Federal Register - December 29, 2021
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Source: Federal Register
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Federal Register / Vol. 86, No. 247 / Wednesday, December 29, 2021 / Rules and Regulations
Nevertheless and notwithstanding the nationwide preliminary injunction, this analysis uses a baseline in which the November 2020 MFN Model interim final rule was implemented on January 1, 2021, to calculate the monetized estimates of the effects of this final rule.
We maintain the analytical approach described in the RIA of the November 2020 MFN Model interim final rule and August 2021 proposed rule, and for the purpose of quantifying the effects of this final rule, assume that the regulations added by the November 2020 MFN
Model interim final rule would remain
covered shown in Tables 1 and 2 begins January 2021 in alignment with the accounting statements and tables presented in the November 2020 MFN
Model interim final rule and in the August 2021 proposed rule. This approach illustrates that this final rule prevents the realization of the annualized/monetized estimates of costs and transfers that were presented in the November 2020 MFN Model interim final rule. Because the MFN Model was not implemented, readers should understand that this final rule does not affect conditions in the past.
in full effect if this final rule was not finalized. By rescinding the regulations added by the November 2020 MFN
Model interim final rule, this final rule prevents the occurrence of the estimated costs and transfers presented in the November 2020 MFN Model interim final rule. As presented in the August 2021 proposed rule 86 FR 43621, we summarize this result in Tables 1 and 2, which illustrate, inversely, the monetized estimates contained in Table 17 85 FR 76247 and Table 18 85 FR
76248 of the November 2020 MFN
Model interim final rule. The period
TABLE 1ACCOUNTING STATEMENT: ESTIMATED IMPACTS FROM CY 2021 TO CY 2028 AS A RESULT OF PROVISIONS OF
THIS FINAL RULE BASED ON THE OACT ESTIMATE
Units Category
Estimates Year dollar
Costs:
Annualized Monetized $million/year
To Whom
29.4
27.1
Transfers:
Annualized Monetized $million/year
7
3
January 2021December 2028.
January 2021December 2028.
0.4
0.4
2018
2018
7
3
January 2021December 2027.
January 2021December 2027.
11,502.5
11,906.3
2018
2018
7
3
January 2021December 2027.
January 2021December 2027.
4,087.2
4,228.3
2018
2018
7
3
January 2021December 2027.
January 2021December 2027.
Beneficiaries to hospitals/physicians and MA plans.
Annualized Monetized $million/year
From Whom to Whom
2018
2018
Federal Government to hospitals/physicians and MA plans.
Annualized Monetized $million/year
From Whom to Whom
Period covered
Hospital/physicians.
Annualized Monetized $million/year
From Whom to Whom
Discount rate %
577.5
596.5
2018
2018
7
3
January 2021December 2027.
January 2021December 2027.
States to hospitals/physicians and MA plans
TABLE 2ACCOUNTING STATEMENT: ESTIMATED IMPACTS FROM CY 2021 TO CY 2028 AS A RESULT OF THE PROVISIONS
OF THIS FINAL RULE BASED ON THE ASPE ESTIMATE
Units Category
Estimates Year dollar
Costs:
Annualized Monetized $million/year
khammond on DSKJM1Z7X2PROD with RULES
To Whom
29.4
27.1
Transfers:
Annualized Monetized $million/year
VerDate Sep<11>2014
19:06 Dec 28, 2021
Jkt 256001
Period covered
2018
2018
7
3
January 2021December 2028.
January 2021December 2028.
0.4
0.4
2018
2018
7
3
January 2021December 2027.
January 2021December 2027.
7,058.3
7,276.5
2018
2018
7
3
January 2021December 2027.
January 2021December 2027.
Hospital/physicians.
Annualized Monetized $million/year
From Whom to Whom
Discount rate %
Federal Government to hospitals/physicians and MA plans.
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