This course offers an in-depth examination of the proposed rule for 2026 benefit and payment parameters under the ACA. Learn about crucial updates in risk adjustment, user fees, and the Basic Health Program. Understand proposed changes and how they impact issuers, consumers, and exchanges. Ensure you’re prepared for potential rule evolutions and stakeholder feedback.
In this course you will learn the following:
* Understand the purpose and intent of the proposed rule changes.
* Identify key provisions related to risk adjustment, HHS-RADV, user fees, and BHP.
* Recognize the opportunity for public comment and the potential for rule modifications.