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CMS Regs Pave Way for 2015 Plans, with Reinsurance Tweaks
Healthcare Payer News Link to more items from this source
May 20, 2014
"The risk corridor program's formula will have its administrative costs and profit ceilings each raised by two percent, to 22 percent for administration and five percent for after-tax profits.... For reinsurance next year, CMS is keeping the attachment point at $45,000, down from a proposed $70,000, and for 2016, it will recalculate the factors for some high-cost conditions.... By 2016, according to the ACA, exchange plans need to come with quality ratings for consumers. CMS is getting ready to create a system equivalent to Medicare star ratings.... Along with the quality ratings (technical details to come, CMS said), after 2016 exchanges will eventually show past enrollees satisfaction results for plans with more than 500 members[.]"

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