EHB, MLR, and risk adjustment: Stakeholder considerations on the 2019 proposed Notice of Benefit and Payment Parameters
ByVictoria Boyarsky, and Rong Yi
5 January 2018
EHB, MLR, and risk adjustment: Stakeholder considerations on the 2019 proposed Notice of Benefit and Payment Parameters
The proposed Notice of Benefit and Payment Parameters (NBPP) for 2019 covers many topics including proposed changes related to essential health benefits, the Small Business Health Options Program, Qualified Health Plan certification standards, the risk adjustment program, medical loss ratio reporting, and rate review, among others. This paper focuses on three proposed changes in the NBPP that would likely affect premiums in the individual and small group markets.