A Substack from Evensun Health about the Affordable Care Act, health policy, and health insurance operations
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In the 2027 Notice of Benefit and Payment Parameters, CMS announced their ruling that allows issuers to offer bronze plans that exceed the statutory MOOP (Maximum-out-of-Pocket) limit as long as the issuer simultaneously offers at least one bronze plan that within the standard MOOP limit (standard plan).
This is the 4th post in our series on the 2027 Notice of Benefit and Payment Parameters.
The elimination of standardized plan options removes a structural check on anti-competitive pricing strategies in the ACA marketplace
In the 2027 Notice of Benefit and Payment Parameters, CMS announced their adoption of the State Exchange Improper Payment Measurement (SEIPM) which aims to apply oversight to improper Advance Premium Tax Credits (APTC) administered by State Based Exchanges.
An excursus from NBPP analysis
Part 1: Cost Sharing Reductions
ACA Post-ARPA: What the 2026 OEP Public Use Files Actually Show
But it sometimes rhymes...
After my post yesterday, a few folks reached out to me and suggested I may be wrong on why Kaiser is being suppressed.
Note: I started writing this as a LinkedIn post and ran out of characters.
