Filed Under:Markets, Employee Benefits

CMS risk draft: Commenters eye the newly insured

Actuaries, regulators and others have started to wrestle with a complicated packet of draft regulations that could affect how health insurers cope with the effects of the Patient Protection and Affordable Care Act (PPACA) on health claims costs.

The Centers for Medicare & Medicaid Services (CMS), an arm of the U.S. Department of Health and Human Services, developed the draft regulations, "Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2014" (CMS-9964-P), in an effort to apply PPACA risk-adjustment provisions.

The program deductible is low and the coinsurance rate is high, Danburg-Wyld said.

The designers seem to be assuming that the biggest threat to health insurers will be catastrophic claims, Danburg-Wyld said.

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Nichole Morford

Nichole Morford
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