On April 18, 2019, the Centers for Medicare and Medicaid Services (CMS) released its final 2020 Notice of Benefit and Payment Parameters rule (BPP rule) along with additional supporting documents. CMS made very few changes from its proposed rule, which was released in January. As has been the case with past BPP rules, the 2020 final rules address wide ranging issues under the Affordable Care Act (ACA) relevant to Exchange operations, the individual and small-group insurance market, SHOPs, Exchange navigators, and the risk adjustment program. Only a few BPP rule changes directly impact larger group health plans and employer plan sponsors.
Read the full article to learn about the significant issues for group health plans.