The draft 2018 Notice of Benefit and Payment Parameters hit the White House budget office for review on Wednesday (July 20), about four months ahead of the wide-ranging rule's usual November debut. Federal officials are likely moving forward earlier in order to have guidance in place by the time President Barack Obama leaves in January 2017. The NBPP is normally finalized in the first few months of the year. Changes to the Affordable Care Act's risk adjustment formula to account...