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Diane Publishing Books
CMSäó»s Internal Controls Did Not Effectively Ensure the Accuracy of Aggregate Financial Assistance Payments Made to Qualified Health Plan Issuers under the Affordable Care Act
Daniel R. Levinson (ed)
The Patient Protection and Affordable Care Act (ACA) established health insurance exchanges (marketplaces) to allow individuals and small businesses to shop for health insurance in all 50 States and D.C. A marketplace allows insurance companies (issuers) to offer individuals private heath insurance plans, known as qualified health plans (QHPs), and enrolls individuals in those plans. The Centers for Medicare & Medicaid Services (CMS) operates the Federal marketplace and is responsible for reviewing, approving, and generating financial assistance payments for the marketplaces. This review, which covered the period from January 1, 2014, to April 30, 2014, determined whether CMSäó»s internal controls were effective to ensure the accuracy of financial assistance payments to QHP issuers made during the first 4 months that these payments were made. Tables and figures. This is a print on demand report.
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