Tag archives: cost sharing

COVID-19 Update: New Model for Allocating Hospital Resources Released/Payors Strengthening COVID-19 Coverage

The spread of COVID-19 in the United States is requiring providers to consider difficult questions regarding resource allocation. On March 26, 2020 Dr. Douglas White of the University of Pittsburgh Department of Critical Care Medicine and Dr. Scott Halpern of the University of Pennsylvania Perelman School of Medicine released Allocation of Scarce Critical Resources During … Continue reading

CMS Publishes Notice of Benefit and Payment Parameters for 2021 Proposed Rule

By Rachel Park (US) and Jeff Wurzburg (US) on February 4, 2020 Posted in General, Regulatory

On January 31, 2020, CMS issued the Notice of Benefit and Payment Parameters for 2021 proposed rule (“Payment Notice”). The proposed rule introduces updates to the “regulatory and financial standards applied to issuers and Exchanges” and also proposes parameters for the risk adjustment program. The proposed payment rule is available here. CMS also issued the … Continue reading