Title 42 published on 2015-11-28
The following are
ALL rules, proposed rules, and notices (chronologically) published in the Federal Register relating to 42 CFR Part 420 after this date.
2016-08-23; vol. 81 # 163 - Tuesday, August 23, 2016
81 FR 57554 - Request for Information: Inappropriate Steering of Individuals Eligible for or Receiving Medicare and Medicaid Benefits to Individual Market Plans
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DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services
Request for information.
To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on September 22, 2016.
42 CFR Part 402, 420, and, 455
This request for information seeks public comment regarding concerns about health care providers and provider-affiliated organizations steering people eligible for or receiving Medicare and/or Medicaid benefits to an individual market plan for the purpose of obtaining higher payment rates. CMS is concerned about reports of this practice and is requesting comments on the frequency and impact of this issue from the public. We believe this practice not only could raise overall health system costs, but could potentially be harmful to patient care and service coordination because of changes to provider networks and drug formularies, result in higher out-of-pocket costs for enrollees, and have a negative impact on the individual market single risk pool (or the combined risk pool in states that have chosen to merge their risk pools). We are seeking input from stakeholders and the public regarding the frequency and impact of this practice, and options to limit this practice.
Title 42 published on 2015-11-28.
No entries appear in the Federal Register
after this date, for 42 CFR Part 420.