HHS Details Payment Notice Policies in Letter to FFM Issuers

In its 2017 Letter to Issuers in the Federally-facilitated Marketplaces (FFM), HHS outlines how it intends to implement provisions on standardized plans, network adequacy, discriminatory benefit design, and formulary review. Notably, FFM issuers will be permitted to offer multiple standardized plans at a single metal level if the plans are considered meaningfully different according to criteria detailed in the letter. The letter also provides details on time and distance standards for network adequacy of certain services, and provides process information on qualified health plan certification and rate filing, including the requirement for issuers to submit applications by May 11, 2016 for the 2017 plan year.

Kentucky: State Marketplace Closure Will Cost $236,000, According to Governor

Dismantling kynect, Kentucky's State-based Marketplace, will cost an estimated $236,000 according to Governor Matt Bevin (R), a figure that is in stark contrast to former Governor Steve Beshear's (D) $23 million estimate. Governor Bevin said the new cost estimate validates his decision to cut ties with kynect, calling it unsustainable and an unnecessary drain on the State's finances. Kynect is financed through a 1% assessment on private health insurance plans (which existed prior to kynect), that Governor Bevin has said he will use to fund the dismantling of kynect, and which the Legislature will be able to reallocate after the State transitions to HealthCare.gov.