Stay QHP Savvy


Discover The Key Regulatory Changes That Impact Marketplace Issuers

Four New Network Adequacy Requirements

The Centers for Medicare & Medicaid Services (CMS) released their proposed Notice of Benefit and Payment Parameters (NBPP) rule for the 2025 plan year (PY 2025). This rule is all about making sure that qualified health plans (QHPs) offered through the health insurance marketplaces are top-notch.

Most notably, the rule is focused on amending network adequacy requirements for State-Based Exchanges (State Exchanges) and State-Based Exchanges using the Federal Platform (SBE-FPs) to align with federal standards. Download our policy brief to get all the details. 

Download the Policy Brief Now


Get the latest insights on QHP network adequacy and stay informed with our extensive collection of resources. From compliance with marketplace requirements to maintaining accurate provider data, we’ve got you covered. Explore our resources to ensure you’re always one step ahead.

Proposed Qualified Health Plan (QHP) Data Submission and Certification Timeline Key Dates for Plan Year 2025. Download the calendar now!
6 Tips for QHP Issuers Completing the Essential Community Providers Network Adequacy Template. Download now.

Key Dates: QHP Certification and Network Adequacy Review

It’s time to start planning! The proposed plan year 2025 (PY 2025) key dates for QHP Data Submission and Certification are here—get our calendar now.


Policy Brief: PY 2024 Final Rule QHP Certification

Learn about the changes to network adequacy standards and requirements for the 2024 plan year (PY 2024). Download our policy brief now for all the details!

Tips for QHP Issuers: Excel at the ECP/NA Template

Best practices for the QHP Essential Community Providers/Network Adequacy Template? Say no more! Download our expert tips to guide you through the process.

Fast-Track Your QHP Certification

Want to stay on top of your game, save time, and keep your provider network compliant? Schedule a consultation with our network management experts today and let us show you how we can help!

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