Oct. 28—The Centers for Medicare & Medicaid Services released a final rule outlining financial integrity and oversight standards for the health insurance marketplaces, also known as exchanges.

Key policies addressed in the rule include:

  • Oversight of state-operated premium stabilization programs
  • Program integrity for advance payments of the premium tax credit and cost-sharing reductions
  • Program integrity of state marketplaces
  • Oversight of qualified health plan issuers in federally facilitated marketplaces
  • Establishment of standards for enrollee satisfaction survey vendors

The final rule also adopts provisions that align risk-corridors calculations with the single-risk pool provision and more. Learn more.

Publication Date: Monday, October 28, 2013