Overview of the March 1, 2013 Final Rules on Benefits and Payment Parameters, Multi‐State Plan Program, and Risk Corridor Calculation
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Date
2013-03-13
Department
Program
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Subjects
Affordable Care Act (ACA)
cost projections
Medicaid, Health Benefits Exchanges
state decisions
U.S. Department of Health and Human Services (HHS) final rules: benefits and payment parameters for various programs, the multi-state plan program, and the risk corridor calculation and alternative methodology for calculating cost-sharing reductions
cost projections
Medicaid, Health Benefits Exchanges
state decisions
U.S. Department of Health and Human Services (HHS) final rules: benefits and payment parameters for various programs, the multi-state plan program, and the risk corridor calculation and alternative methodology for calculating cost-sharing reductions
Abstract
Since the enactment of the Affordable Care Act in 2010, there has been consistent federal guidance employing and clarifying its provisions. Hilltop develops regulation summaries to assist state and local policymakers in their implementation of health reform. On March 1, 2013, the U.S. Department of Health and Human Services (HHS) released three sets of final rules: benefits and payment parameters for various programs, the multi-state plan program, and the risk corridor calculation and alternative methodology for calculating cost-sharing reductions. This document provides a high-level summary of these rules and highlights key changes to the regulation since the issue of the proposed rule.