Episode: Health Policy Updates February 2025
The Final 2026 Payment Notice: Network Adequacy Updates for Qualified Health Plans
Topics Covered
The Final Notice of Benefit and Payment Parameters for 2026 is out, and we’re here to break it down for you. Kate Deiters and Zach Snyder discuss the key changes in network adequacy requirements. Tune in to learn how these changes will impact Qualified Health Plans (QHPs) Certification for issuers on the federal and state exchanges.
New Network Adequacy Distance Calculation Methodology
Learn about the shift to using geographic distance calculation for network adequacy evaluations.
Implications for State-based Exchanges
Find out about the requirements for state-based exchanges to meet federal standards by January 1, 2026, and potential legislative and regulatory shifts.
State Legislative Actions
Get an overview of how states like Nevada and Oregon are aligning their standards with federal requirements and the legislative processes involved.
Listen on:
Related Resources
Proven Solutions for Your Provider Network Management
Looking to simplify your workload? Let Quest Analytics take on the heavy lifting! Our solutions and dedicated team specialize in provider data accuracy and provider network adequacy for various lines of businesses, including Medicare Advantage, Medicaid and Commercial. Schedule a strategy session today and see how we can help you every step of the way.
