HHS Issues Final Reinsurance, Risk Rules For Exchanges

Law360, New York (March 1, 2013, 6:49 PM EST) -- The U.S. Department of Health and Human Services on Friday released a final rule detailing some of the central insurance reforms of the Affordable Care Act, such as reducing incentives for insurers to avoid enrolling people with pre-existing conditions.

The rule, called the HHS Notice of Benefit and Payment Parameters, addresses a range of topics, including risk adjustment and reinsurance for insurers, advance payments of the premium tax credit to consumers, and the small business health options program, or SHOP.

Under the permanent risk adjustment program,...
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