"The rule adopts the position that geographic rating area is determined in the small group market by using the [principal] business location of the group policyholder and in the individual market by using the address of the primary policy holder, regardless of where other individuals covered by the policy live.... HHS modifies the proposed rule to provide that QHPs outside the exchange that are 'substantially the same' as a QHP in the exchange can participate in the risk corridor program.... The rule next confirms that, as already noted in guidance, states may operate SHOP-only exchanges, leaving the individual exchange for the federal government to run."  MORE >>