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AIS Webinar: Insurance Exchange Experts to Dissect New Proposed Rules on Health Insurance Exchanges

Atlantic Information Services, Inc. (AIS) is pleased to announce “New CMS Rules on Exchanges: Impact on Health Plans, Providers and Brokers,” a Jan. 13 webinar explaining proposed changes to health insurance exchanges issued by the Centers for Medicare and Medicaid Services (CMS) in late November.

CMS’s notice of proposed rulemaking on the 2017 Benefit and Payment Parameters contemplates myriad significant changes to the health insurance exchanges, potentially creating new consumer protections for in-network and out-of-network providers, tighter enforcement of plans and brokers alike, and new standardized plan requirements. Will the tighter restrictions on networks and tiers make it tougher for insurers to slow rate increases? To what extent will proposed changes to risk adjustment methodology improve risk scores for plans with healthier enrollees? Will tighter standards for conduct of agents and brokers lead to more suspensions and terminations?

Michael Adelberg, senior director at FaegreBD Consulting, Christopher Condeluci, principal of CC Law & Policy, and Patrick Holland, a principal at KPMG LLP, will dissect the new changes proposed by CMS and outline steps organizations should consider in response. They’ll answer questions such as:

  • How much will the new set of six standard plan designs for individuals eligible for cost-sharing reductions — with just one in-network provider tier, four drug tiers, expanded services to be covered outside the deductible and other features — affect rate setting and selection?
  • What will be the biggest challenges in adopting CMS’s proposed network adequacy requirements, which go beyond major changes proposed by the National Association of Insurance Commissioners, including new continuity-of-care requirements and notification rules for surgical patients if out-of-network providers work in an in-network facility?
  • What has CMS proposed to improve the Affordable Care Act’s risk-mitigation programs?
  • To what extent will proposed changes to the risk-adjustment methodology improve risk scores for plans with healthier enrollees and provide protection against patients who join plans only long enough to have an expensive procedure?
  • Why are insurance agents and brokers worried about CMS’s proposal to take a more active role in overseeing their practices?
  • How would insurers be impacted by proposed changes to 2016 reinsurance and risk-corridor programs, and 2016 and 2017 changes to risk adjustment?

Visit for more details and registration information.

About AIS
Atlantic Information Services, Inc. (AIS) is a publishing and information company that has been serving the health care industry for nearly 30 years. It develops highly targeted news, data and strategic information for managers in hospitals and health systems, health insurance companies, medical group practices, purchasers of health insurance, pharmaceutical companies and other health care organizations. AIS products include print and electronic newsletters, databases, Websites, looseleafs, strategic reports, directories, webinars and virtual conferences.

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