{"abstract":"This final rule implements new medical loss ratio (MLR) requirements for the Medicare Advantage Program and the Medicare Prescription Drug Benefit Program established under the Patient Protection and Affordable Care Act.","action":"Final rule.","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"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2013/05/23/2013-12156.html","cfr_references":[{"chapter":null,"citation_url":null,"part":422,"title":42},{"chapter":null,"citation_url":null,"part":423,"title":42}],"citation":"78 FR 31284","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"These regulations are effective on July 22, 2013.","disposition_notes":null,"docket_ids":["CMS-4173-F"],"dockets":[],"document_number":"2013-12156","effective_on":"2013-07-22","end_page":31313,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2013/05/23/2013-12156.xml","html_url":"https://www.federalregister.gov/documents/2013/05/23/2013-12156/medicare-program-medical-loss-ratio-requirements-for-the-medicare-advantage-and-the-medicare","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2013-12156?publication_date=2013-05-23","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2013-05-23/2013-12156/mods.xml","not_received_for_publication":null,"page_length":30,"page_views":{"count":11159,"last_updated":"2026-09-22 12:15:07 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2013-05-23/pdf/2013-12156.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2013-12156.pdf?1368821829","publication_date":"2013-05-23","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2013/05/23/2013-12156.txt","regulation_id_number_info":{"0938-AR69":null},"regulation_id_numbers":["0938-AR69"],"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-2013-0026","supporting_documents_count":0,"docket_id":"CMS-2013-0026","regulation_id_number":"0938-AR69","title":"Medicare Program; Medical Loss Ratio Requirements for the Medicare Advantage and the Medicare Prescription Drug Benefit Programs (CMS-4173-P)","checked_regulationsdotgov_at":"2013-06-12T08:05:50Z"},"regulations_dot_gov_url":null,"significant":null,"signing_date":null,"start_page":31284,"subtype":null,"title":"Medicare Program; Medical Loss Ratio Requirements for the Medicare Advantage and the Medicare Prescription Drug Benefit Programs","toc_doc":"Medical Loss Ratio Requirements for the Medicare Advantage and the Medicare Prescription Drug Benefit Programs","toc_subject":"Medicare Program:","topics":["Administrative practice and procedure","Emergency medical services","Health facilities","Health maintenance organizations (HMO)","Health professions","Medicare","Penalties","Privacy","Reporting and recordkeeping requirements"],"type":"Rule","volume":78}