The rule covers various issues such as risk adjustment, reinsurance and risk corridor programs, as well as cost-sharing parameters, cost-sharing reductions and user fees for the federally facilitated health insurance exchanges.
The rule includes a proposed $44 per capita rate for the 2015 transitional reinsurance fee, down from $63 in 2014. It also contains a suggested change that would exempt self-insured health plans that don’t use a third-party administrator in connection with claims processing or adjudication or plan enrollment from paying the reinsurance fee in 2015 and 2016.
CMS will accept comments on the proposed rule until Dec. 26.
More Articles on PPACA Provisions:
11 Observations on the Affordable Care Act So Far
5 Key Findings About PPACA Federal Exchange Health Plan Offerings
Obama Administration Pushes Back 2015 PPACA Enrollment Deadline
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