Department of Health and Human Services, Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2015
GAO-14-461R: Mar 25, 2014
GAO reviewed the Department of Health and Human Services' (HHS) new rule on the Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2015. GAO found that (1) The final rule sets forth payment parameters and oversight 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 provides additional standards with respect to composite premiums, privacy and security of personally identifiable information, the annual open enrollment period for 2015, the actuarial value calculator, the annual limitation in cost sharing for stand-alone dental plans, the meaningful difference standard for qualified health plans offered through a federally-facilitated exchange, patient safety standards for issuers of qualified health plans, and the Small Business Health Options Program; and (2) HHS complied with the applicable requirements in promulgating the rule.