The much-anticipated annual exchange plan rule that stakeholders worry could alter plans’ ability to “silver-load” their premiums in 2020 and beyond is now under review by the White House Office of Management and Budget. The proposed 2020 Notice of Benefit and Payment Parameters, which spells out updates to plan management, network adequacy, user fees, timelines and other exchange-related policies, landed at OMB on Wednesday (Nov. 28). Last year, the proposed rule hit OMB on Sept. 20 and was released in...