Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2014 - March 11, 2013 - Federal Register - Regulations - VLEX 427060518

Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2014

SUMMARY

This final rule provides detail and parameters related to: the risk adjustment, reinsurance, and risk corridors programs; cost-sharing reductions; user fees for Federally-facilitated Exchanges; advance payments of the premium tax credit; the Federally-facilitated Small Business Health Option Program; and the medical loss ratio program. Cost-sharing reductions and advance payments of the premium tax credit, combined with new insurance market reforms, are expected to significantly increase the number of individuals with health insurance coverage, particularly in the individual market. In addition, we expect the premium stabilization programs--risk adjustment, reinsurance, and risk corridors--to protect against the effects of adverse selection. These programs, in combination with the medical loss ratio program and market reforms extending guaranteed availability (also known as guaranteed issue) and prohibiting the use of factors such as health status, medical history, gender, and industry of employment to set premium rates, will help to ensure that every American has access to high-quality, affordable health insurance.

CONTENT

Federal Register, Volume 78 Issue 47 (Monday, March 11, 2013)

Federal Register Volume 78, Number 47 (Monday, March 11, 2013)

Rules and Regulations

Pages 15409-15541

From the Federal Register Online via the Government Printing Office www.gpo.gov

FR Doc No: 2013-04902

Page 15409

Vol. 78

Monday,

No. 47

March 11, 2013

Part II

Department of Health and Human Services

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45 CFR Parts 153, 155, 156, et al.

Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2014 and Amendments to the HHS Notice of Benefit and Payment Parameters for 2014; Final Rules; Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans; Small Business Health Options Program; Proposed Rule