The CMS has proposed revised rules and regulations for insurers operating on Affordable Care Act marketplaces, including attempting to boost provider availability through revising network adequacy and essential community provider standards, according to the 2024 HHS Notice of Benefit and Payment Parameters proposed rule, Health Care Dive reports.
The proposed rule requires that all marketplace plans must use providers that comply with network adequacy and essential provider standards, removing an exception that those regulations don’t apply to insurers who don’t use a provider network. It also requires insurers to include at least 35% of providers in any given market into their networks.
The proposed regulations come as ACA exchanges, spurred by financial incentives during the COVID-19 pandemic, reached record enrollment numbers this year. Read more.
