- The Centers for Medicare & Medicaid Services (CMS) released a final rule that requires insurers on Affordable Care Act (ACA) exchanges to offer plans with standardized deductibles and limits on out-of-pocket costs and co-pays for each of non-standardized offerings. Insurers will also have to ensure that they have enough in-network providers within a certain time and distance of enrollees starting in 2023. Starting to 2024, they will also have to make sure their plan networks meet minimum wait-time standards. CMS did not finalize a change to the risk adjustment model for exchange plans that experts had cautioned could prompt insurers to cherry pick healthier consumers. (Press release here; Article here)
April 29, 2022
Payers