ComplianceMnthlyRecap MH 5.16.22

Proposed Benefit Payment and Parameters Rule Released

Posted by: Danielle Capilla    Dec 21, 2015 1:51:50 PM

Person giving money to other personFederal agencies have released the proposed rule for the 2017 Benefit Payment and Parameters. Among other items, it provides updates and annual provisions relating to:

  • Risk adjustments, reinsurance, and risk corridors programs
  • Cost-sharing parameters and cost-sharing reductions
  • User fees for Federally-Facilitated Exchanges (FFEs)
  • The standards for open enrollment for the individual market for the 2017 benefit year
  • Updates to the Small Business Health Options Program (SHOP)
  • Definitions of large and small employer
  • Guaranteed availability
  • Medical loss ratio (MLR) program
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Topics: ACA, small business health options program, small group insurance, Affordable Care Act, federally-facilitated exchange, risk adjustments, cost-sharing parameters, medical loss ratio