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
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.
