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Jan 31, 2013

This study, prepared by Health Management Associates (HMA), describes the current state of New York’s individual and small group insurance markets, including the market concentration of insurers, geographic distribution of enrollment, cost sharing and actuarial value of plans offered, and the distribution channels for accessing insurance in these markets. 

Resource Type: 
Reports & Research
Jan 22, 2013

On November 26, 2012, the U.S. Department of the Treasury, Department of Labor and Department of Health and Human Services issued a proposed rule on incentives for nondiscriminatory wellness programs in group health plans. 

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Policies
Jan 17, 2013

On November 20, 2012, New York submitted a Level 2 Exchange Establishment Grant application to support the establishment and on-going development of New York's Exchange through December 31, 2014.  The State received an award of $185.8 million for this grant on January 17, 2013.  New York received a supplemental award of $41 million for this grant on September 20, 2013.

Resource Type: 
Grants
Jan 2, 2013

On December 5, 2012, the U.S. Office of Personnel Management (OPM) issued a proposed rule on Establishment of the Multi-State Plan Program for the Affordable Insurance Exchanges. This proposed rule would implement the Multi-State Plan Program.  Through contracts with OPM, health insurance issuers will offer at least two multi-State plans on each of the Exchanges.  Comments were due by January 4, 2013.

Resource Type: 
Policies
Dec 21, 2012

On December 7, 2012, the U.S. Department of Health and Human Services (HHS) issued a proposed rule on benefit and payment parameters for 2014. This proposed rule provides further detail and parameters related to: the risk adjustment, reinsurance, and risk corridors programs; cost-sharing reductions; user fees for a Federally facilitated Exchange; advance payments of the premium tax credit; a Federally facilitated Small Business Health Option Program; and the medical loss ratio program. Comments were due by December 31, 2012.
 

Resource Type: 
Policies
Dec 21, 2012

On November 27, 2012, the U.S. Department of Health and Human Services (HHS) issued a request for information to seek public comments regarding health plan quality management in Exchanges. Comments were due by December 27, 2012.

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Policies
Dec 21, 2012

On November 26, 2012, the U.S. Department of Health and Human Services issued a proposed rule on health insurance market rules and rate review. This proposed rule would implement the Affordable Care Act’s (ACA) policies related to fair health insurance premiums, guaranteed availability, guaranteed renewability, risk pools, and catastrophic plans. The proposed rule would clarify the approach used to enforce the applicable requirements of the ACA with respect to health insurance issuers and group health plans that are non-federal governmental plans.

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Policies
Dec 21, 2012

In the Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation Proposed Rule (“EHB Rule”) published on November 26, 2012, HHS proposed to define EHB based on state-specific benchmark plans.  The EHB Rule requests public comment on proposed state EHB-benchmark plans.  To aid commenters with their review, HHS provided additional information for each proposed EHB-benchmark plan, including a list of state-required benefits.

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Policies
Dec 21, 2012

On November 26, 2012, the U.S. Department of Health and Human Services issued a proposed rule on standards related to essential health benefits, actuarial value, and accreditation. This proposed rule outlines Exchange and issuer standards related to coverage of essential health benefits and actuarial value.

Resource Type: 
Policies
Oct 26, 2012

On October 26, 2012, New York submitted its Blueprint application to HHS for approval to operate a state-based health benefit exchange.

Resource Type: 
Policies

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