Literature DB >> 24693562

Patient Protection and Affordable Care Act; HHS notice of benefit and payment parameters for 2015. Final rule.

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Abstract

This final rule sets forth payment parameters and oversight provisions related to the risk adjustment, reinsurance, and risk corridors programs; cost sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges. It also provides additional standards with respect to composite premiums, privacy and security of personally identifiable information, the annual open enrollment period for 2015, the actuarial value calculator, the annual limitation in cost sharing for stand-alone dental plans, the meaningful difference standard for qualified health plans offered through a Federally-facilitated Exchange, patient safety standards for issuers of qualified health plans, and the Small Business Health Options Program.

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Year:  2014        PMID: 24693562

Source DB:  PubMed          Journal:  Fed Regist        ISSN: 0097-6326


  6 in total

1.  The HHS-HCC risk adjustment model for individual and small group markets under the Affordable Care Act.

Authors:  John Kautter; Gregory C Pope; Melvin Ingber; Sara Freeman; Lindsey Patterson; Michael Cohen; Patricia Keenan
Journal:  Medicare Medicaid Res Rev       Date:  2014-05-09

2.  Affordable Care Act risk adjustment: overview, context, and challenges.

Authors:  John Kautter; Gregory C Pope; Patricia Keenan
Journal:  Medicare Medicaid Res Rev       Date:  2014-09-05

3.  Risk transfer formula for individual and small group markets under the Affordable Care Act.

Authors:  Gregory C Pope; Henry Bachofer; Andrew Pearlman; John Kautter; Elizabeth Hunter; Daniel Miller; Patricia Keenan
Journal:  Medicare Medicaid Res Rev       Date:  2014-09-05

4.  HHS Proposes Formulary Changes For Marketplace Health Plans: P&T Committees Would Take On a More Visible Role.

Authors:  Stephen Barlas
Journal:  P T       Date:  2015-02

5.  New evidence on the persistence of health spending.

Authors:  Richard A Hirth; Teresa B Gibson; Helen G Levy; Jeffrey A Smith; Sebastian Calónico; Anup Das
Journal:  Med Care Res Rev       Date:  2015-02-19       Impact factor: 3.929

6.  Impact of out-of-pocket spending caps on financial burden of those with group health insurance.

Authors:  Kevin R Riggs; Christine Buttorff; G Caleb Alexander
Journal:  J Gen Intern Med       Date:  2014-12-04       Impact factor: 5.128

  6 in total

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