CMS Issues Proposed Rule on Health Insurance Marketplace

CMS released a proposed rule outlining program integrity
guidelines for the Health Insurance Marketplace (Marketplace) and premium stabilization
programs. Through the Affordable Care Act, consumers and small businesses will
have access to new Marketplaces where they can access quality, affordable
private health insurance. Consumers in every state will be able to buy
insurance from qualified health plans directly through these Marketplaces and
may be eligible for tax credits to lower the cost of their health insurance.
“In just a few months, consumers across the country will have access to a new
Marketplace in their state where they can easily shop for health insurance that
meets their needs and the needs of their families,” said CMS Administrator
Marilyn Tavenner. “The release of these guidelines signals that we’re ready to
build on our ongoing efforts and ensure that the new systems are fiscally
sound.” Many of the provisions in today’s rule build on guidance previously
issued to states and other key stakeholders. The policies offer clarity on
oversight of various premium stabilization and affordability programs, build on
state options regarding the Small Business Health Options Program, and provide
technical clarifications.

Source/more: CMS