CMS Releases Notice of Benefit and Payment Parameters for 2020

The Centers for Medicare & Medicaid Services issued their proposed annual Notice of Benefit and Payment Parameters for the 2020 benefit year. The proposed rule sets forth payment parameters and provisions related to the risk adjustment and risk adjustment data validation programs; cost-sharing parameters; and user fees for federally-facilitated exchanges and state-based exchanges on the federal platform. The rule proposes changes that would allow greater flexibility related to the duties and training requirements for the navigator program and proposes changes that would provide greater flexibility for direct enrollment entities. It proposes policies that are intended to reduce the costs of prescription drugs. It also includes proposed changes to exchange standards related to eligibility and enrollment; exemptions; and other related topics. For more details, see today’s Financial Feature.

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