QHP MARKETPLACE RESOURCES

Essential resources for issuers applying for QHP Certification to participate in the Marketplaces. Explore our growing library to find the latest news, tips, and support.

NEW! Proposed Rule

CMS released its proposed Notice of Benefit and Payment Parameters and Draft Letter to Issuers for 2026. Discover key updates on network adequacy and QHP certification.

The Role of Adequate Health Networks in the Marketplace

Quest Analytics® invites you to an informative session with leaders from The CMS Center for Consumer Information and Insurance Oversight (CCIIO). We’ll explore network adequacy requirements and the new standards for Plan Year 2025 impacting health insurance plans in Federally-facilitated Exchanges (FFEs). Don’t miss this opportunity to gain valuable insights from industry experts.

Policy Brief: PY2025 QHP Certification Marketplace Final Rule
Key Insights: PY2025 & PY2026 QHP Certification New QHP Network Adequacy Requirements Explained Discover the latest Network Adequacy and Provider Directory Accuracy Requirements for QHP Certification The rules have changed,...
Executive Summary: New Rules for PY2025 QHP Certification
Be Ready for Network Adequacy and QHP Application Changes Understanding the New QHP Certification Process Big changes are just around the corner! Network adequacy requirements for Qualified Health Plan (QHP)...
QHP Certification and Network Adequacy Review Timeline
Who doesn’t love a good calendar? We know we do. Whether you’re deep into network adequacy updates or juggling deadlines left and right, we’ve got your back. Our handy calendar...
What You Need to Know About QHP Certification
Staying on top of all the latest updates in the industry can be a real challenge. That’s why we’re here to break down everything you need to know about the...
Tips for QHP Issuers: Completing the Network Adequacy Template
Successfully Submit Your Network Adequacy Data Get ahead in your QHP certification by providing the correct information. Take advantage of these six tips to successfully submit your data using the...
Talking Medicare Advantage and Marketplace Final Rules
Episode: Health Policy Updates June 2024 Talking Medicare Advantage and Marketplace Final Rules Big changes are coming to Medicare Advantage and Marketplace policies! April Beane and health policy expert Kate...
The Totally Adequate Podcast
Initiating conversations on the latest trends, network adequacy and provider data accuracy policy updates, and healthcare provider network management innovations. Subscribe to The Totally Adequate Podcast Spotify Apple Youtube Proposed...

Find provider data accuracy resources, webinars, guides, and expert advice to help you stay compliant and performant.

Schedule Your Complimentary Strategy Session

Compliance isn’t our name, but it sure is our game! Learn how we can assist your efforts to make your provider data accurate and network adequate. Book a complimentary strategy session with a Quest Analytics expert to get started on your quest for success.

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