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.
Using Data from the National Association of Insurance Commissioners for Health Reform Evaluation
University of Minnesota – Pinar Karaca-Mandic and Jean M. Abraham
The following brief, prepared by experts at the University of Minnesota, provides background on data collected by the National Association of Insurance Commissioners (NAIC), including new types of data being collected for health reform monitoring purposes. In its role as a regulatory support organization, the NAIC collects and compiles data from insurers classified as property and casualty, life, health, fraternal, or title insurers. In order to help regulators enforce the new provisions of the Patient Protection and Affordable Care Act (ACA), the NAIC teamed with the U.S.Department of Health and Human Services (HHS) to design standard measures, definitions, and methodologies related to the regulatory targets of these provisions. This brief further explores the research opportunities (both within and across states) afforded by this new data being collected by the NAIC.