American Medical Association
CMSRulemakingCMS-2012-0152

Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2014 (CMS-9964-P)

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Apr 21, 2021
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closed 4837d ago
American Medical Association filings
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American Medical Association filed 1 comment on this docket between Jan 3, 2013 and Jan 3, 2013. 26 other organizations filed here. The comment window closed 4837d ago.

What American Medical Association filed (1)

Jan 3, 2013· IL - American Medical Association· CMS-2012-0152-0241

Attached are the comments of the American Medical Association. Thank you.

Abstract

This proposed rule provides further detail and parameters related to: the risk adjustment, reinsurance, and risk corridors programs; cost-sharing reductions; user fees for a Federally-facilitated Exchange; advance payments of the premium tax credit; a Federally-facilitated Small Business Health Option Program; and the medical loss ratio program. The cost-sharing reductions and advanced payments of the premium tax credit, combined with new insurance market reforms, will significantly increase the number of individuals with health insurance coverage, particularly in the individual market. The premium stabilization programs – risk adjustment, reinsurance, and risk corridors – will protect against adverse selection in the newly enrolled population. These programs, in combination with the medical loss ratio program and market reforms extending guaranteed availability (also known as guaranteed issue) protections and prohibiting the use of factors such as health status, medical history, gender, and industry of employment to set premium rates, will help to ensure that every American has access to high-quality, affordable health insurance.

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Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2014 (CMS-9964-P) (CMS) — American Medical Association | OpenPolis