Filed Under:Markets, Employee Benefits

PPACA rate, wellness and benefits proposals roll out

President Obama signs PPACA. (AP Photo/J. Scott Applewhite)
President Obama signs PPACA. (AP Photo/J. Scott Applewhite)

The U.S. Department of Health and Human Services (HHS) is getting ready to pump three major Patient Protection and Affordable Care Act (PPACA) regulation proposals into the Federal Register.

On Monday, HHS plans to publish a 131-page proposed rule implementing PPACA health insurance market and rate review rules and a 119-page proposed rule implementing the PPACA essential health benefits (EHB), actuarial value and accreditation provisions.

In the proposed wellness incentive program regulations, officials at HHS, Treasury and Labor emphasize that most PPACA wellness incentive antidiscrimination rules apply only to programs that reward employees based on performance on actual health measures, such as improvements in weight or blood pressure, and not to programs that simply encourage employees to participate in "participatory wellness" activities, such as exercise classes.

The antidiscrimination rules are meant to encourage employers to use "health contingent" wellness incentives, by spelling out the rules, not to discourage use of the incentives, officials said.

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Nichole Morford

Nichole Morford
Managing Editor

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