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  • Title: Patient Protection and Affordable Care Act; HHS notice of benefit and payment parameters for 2016. Final rule.
    Author: Centers for Medicare & Medicaid Services, (CMS), HHS.
    Journal: Fed Regist; 2015 Feb 27; 80(39):10749-877. PubMed ID: 25898427.
    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 finalizes additional standards for the individual market annual open enrollment period for the 2016 benefit year, essential health benefits, qualified health plans, network adequacy, quality improvement strategies, the Small Business Health Options Program, guaranteed availability, guaranteed renewability, minimum essential coverage, the rate review program, the medical loss ratio program, and other related topics.
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