… giving it recognition in many ways. Across cultures, people struggle to win at games, compete for resources, acquire the best mating partners, and secure positions of authority. All these victories provide individuals or groups with a source of pride and security in the knowledg…

…of Revised Labor Market Area Delineations i. Micropolitan Statistical Areas ii. Urban Counties That Would Become Rural Under the Revised OMB Delineations iii. Rural Counties That Would Become Urban Under the Revised OMB Delineations iv. Urban Counties That Would Move to a Differe…

…of Revised Labor Market Area Delineations i. Micropolitan Statistical Areas ii. Urban Counties That Would Become Rural Under the Revised OMB Delineations iii. Rural Counties That Would Become Urban Under the Revised OMB Delineations iv. Urban Counties That Would Move to a Differe…

…age indexes will result in an estimated increase in payments of 0.2 percent for urban hospitals under the OPPS and an estimated increase in payments of 0.4 percent for rural hospitals. These wage indexes include the continued implementation of the OMB labor market area delineatio…

…ity Administration , the Agency for International Development , the Housing and Urban Development Department , the Labor Department , the Defense Department , the Education Department , the Veterans Affairs Department , the Environmental Protection Agency , the Health and Human S…

…FY) 2026 IPPS final rule wage indexes will result in a 0.1 percent increase for urban hospitals under the OPPS and a 0.2 percent increase for rural hospitals. These wage indexes include continued implementation of the Office of Management and Budget (OMB) labor market area deline…

…ents; Ryan White HIV/AIDS programs; and Indian tribes, tribal organizations, or urban Indian organizations. We finalize several improvements that seek to ensure consumers have access to affordable, high-quality health care coverage. We are amending requirements for QHPs, includin…

…n. “Helping Special Enrollment Periods Work under the Affordable Care Act.” The Urban Institute. June 23, 2016. Accessed at http://www.urban.org/​sites/​default/​files/​alfresco/​publication-pdfs/​2000834-Helping-Special-Enrollment-Periods-Work-Under-the-Affordable-Care-Act.pdf o…

…directly by the Indian Health Service, an Indian Tribe, Tribal Organization, or Urban Indian Organization (each as defined in 25 U.S.C. 1603 ), or through referral under contract health services, cost sharing cannot be further reduced. As such, we are finalizing at § 156.202(d)(4…

…ment defined as a measure of growth in the Chained Consumer Price Index for all Urban Consumers by section 1(f)(3) of the Code. HHS will continue to adhere to the calculation of the maximum annual limitation on cost sharing mandated by the PPACA. b. Reduced Maximum Annual Limitat…

…n. “Helping Special Enrollment Periods Work under the Affordable Care Act.” The Urban Institute. June 23, 2016. Accessed at http://www.urban.org/​sites/​default/​files/​alfresco/​publication-pdfs/​2000834-Helping-Special-Enrollment-Periods-Work-Under-the-Affordable-Care-Act.pdf o…

…n. “Helping Special Enrollment Periods Work under the Affordable Care Act.” The Urban Institute. June 23, 2016. Accessed at http://www.urban.org/​sites/​default/​files/​alfresco/​publication-pdfs/​2000834-Helping-Special-Enrollment-Periods-Work-Under-the-Affordable-Care-Act.pdf o…

…nd: Potential Effects on Enrollment and Program Administration (Washington, DC: Urban Institute, February 2015), available online at http://www.urban.org/​sites/​default/​files/​publication/​41616/​2000104-Enrollment-Periods-in-2015-and-Beyond.pdf . Back to Citation 21. Centers f…

…y commenters suggested that earnings vary substantially within a given State by urbanicity. These commenters suggested that we adjust the D/E rates or EP calculations for programs serving students in rural areas. Some other commenters suggested using metropolitan or micropolitan …

…lieu of ZIP Code, plan ID, and rating area that would indicate placement on the urban-rural continuum. Another commenter recommended that HHS adopt a data use standard that would, for example, only include geographical data (such as plan ID, ZIP Code, and rating area) when there …