CMS finalizes 2027 ACA benefit and payment parameters, expands catastrophic plan access

The agency has published the final Notice of Benefit and Payment Parameters for the 2027 plan year. Key provisions include expanded access to catastrophic health insurance coverage and updated standards for essential health benefits. The rule sets the operational framework for the ACA exchanges and the Basic Health Program for the coming year, influencing plan design, network adequacy, and cost-sharing. Billing operations for providers serving exchange patients should review the finalized standards for potential changes to plan offerings and patient enrollment patterns.