News
The Centers
for Medicare and Medicaid Services (CMS) hosted a call early this week
with NADP and Delta Dental Plans Association to let us know they were
releasing the Notice of Benefit & Payment Parameters for Plan Year
2018. As in past years, the document describes several provisions on Exchanges. CMS mentioned the proposed regulations include:
- Risk adjustment programs
- Cost-sharing parameters
- Cost-sharing reductions
- User fees for federally-facilitated and state-based Marketplaces (which will stay the same)
- Qualified health plans and benefits
- Consumer assistance tools
- Network adequacy
- Small Business Health Options Program (SHOP)
- Market reforms
- Dental Maximum Out of Pocket (MOOP) (calculation
sounds like it stays the same, and as Consumer Price Index (CPI) has
not adjusted enough – the MOOP remains $350/$700)
The Exchange
Policy Workgroup (EPW) and the Commission on Advocacy Policy (CAP) will
review the proposal closely for comments from the industry. After a more
thorough review, we will post a summary in the Advocacy Open Forum of Dental Interact (DI).
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