The U.S. Department of Health and Human Services is getting ready to ask the public how it should protect carriers from the effects of the new health insurance product sales rules.
HHS also is about to fine-tune the “3 Rs” — the three Patient Protect and Affordable Care Act risk management mechanisms; propose 2015 risk-management program fees; adjust the Small Business Health Options Program exchange rules; and make changes in the rules for everything from exchange medical plan cost-sharing limits to the annual limit on cost-sharing for stand-alone dental plans sold through an exchange.
The Centers for Medicare & Medicaid Services, the arm of HHS overseeing HHS PPACA implementation efforts, is preparing to publish the proposals in a 254-page packet of draft regulations set to appear in the Federal Register Monday.
Comments will be due 30 days after the official publication date.
CMS has had a large team working on the draft. In the section that lists who members of the public should call with any questions about the draft regulations, the agency lists 14 people. Scott Dafflitto, for example, is in charge of SHOP small-group exchange questions, and Kelly Horney is supposed to get questions about risk adjustment.