CMS has finalized policies from a proposed rule concerning the program integrity of the Patient Protection and Affordable Care Act health insurance exchanges.
The final rule focuses on integrity standards for cost-sharing reductions, premium stabilization programs, advance payments of premium tax credits, state marketplaces, oversight of insurers offering coverage through federally facilitated marketplaces and standards for HHS-approved enrollee satisfaction survey vendors.
The rule also amends standards and finalizes provisions included in an interim rule released earlier this year about risk corridors calculations and cost-sharing reduction reconciliation.
It includes regulatory changes such as oversight requirements for state-operated reinsurance programs under the healthcare reform law. States must submit a summary report on their reinsurance program operations for each benefit year, and they must also make the report available to the public.
For more information, read the full text of the final rule here.
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