The three provisions are reinsurance, risk adjustment and risk corridors, which are programs designed to eliminate incentives for payors to avoid covering people with pre-existing conditions or people in poor health.
HHS released a final rule on standards related to reinsurance, risk corridors and risk adjustment in March, and CMS’ proposed rule builds on those guidelines.
The full proposed rule and details can be found here (pdf).
More Articles on the PPACA and Rules:
HHS Issues Proposed Rules on Essential Health Benefits, Insurer Reforms
HHS Moves Quickly on Regulations for PPACA, More Expected
CMS: States Can Opt Out of Medicaid Expansion After Opting in
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