Literature DB >> 26964153

Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2017. Final rule.

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Abstract

This final rule sets forth payment parameters and 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 amendments regarding the annual open enrollment period for the individual market for the 2017 and 2018 benefit years; essential health benefits; cost sharing; qualified health plans; Exchange consumer assistance programs; network adequacy; patient safety; the Small Business Health Options Program; stand-alone dental plans; third-party payments to qualified health plans; the definitions of large employer and small employer; fair health insurance premiums; student health insurance coverage; the rate review program; the medical loss ratio program; eligibility and enrollment; exemptions and appeals; and other related topics.

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Year:  2016        PMID: 26964153

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


  6 in total

1.  Eliminating Coverage Discrimination Through the Essential Health Benefit's Anti-Discrimination Provisions.

Authors:  Elizabeth Guo; Douglas B Jacobs; Aaron S Kesselheim
Journal:  Am J Public Health       Date:  2017-02       Impact factor: 9.308

2.  Prescription Drug Data Might Help Protect Obamacare: Medication Use Will Be Integrated Into Marketplace Plan Risk Adjustments.

Authors:  Stephen Barlas
Journal:  P T       Date:  2016-11

3.  CMS Stands Pat on Exchange Formulary Requirements: States May Jump Into the Void.

Authors:  Stephen Barlas
Journal:  P T       Date:  2016-05

4.  Talk of a "Default" Drug Formulary Rattles Industry: CMS Could Move in That Direction for Marketplace Plans After 2019, but the Discussion Has Already Started.

Authors:  Stephen Barlas
Journal:  P T       Date:  2018-02

5.  Turnover in Zero-Premium Status Among Health Insurance Marketplace Plans Available to Low-Income Enrollees.

Authors:  Edward Kong; Mark Shepard; Adrianna McIntyre
Journal:  JAMA Health Forum       Date:  2022-04-22

6.  Risk-Adjustment Simulation: Plans May Have Incentives To Distort Mental Health And Substance Use Coverage.

Authors:  Ellen Montz; Tim Layton; Alisa B Busch; Randall P Ellis; Sherri Rose; Thomas G McGuire
Journal:  Health Aff (Millwood)       Date:  2016-06-01       Impact factor: 6.301

  6 in total

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