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dockets: CMS-2024-0311

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id agency_id title docket_type last_modified object_id rin dkabstract category subtype keywords program short_title effective_date organization attrs_raw attr_source
CMS-2024-0311 CMS Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2026; and Basic Health Program Proposed Rule (CMS-9888-P) Rulemaking 2024-11-13T14:29:05Z 0b000064867a6ff6 0938-AV41 The proposed rule outlines payment parameters and provisions for the HHS-operated risk adjustment and data validation programs, 2026 user fee rates for issuers in these programs, and changes to the Basic Health Program payment calculations. It includes modifications to the State payment transfer formula, Initial and Second Validation Audit processes, and enforcement actions against non-compliant agents. The rule also addresses discriminatory benefit designs, certification standards, Essential Community Provider reviews, public sharing of Quality Improvement Strategy information, netting of civil penalties, and revisions to medical loss ratio reporting and rebate requirements.               {"displayProperties": [], "keywords": null, "modifyDate": "2024-11-13T14:29:05Z", "dkAbstract": "The proposed rule outlines payment parameters and provisions for the HHS-operated risk adjustment and data validation programs, 2026 user fee rates for issuers in these programs, and changes to the Basic Health Program payment calculations. It includes modifications to the State payment transfer formula, Initial and Second Validation Audit processes, and enforcement actions against non-compliant agents. The rule also addresses discriminatory benefit designs, certification standards, Essential Community Provider reviews, public sharing of Quality Improvement Strategy information, netting of civil penalties, and revisions to medical loss ratio reporting and rebate requirements.", "agencyId": "CMS", "program": null, "shortTitle": null, "subType2": null, "title": "Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2026; and Basic Health Program Proposed Rule (CMS-9888-P)", "generic": null, "field1": null, "docketType": "Rulemaking", "petitionNbr": null, "rin": "0938-AV41", "organization": null, "legacyId": null, "subType": null, "category": null, "field2": null, "effectiveDate": null, "objectId": "0b000064867a6ff6"} single_get

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