Patient Protection and Affordable Care ACT - Exchange and Insurance Market Standards for 2015 and Beyond Cms-9949-F (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)

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Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781722602581
Total Pages : 330 pages
Book Rating : 4.6/5 (25 download)

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Book Synopsis Patient Protection and Affordable Care ACT - Exchange and Insurance Market Standards for 2015 and Beyond Cms-9949-F (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition) by : The Law The Law Library

Download or read book Patient Protection and Affordable Care ACT - Exchange and Insurance Market Standards for 2015 and Beyond Cms-9949-F (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition) written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-07-05 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient Protection and Affordable Care Act - Exchange and Insurance Market Standards for 2015 and Beyond CMS-9949-F (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Patient Protection and Affordable Care Act - Exchange and Insurance Market Standards for 2015 and Beyond CMS-9949-F (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule addresses various requirements applicable to health insurance issuers, Affordable Insurance Exchanges ("Exchanges"), Navigators, non-Navigator assistance personnel, and other entities under the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act). Specifically, the rule establishes standards related to product discontinuation and renewal, quality reporting, non-discrimination standards, minimum certification standards and responsibilities of qualified health plan (QHP) issuers, the Small Business Health Options Program, and enforcement remedies in Federally-facilitated Exchanges. It also finalizes: A modification of HHS's allocation of reinsurance collections if those collections do not meet our projections; certain changes to allowable administrative expenses in the risk corridors calculation; modifications to the way we calculate the annual limit on cost sharing so that we round this parameter down to the nearest $50 increment; an approach to index the required contribution used to determine eligibility for an exemption from the shared responsibility payment under section 5000A of the Internal Revenue Code; grounds for imposing civil money penalties on persons who provide false or fraudulent information to the Exchange and on persons who improperly use or disclose information; updated standards for the consumer assistance programs; standards related to the opt-out provisions for self-funded, non-Federal governmental plans and related to the individual market provisions under the Health Insurance Portability and Accountability Act of 1996 including excepted benefits; standards regarding how enrollees may request access to non-formulary drugs under exigent circumstances; amendments to Exchange appeals standards and coverage enrollment and termination standards; and time-limited adjustments to the standards relating to the medical loss ratio (MLR) program. The majority of the provisions in this rule are being finalized as proposed. This book contains: - The complete text of the Patient Protection and Affordable Care Act - Exchange and Insurance Market Standards for 2015 and Beyond CMS-9949-F (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

Patient Protection and Affordable Care ACT - Health Insurance Market Rules - Rate Review (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition)

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Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781729722657
Total Pages : 82 pages
Book Rating : 4.7/5 (226 download)

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Book Synopsis Patient Protection and Affordable Care ACT - Health Insurance Market Rules - Rate Review (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition) by : The Law The Law Library

Download or read book Patient Protection and Affordable Care ACT - Health Insurance Market Rules - Rate Review (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition) written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-11-10 with total page 82 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient Protection and Affordable Care Act - Health Insurance Market Rules - Rate Review (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) The Law Library presents the complete text of the Patient Protection and Affordable Care Act - Health Insurance Market Rules - Rate Review (US Department of Health and Human Services Regulation) (HHS) (2018 Edition). Updated as of May 29, 2018 This final rule implements provisions related to fair health insurance premiums, guaranteed availability, guaranteed renewability, single risk pools, and catastrophic plans, consistent with title I of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010, referred to collectively as the Affordable Care Act. The final rule clarifies the approach used to enforce the applicable requirements of the Affordable Care Act with respect to health insurance issuers and group health plans that are non-federal governmental plans. This final rule also amends the standards for health insurance issuers and states regarding reporting, utilization, and collection of data under the federal rate review program, and revises the timeline for states to propose state-specific thresholds for review and approval by the Centers for Medicare & Medicaid Services (CMS). This book contains: - The complete text of the Patient Protection and Affordable Care Act - Health Insurance Market Rules - Rate Review (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) - A table of contents with the page number of each section

Patient Protection and Affordable Care ACT - Exchange and Insurance Market Standards for 2015 and Beyond (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition)

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Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781729722572
Total Pages : 242 pages
Book Rating : 4.7/5 (225 download)

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Book Synopsis Patient Protection and Affordable Care ACT - Exchange and Insurance Market Standards for 2015 and Beyond (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition) by : The Law The Law Library

Download or read book Patient Protection and Affordable Care ACT - Exchange and Insurance Market Standards for 2015 and Beyond (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition) written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-11-10 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient Protection and Affordable Care Act - Exchange and Insurance Market Standards for 2015 and Beyond (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) The Law Library presents the complete text of the Patient Protection and Affordable Care Act - Exchange and Insurance Market Standards for 2015 and Beyond (US Department of Health and Human Services Regulation) (HHS) (2018 Edition). Updated as of May 29, 2018 This final rule addresses various requirements applicable to health insurance issuers, Affordable Insurance Exchanges ("Exchanges"), Navigators, non-Navigator assistance personnel, and other entities under the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act). Specifically, the rule establishes standards related to product discontinuation and renewal, quality reporting, non-discrimination standards, minimum certification standards and responsibilities of qualified health plan (QHP) issuers, the Small Business Health Options Program, and enforcement remedies in Federally-facilitated Exchanges. It also finalizes: A modification of HHS's allocation of reinsurance collections if those collections do not meet our projections; certain changes to allowable administrative expenses in the risk corridors calculation; modifications to the way we calculate the annual limit on cost sharing so that we round this parameter down to the nearest $50 increment; an approach to index the required contribution used to determine eligibility for an exemption from the shared responsibility payment under section 5000A of the Internal Revenue Code; grounds for imposing civil money penalties on persons who provide false or fraudulent information to the Exchange and on persons who improperly use or disclose information; updated standards for the consumer assistance programs; standards related to the opt-out provisions for self-funded, non-Federal governmental plans and related to the individual market provisions under the Health Insurance Portability and Accountability Act of 1996 including excepted benefits; standards regarding how enrollees may request access to non-formulary drugs under exigent circumstances; amendments to Exchange appeals standards and coverage enrollment and termination standards; and time-limited adjustments to the standards relating to the medical loss ratio (MLR) program. The majority of the provisions in this rule are being finalized as proposed. This book contains: - The complete text of the Patient Protection and Affordable Care Act - Exchange and Insurance Market Standards for 2015 and Beyond (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) - A table of contents with the page number of each section

Patient Protection and Affordable Care ACT - Establishment of Exchanges and Qualified Health Plans - Small Business Health Options Program (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)

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Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781722602291
Total Pages : 28 pages
Book Rating : 4.6/5 (22 download)

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Book Synopsis Patient Protection and Affordable Care ACT - Establishment of Exchanges and Qualified Health Plans - Small Business Health Options Program (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition) by : The Law The Law Library

Download or read book Patient Protection and Affordable Care ACT - Establishment of Exchanges and Qualified Health Plans - Small Business Health Options Program (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition) written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-07-05 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient Protection and Affordable Care Act - Establishment of Exchanges and Qualified Health Plans - Small Business Health Options Program (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Patient Protection and Affordable Care Act - Establishment of Exchanges and Qualified Health Plans - Small Business Health Options Program (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule implements provisions of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act) related to the Small Business Health Options Program (SHOP). Specifically, this final rule amends existing regulations regarding triggering events and special enrollment periods for qualified employees and their dependents and implements a transitional policy regarding employees' choice of qualified health plans (QHPs) in the SHOP. This book contains: - The complete text of the Patient Protection and Affordable Care Act - Establishment of Exchanges and Qualified Health Plans - Small Business Health Options Program (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

Patient Protection and Affordable Care ACT - Establishment of Exchanges and Qualified Health Plans - Exchange Standards for Employers (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition)

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Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781729722541
Total Pages : 348 pages
Book Rating : 4.7/5 (225 download)

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Book Synopsis Patient Protection and Affordable Care ACT - Establishment of Exchanges and Qualified Health Plans - Exchange Standards for Employers (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition) by : The Law The Law Library

Download or read book Patient Protection and Affordable Care ACT - Establishment of Exchanges and Qualified Health Plans - Exchange Standards for Employers (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition) written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-11-10 with total page 348 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient Protection and Affordable Care Act - Establishment of Exchanges and Qualified Health Plans - Exchange Standards for Employers (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) The Law Library presents the complete text of the Patient Protection and Affordable Care Act - Establishment of Exchanges and Qualified Health Plans - Exchange Standards for Employers (US Department of Health and Human Services Regulation) (HHS) (2018 Edition). Updated as of May 29, 2018 This final rule will implement the new Affordable Insurance Exchanges ("Exchanges"), consistent with title I of the Patient Protection and Affordable Care Act of 2010 as amended by the Health Care and Education Reconciliation Act of 2010, referred to collectively as the Affordable Care Act. The Exchanges will provide competitive marketplaces for individuals and small employers to directly compare available private health insurance options on the basis of price, quality, and other factors. The Exchanges, which will become operational by January 1, 2014, will help enhance competition in the health insurance market, improve choice of affordable health insurance, and give small businesses the same purchasing clout as large businesses. This book contains: - The complete text of the Patient Protection and Affordable Care Act - Establishment of Exchanges and Qualified Health Plans - Exchange Standards for Employers (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) - A table of contents with the page number of each section

Patient Protection and Affordable Care ACT - Standards Related to Reinsurance, Risk Corridors and Risk Adjustment (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition)

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Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781729722770
Total Pages : 76 pages
Book Rating : 4.7/5 (227 download)

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Book Synopsis Patient Protection and Affordable Care ACT - Standards Related to Reinsurance, Risk Corridors and Risk Adjustment (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition) by : The Law The Law Library

Download or read book Patient Protection and Affordable Care ACT - Standards Related to Reinsurance, Risk Corridors and Risk Adjustment (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition) written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-11-10 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient Protection and Affordable Care Act - Standards Related to Reinsurance, Risk Corridors and Risk Adjustment (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) The Law Library presents the complete text of the Patient Protection and Affordable Care Act - Standards Related to Reinsurance, Risk Corridors and Risk Adjustment (US Department of Health and Human Services Regulation) (HHS) (2018 Edition). Updated as of May 29, 2018 This final rule implements standards for States related to reinsurance and risk adjustment, and for health insurance issuers related to reinsurance, risk corridors, and risk adjustment consistent with title I of the Patient Protection and Affordable Care Act as amended by the Health Care and Education Reconciliation Act of 2010, referred to collectively as the Affordable Care Act. These programs will mitigate the impact of potential adverse selection and stabilize premiums in the individual and small group markets as insurance reforms and the Affordable Insurance Exchanges ("Exchanges") are implemented, starting in 2014. The transitional State-based reinsurance program serves to reduce uncertainty by sharing risk in the individual market through making payments for high claims costs for enrollees. The temporary Federally administered risk corridors program serves to protect against uncertainty in rate setting by qualified health plans sharing risk in losses and gains with the Federal government. The permanent State-based risk adjustment program provides payments to health insurance issuers that disproportionately attract high-risk populations (such as individuals with chronic conditions). This book contains: - The complete text of the Patient Protection and Affordable Care Act - Standards Related to Reinsurance, Risk Corridors and Risk Adjustment (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) - A table of contents with the page number of each section

Moral Exemptions and Accommodations for Coverage of Certain Preventive Services Under the Affordable Care ACT (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)

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Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781722467135
Total Pages : 56 pages
Book Rating : 4.4/5 (671 download)

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Book Synopsis Moral Exemptions and Accommodations for Coverage of Certain Preventive Services Under the Affordable Care ACT (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition) by : The Law The Law Library

Download or read book Moral Exemptions and Accommodations for Coverage of Certain Preventive Services Under the Affordable Care ACT (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition) written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-07-05 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt: Moral Exemptions and Accommodations for Coverage of Certain Preventive Services under the Affordable Care Act (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Moral Exemptions and Accommodations for Coverage of Certain Preventive Services under the Affordable Care Act (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 The United States has a long history of providing conscience protections in the regulation of health care for entities and individuals with objections based on religious beliefs or moral convictions. These interim final rules expand exemptions to protect moral convictions for certain entities and individuals whose health plans are subject to a mandate of contraceptive coverage through guidance issued pursuant to the Patient Protection and Affordable Care Act. These rules do not alter the discretion of the Health Resources and Services Administration, a component of the United States Department of Health and Human Services, to maintain the guidelines requiring contraceptive coverage where no regulatorily recognized objection exists. These rules also provide certain morally objecting entities access to the voluntary "accommodation" process regarding such coverage. These rules do not alter multiple other Federal programs that provide free or subsidized contraceptives for women at risk of unintended pregnancy. This book contains: - The complete text of the Moral Exemptions and Accommodations for Coverage of Certain Preventive Services under the Affordable Care Act (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

Patient Protection and Affordable Care ACT - Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition)

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Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781729722749
Total Pages : 86 pages
Book Rating : 4.7/5 (227 download)

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Book Synopsis Patient Protection and Affordable Care ACT - Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition) by : The Law The Law Library

Download or read book Patient Protection and Affordable Care ACT - Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition) written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-11-10 with total page 86 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient Protection and Affordable Care Act - Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) The Law Library presents the complete text of the Patient Protection and Affordable Care Act - Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation (US Department of Health and Human Services Regulation) (HHS) (2018 Edition). Updated as of May 29, 2018 This final rule sets forth standards for health insurance issuers consistent with title I of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010, referred to collectively as the Affordable Care Act. Specifically, this final rule outlines Exchange and issuer standards related to coverage of essential health benefits and actuarial value. This rule also finalizes a timeline for qualified health plans to be accredited in Federally-facilitated Exchanges and amends regulations providing an application process for the recognition of additional accrediting entities for purposes of certification of qualified health plans. This book contains: - The complete text of the Patient Protection and Affordable Care Act - Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) - A table of contents with the page number of each section

Patient Protection and Affordable Care ACT - Exchange Functions - Standards for Navigators and Non-Navigator Assistance Personnel, Etc. (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition)

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Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781729722565
Total Pages : 78 pages
Book Rating : 4.7/5 (225 download)

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Book Synopsis Patient Protection and Affordable Care ACT - Exchange Functions - Standards for Navigators and Non-Navigator Assistance Personnel, Etc. (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition) by : The Law The Law Library

Download or read book Patient Protection and Affordable Care ACT - Exchange Functions - Standards for Navigators and Non-Navigator Assistance Personnel, Etc. (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition) written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-11-10 with total page 78 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient Protection and Affordable Care Act - Exchange Functions - Standards for Navigators and Non-Navigator Assistance Personnel, etc. (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) The Law Library presents the complete text of the Patient Protection and Affordable Care Act - Exchange Functions - Standards for Navigators and Non-Navigator Assistance Personnel, etc. (US Department of Health and Human Services Regulation) (HHS) (2018 Edition). Updated as of May 29, 2018 This final rule addresses various requirements applicable to Navigators and non-Navigator assistance personnel in Federally-facilitated Exchanges, including State Partnership Exchanges, and to non-Navigator assistance personnel in State Exchanges that are funded through federal Exchange Establishment grants. It finalizes the requirement that Exchanges must have a certified application counselor program. It creates conflict-of-interest, training and certification, and meaningful access standards; clarifies that any licensing, certification, or other standards prescribed by a state or Exchange must not prevent application of the provisions of title I of the Affordable Care Act; adds entities with relationships to issuers of stop loss insurance to the list of entities that are ineligible to become Navigators; and clarifies that the same ineligibility criteria that apply to Navigators apply to certain non-Navigator assistance personnel. This book contains: - The complete text of the Patient Protection and Affordable Care Act - Exchange Functions - Standards for Navigators and Non-Navigator Assistance Personnel, etc. (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) - A table of contents with the page number of each section

Patient Protection and Affordable Care ACT - Benefit and Payment Parameters (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition)

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Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781729722404
Total Pages : 260 pages
Book Rating : 4.7/5 (224 download)

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Book Synopsis Patient Protection and Affordable Care ACT - Benefit and Payment Parameters (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition) by : The Law The Law Library

Download or read book Patient Protection and Affordable Care ACT - Benefit and Payment Parameters (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition) written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-11-10 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient Protection and Affordable Care Act - Benefit and Payment Parameters (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) The Law Library presents the complete text of the Patient Protection and Affordable Care Act - Benefit and Payment Parameters (US Department of Health and Human Services Regulation) (HHS) (2018 Edition). Updated as of May 29, 2018 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. This book contains: - The complete text of the Patient Protection and Affordable Care Act - Benefit and Payment Parameters (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) - A table of contents with the page number of each section

Patient Protection and Affordable Care ACT - Market Stabilization (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition)

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Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781729722664
Total Pages : 76 pages
Book Rating : 4.7/5 (226 download)

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Book Synopsis Patient Protection and Affordable Care ACT - Market Stabilization (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition) by : The Law The Law Library

Download or read book Patient Protection and Affordable Care ACT - Market Stabilization (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition) written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-11-10 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient Protection and Affordable Care Act - Market Stabilization (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) The Law Library presents the complete text of the Patient Protection and Affordable Care Act - Market Stabilization (US Department of Health and Human Services Regulation) (HHS) (2018 Edition). Updated as of May 29, 2018 This rule finalizes changes that will help stabilize the individual and small group markets and affirm the traditional role of State regulators. This final rule amends standards relating to special enrollment periods, guaranteed availability, and the timing of the annual open enrollment period in the individual market for the 2018 plan year; standards related to network adequacy and essential community providers for qualified health plans; and the rules around actuarial value requirements. This book contains: - The complete text of the Patient Protection and Affordable Care Act - Market Stabilization (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) - A table of contents with the page number of each section

Nondiscrimination and Wellness Programs in Health Coverage in the Group Market (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)

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Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781722489403
Total Pages : 110 pages
Book Rating : 4.4/5 (894 download)

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Book Synopsis Nondiscrimination and Wellness Programs in Health Coverage in the Group Market (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition) by : The Law The Law Library

Download or read book Nondiscrimination and Wellness Programs in Health Coverage in the Group Market (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition) written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-07-05 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nondiscrimination and Wellness Programs in Health Coverage in the Group Market (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Nondiscrimination and Wellness Programs in Health Coverage in the Group Market (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This document contains final rules governing the provisions prohibiting discrimination based on a health factor for group health plans and issuers of health insurance coverage offered in connection with a group health plan. The rules contained in this document implement changes made to the Internal Revenue Code of 1986 (Code), the Employee Retirement Income Security Act of 1974 (ERISA), and the Public Health Service Act (PHS Act) enacted as part of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This book contains: - The complete text of the Nondiscrimination and Wellness Programs in Health Coverage in the Group Market (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

Patient Protection and Affordable Care ACT - Miscellaneous Minimum Essential Coverage Provisions (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition)

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Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781729722671
Total Pages : 78 pages
Book Rating : 4.7/5 (226 download)

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Book Synopsis Patient Protection and Affordable Care ACT - Miscellaneous Minimum Essential Coverage Provisions (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition) by : The Law The Law Library

Download or read book Patient Protection and Affordable Care ACT - Miscellaneous Minimum Essential Coverage Provisions (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition) written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-11-10 with total page 78 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient Protection and Affordable Care Act - Miscellaneous Minimum Essential Coverage Provisions (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) The Law Library presents the complete text of the Patient Protection and Affordable Care Act - Miscellaneous Minimum Essential Coverage Provisions (US Department of Health and Human Services Regulation) (HHS) (2018 Edition). Updated as of May 29, 2018 This final rule implements certain functions of the Affordable Insurance Exchanges ("Exchanges"). These specific statutory functions include determining eligibility for and granting certificates of exemption from the individual shared responsibility payment described in section 5000A of the Internal Revenue Code. Additionally, this final rule implements the responsibilities of the Secretary of Health and Human Services, in coordination with the Secretary of the Treasury, to designate other health benefits coverage as minimum essential coverage by providing that certain coverage be designated as minimum essential coverage. It also outlines substantive and procedural requirements that other types of individual coverage must fulfill in order to be certified as minimum essential coverage. This book contains: - The complete text of the Patient Protection and Affordable Care Act - Miscellaneous Minimum Essential Coverage Provisions (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) - A table of contents with the page number of each section

Medicare and Medicaid Programs - Fire Safety Requirements for Certain Health Care Facilities (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)

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Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781722460761
Total Pages : 80 pages
Book Rating : 4.4/5 (67 download)

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Book Synopsis Medicare and Medicaid Programs - Fire Safety Requirements for Certain Health Care Facilities (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition) by : The Law The Law Library

Download or read book Medicare and Medicaid Programs - Fire Safety Requirements for Certain Health Care Facilities (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition) written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-07-05 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare and Medicaid Programs - Fire Safety Requirements for Certain Health Care Facilities (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicare and Medicaid Programs - Fire Safety Requirements for Certain Health Care Facilities (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule will amend the fire safety standards for Medicare and Medicaid participating hospitals, critical access hospitals (CAHs), long-term care facilities, intermediate care facilities for individuals with intellectual disabilities (ICF-IID), ambulatory surgery centers (ASCs), hospices which provide inpatient services, religious non-medical health care institutions (RNHCIs), and programs of all-inclusive care for the elderly (PACE) facilities. Further, this final rule will adopt the 2012 edition of the Life Safety Code (LSC) and eliminate references in our regulations to all earlier editions of the Life Safety Code. It will also adopt the 2012 edition of the Health Care Facilities Code, with some exceptions. This book contains: - The complete text of the Medicare and Medicaid Programs - Fire Safety Requirements for Certain Health Care Facilities (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

Clia Program and Hipaa Privacy Rule - Patients' Access to Test Reports (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)

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Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781720974994
Total Pages : 54 pages
Book Rating : 4.9/5 (749 download)

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Book Synopsis Clia Program and Hipaa Privacy Rule - Patients' Access to Test Reports (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition) by : The Law The Law Library

Download or read book Clia Program and Hipaa Privacy Rule - Patients' Access to Test Reports (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition) written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-06-09 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt: CLIA Program and HIPAA Privacy Rule - Patients' Access to Test Reports (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the CLIA Program and HIPAA Privacy Rule - Patients' Access to Test Reports (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule amends the Clinical Laboratory Improvement Amendments of 1988 (CLIA) regulations to specify that, upon the request of a patient (or the patient's personal representative), laboratories subject to CLIA may provide the patient, the patient's personal representative, or a person designated by the patient, as applicable, with copies of completed test reports that, using the laboratory's authentication process, can be identified as belonging to that patient. Subject to conforming amendments, the final rule retains the existing provisions that require release of test reports only to authorized persons and, if applicable, to the persons responsible for using the test reports and to the laboratory that initially requested the test. In addition, this final rule amends the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule to provide individuals (or their personal representatives) with the right to access test reports directly from laboratories subject to HIPAA (and to direct that copies of those test reports be transmitted to persons or entities designated by the individual) by removing the exceptions for CLIA-certified laboratories and CLIA-exempt laboratories from the provision that provides individuals with the right of access to their protected health information. These changes to the CLIA regulations and the HIPAA Privacy Rule provide individuals with a greater ability to access their health information, empowering them to take a more active role in managing their health and health care. This book contains: - The complete text of the CLIA Program and HIPAA Privacy Rule - Patients' Access to Test Reports (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

Application, Review, and Reporting Process for Waivers for State Innovation (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)

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Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781720961208
Total Pages : 52 pages
Book Rating : 4.9/5 (612 download)

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Book Synopsis Application, Review, and Reporting Process for Waivers for State Innovation (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition) by : The Law The Law Library

Download or read book Application, Review, and Reporting Process for Waivers for State Innovation (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition) written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-06-09 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt: Application, Review, and Reporting Process for Waivers for State Innovation (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Application, Review, and Reporting Process for Waivers for State Innovation (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule sets forth a procedural framework for submission and review of initial applications for a Waiver for State Innovation described in section 1332 of the Patient Protection and the Affordable Care Act including processes to ensure opportunities for public input in the development of such applications by States and in the Federal review of the applications. This book contains: - The complete text of the Application, Review, and Reporting Process for Waivers for State Innovation (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

Essentials of Health Care Finance

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Publisher : Jones & Bartlett Learning
ISBN 13 : 0763789291
Total Pages : 590 pages
Book Rating : 4.7/5 (637 download)

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Book Synopsis Essentials of Health Care Finance by : William Cleverley

Download or read book Essentials of Health Care Finance written by William Cleverley and published by Jones & Bartlett Learning. This book was released on 2011 with total page 590 pages. Available in PDF, EPUB and Kindle. Book excerpt: Essentials of Health Care Finance stands firmly in its place as the leading textbook on healthcare finance. No other text so completely blends the best of current finance theory with the tools needed in day-to-day practice. Useful for all course levels as well as a professional reference, this text offers a comprehensive introduction to the field. The Seventh Edition has been thoroughly revised to reflect the current economic environment in the healthcare industry, with thoughtful descriptions and ‘real-world’ examples. As the not-for-profit health care sector has increasingly come under attack by legislators seeking new sources of tax revenue, this edition also features a new chapter on assessing community benefits including an examination of the new Schedule H of the IRS 990 form. Ancillary instructor materials for the Seventh Edition have been significantly expanded and updated. PowerPoint lecture slides now include selected examples from the chapters. Electronic versions of many of the charts and tables in the chapters are provided to enable the instructor to re-create and modify existing examples. An expanded set of test questions with detailed answers will be provided for each chapter. New excel spreadsheets for selected chapters will be created to help both the students and the instructors perform a variety of financial analysis tasks with spreadsheet templates. The instructor’s manual has been revised to include key learning points, chapter overviews, and guidelines for class discussion.