QHP MARKETPLACE RESOURCES

Stay up-to-date on the latest network adequacy requirements and best practices for Qualified Health Plans (QHPs). Explore our growing library of blogs, briefs, videos and more!

 
Proposed Rule for QHP Certification Network Adequacy and Essential Community Providers Executive Summary

Stay QHP Savvy

Discover the Proposed Rules for QHP Certification

Be ready to meet the possible new criteria for QHP Certification. Learn how the proposed changes to the Network Adequacy and Essential Community Providers requirements could impact you. Get the essentials with our executive summary.

New Calendar

Proposed Key dates for QHP Data Submission and Certification

This snazzy timeline highlights the major milestones for issuers offering a Qualified Health Plan (QHP) in a Federal Exchange state. Best yet, we’ll keep it updated as time goes on so you can stay on top of your game. Go ahead and download it, save it as your background, print it – or share it with a colleague.

PROPOSED KEY DATES FOR QHP DATA SUBMISSION AND APPLICATION

Must-Watch Video

Predictions on the Proposed 2024 Exchange Rule

Zach Snyder and Kate Deiters of Quest Analytics are here to discuss the upcoming Proposed Exchange Rule for 2024. They share predictions for what may appear in the proposed rule—including telehealth, wait times, and health equity. The proposed rule will likely be published at the end of 2022 or in January 2023.

New Video

The 2024 Exchange Rule and Telehealth

New Video

The 2024 Exchange Rule and Wait Times

New Video

Health Policy Trends to Watch

Quick Read on QHP Certification

New QHP Certification Requirements

Download our executive summary to get a quick overview of the changes and to learn how Quest Analytics helps you meet these changes with our pre-built template.

Must-Watch Video

5 Things to Know About New Network Adequacy Requirements

Major changes have been made to network adequacy standards. Zach Snyder, VP of Government Affairs, is here to give you the inside scoop on what you need to know to keep your business running smoothly.

Legislative Brief

New QHP Certification Requirements

Get the insight you need to quickly understand the new Network Adequacy requirements for QHP Certification.

On-Demand Webinar: MHPA & Quest Analytics Present

Aligning Health Equity, Network Adequacy and Policy

Join the discussion as we explore policy proposals incorporating health equity considerations into health plan network adequacy standards. Each panelist brings a unique regulatory perspective as we seek to better understand the questions, the challenges and the strategies being put into place to better meet the needs of consumers.

Articles

Smart Insights:

The Hottest Trends Across Health Insurance Markets

The data is in—and it’s clear: provider network oversight, provider data accuracy and provider data transparency are the hot trends across all health insurance markets.

But what does this mean for you? Here’s the inside scoop on what’s going on in the industry right now, what changes are coming down the pike and how to maximize your chances of success.

LEGISLATIVE BRIEFS

Legislative Brief:

Final Rule Notice of Benefit and Payment Parameters for 2023 and the Letter to Issuers in the Federally-facilitated Exchanges

File this under, MUST-READ. The network adequacy standards have changed! Understand what’s in store for the QHP Certification Network Adequacy standards for PY 2024.

Court Vacates 2019 Payment Notice on Federal Review of Network Adequacy

HHS Notice of Benefit and Payment Parameters for 2022 Second Final Rule

Complimentary Strategy Session

Compliance isn’t our name, but it sure is our game! Learn how we can assist your efforts to make your provider data accurate and network adequate. Book a complimentary strategy session with a Quest Analytics expert to get started on your quest for success.

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