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CMS releases final rule for 2015 and beyond

Publish Date: 5/27/2014

Earlier this month CMS issued a final rule for Exchange and Insurance Market Standards for 2015 and beyond. The rule focused on consumer notices, quality reporting and enrollee satisfaction surveys, the Small Business Health Options Program (SHOP), standards for Navigators and consumer assisters, and policies regarding premium stabilization programs.

Policies included in the final rule include: 

  • Standardizing Notices to Improve Consumer Education and Choices 
  • Strengthening the Prescription Drug Exceptions Process 
  • Implementing Quality Standards 
  • Providing Additional Options for SHOP in 2015 where states can delay implementation until 2016 
  • Strengthening Standards for Navigators and Other Assisters including training and testing requirements 
  • Clarifies Premium Stabilization Policies 

 

As the most trusted profession and source of health information, nurses are uniquely positioned to play a critical role in the implementation of the Affordable Care Act. Nurses have exclusive opportunities to share information with patients, communities and fellow nurses about the importance of health insurance coverage to the health of all Americans.

 

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