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This proposed rule includes proposed payment parameters and provisions linked to the danger adjustment and threat adjustment info validation courses, together with proposed 2023 user price charges for issuers offering certified health ideas (QHPs) by way of federally-facilitated Exchanges and Condition-primarily based Exchanges over the Federal Sys
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The proposed improvements to section 158 would clarify that only These provider incentives and bonuses which are tied to clearly described, objectively measurable, and effectively-documented medical or quality advancement benchmarks that implement to companies could possibly be included in incurred claims for MLR reporting and rebate calculation pu
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