QHP Marketplace Resources

Stay up-to-date on the latest network adequacy requirements and best practices for Qualified Health Plans (QHPs). Explore our growing library of blogs, briefs, videos and more!

Must-Watch Video

5 Things to Know About the 2023 Notice Of Benefit And Payment Parameters (NBPP) & 2023 Letter To Issuers (LTI)

Major changes have been made to network adequacy standards. Zach Snyder, VP of Government Affairs, is here to give you the inside scoop on what you need to know to keep your business running smoothly.

Legislative Brief on the 2023 Notice Of Benefit And Payment Parameters (NBPP) & 2023 Letter To Issuers (LTI)
Legislative Brief

New QHP Certification Requirements

Get the insight you need to quickly understand the new Network Adequacy requirements for QHP Certification.

Updated March 30, 2022:

QHP Data Submission and Certification Calendar

This snazzy timeline highlights the major milestones for issuers offering a Qualified Health Plan (QHP) in a Federal Exchange state. Best yet, we’ll keep it updated as time goes on so you can stay on top of your game. Go ahead and download it, save it as your background, print it – or share it with a colleague.

Federally-facilitated marketplace changes coming to the networks adequacy review timeline preview.
Regulatory Review:

Rewriting the Rules for Qualified Health Plans on the Federally-facilitated Exchange

Qualified Health Plans (QHPs) offered through the Federally-facilitated Exchange (FFE) are waiting for final details about their new network adequacy standards and requirements. Although the final details are being developed, we’ve received a few clues about what they may look like. In this episode, Scott Westover, SVP of Network and Regulatory Strategy, Quest Analytics, explores what issuers can expect and provides an overview of the anticipated timeline for implementation.

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Articles

Article:

Overview of the Proposed Notice of Benefit and Payment Parameters for 2023 Rule

The Centers for Medicare & Medicaid Services (CMS) issued its proposed version of the Notice of Benefit and Payment Parameters (NBPP) for 2023 rule. This article give you a comprehensive overview of the proposed changes.

Article:
New Approach to Network Adequacy
Article:
CMS to Regulate Qualified Health Plan (QHP) Network Adequacy
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Legislative Briefs

Federal court vacates 2019 rule on federal review of network adequacy legal brief downloadable.

Legislative Brief

Court Vacates 2019 Payment Notice on Federal Review of Network Adequacy

Changes coming to network adequacy reviews legal brief downloadable.

Legislative Brief

HHS Notice of Benefit and Payment Parameters for 2022 Second Final Rule

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.

Book a Strategy Session

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