{"abstract":"This interim final rule with comment builds upon standards set forth in the HHS Notice of Benefit and Payment Parameters for 2014, published elsewhere in this issue of the Federal Register. This document will adjust risk corridors calculations that would align the calculations with the single risk pool provision, and set standards permitting issuers of qualified health plans the option of using an alternate methodology for calculating the value of cost-sharing reductions provided for the purpose of reconciliation of advance payments of cost-sharing reductions.","action":"Interim final rule with comment.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2013/03/11/2013-04904.html","cfr_references":[{"chapter":null,"citation_url":null,"part":153,"title":45},{"chapter":null,"citation_url":null,"part":156,"title":45}],"citation":"78 FR 15541","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective date: These regulations are effective on April 30, 2013.","disposition_notes":null,"docket_ids":["CMS-9964-IFC"],"dockets":[],"document_number":"2013-04904","effective_on":"2013-04-30","end_page":15552,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2013/03/11/2013-04904.xml","html_url":"https://www.federalregister.gov/documents/2013/03/11/2013-04904/patient-protection-and-affordable-care-act-amendments-to-the-hhs-notice-of-benefit-and-payment","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2013-04904?publication_date=2013-03-11","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2013-03-11/2013-04904/mods.xml","not_received_for_publication":null,"page_length":12,"page_views":{"count":5302,"last_updated":"2026-07-27 02:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2013-03-11/pdf/2013-04904.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2013-04904.pdf?1362154628","publication_date":"2013-03-11","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2013/03/11/2013-04904.txt","regulation_id_number_info":{"0938-AR74":{"issue":"201304","html_url":"https://www.federalregister.gov/regulations/0938-AR74/amendments-to-the-notice-of-benefit-and-payment-parameters-cost-sharung-reductions-and-risk-corridor","title":"Amendments to the Notice of Benefit and Payment Parameters; Cost-Sharung Reductions and Risk Corridors (CMS-9964-F3)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201304&RIN=0938-AR74&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"}},"regulation_id_numbers":["0938-AR74"],"regulations_dot_gov_info":{"supporting_documents":[],"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2012-0152","supporting_documents_count":0,"docket_id":"CMS-2012-0152","regulation_id_number":"0938-AR51","title":"Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2014 (CMS-9964-P)","checked_regulationsdotgov_at":"2013-05-02T05:00:51Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":15541,"subtype":null,"title":"Patient Protection and Affordable Care Act; Amendments to the HHS Notice of Benefit and Payment Parameters for 2014","toc_doc":"Amendments to the HHS Notice of Benefit and Payment Parameters for 2014","toc_subject":"Patient Protection and Affordable Care Act:","topics":["Administrative practice and procedure","Advertising","Advisory committees","Brokers","Consumer protection","Grant programs-health","Health care","Health insurance","Health maintenance organizations (HMO)","Health records","Hospitals","Individuals with disabilities","Loan programs-health","Medicaid","Organization and functions (Government agencies)","Public assistance programs","Reporting and recordkeeping requirements","State and local governments","Sunshine Act","Technical assistance","Women","Youth"],"type":"Rule","volume":78}