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Society submits comments to CMS on ACA benefit and payment parameters

The Society on Monday submitted comments to the Centers for Medicare and Medicaid Services (CMS) on its proposed 2019 revisions to the Patient Protection and Affordable Care Act and Benefit and Payment Parameters. The proposed rule addresses changes to the following: essential health benefits (EHB), medical-loss ratio, plan innovation regarding high-deductible health plans and health savings accounts, cost sharing limits, qualified health plan certification, advanced premium tax credit eligibility (APTC) and special enrollment periods.

In the comments, Society CEO Bud Chumbley, MD, referenced Society policies, including the Society’s Health System Reform Objectives, as guidelines for any changes. He cautioned that any changes to the existing EHB structure should maintain coverage that is “at least as adequate and affordable as the status quo,” and should not undermine or adversely affect current patient benefits.

Doctor Chumbley also expressed the Society’s opposition to raising cost sharing limits above the annual rate of medical services inflation, and support for the use of health savings accounts so long as they remain an option for patients among other competing insurance offerings. Further, he cited Society policy on network adequacy as it relates to qualified health plans, and reiterated previous Society comments regarding an earlier CMS rule change on special enrollment periods.

Click here to read the comments, and contact Society Policy Specialist H.J. Waukau for more information.

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