders in creating aligned measure sets, and was first released in 2014. A recent webinar explained this tool and recent updates for state officials and other stakeholders involved in developing and maintaining aligned quality measure sets for health care entities and programs including for health plans, accountable care organizations, and patient-centered medical homes. During this webinar, the SHVS team at Bailit Health presented strategies for selecting measures and revealed an updated version of the tool. The new version of this Excel-based measure set development tool includes updates to federal and state measure sets along with new search functionality. A list of questions and answers from this webinar can be found here.
The updated Buying Value tool is available here.