Acero Health Technologies provides the critical infrastructure required by health plan issuers to seamlessly navigate shifting federal healthcare mandates. Our core compliance engine, XpandHCR™, automates the calculation, tracking, and documentation of Cost-Sharing Reductions (CSR) across legally mandated plan variations.
- Dynamic Plan Variation Processing: Automates complex claim-level and benefit-level adjudication for 73%, 87%, and 94% Actuarial Value (AV) Silver plan variations, adjusting automatically to the reduced maximum annual cost-sharing limitations.
- Codified Silver Loading Solutions: Provides health plan actuarial teams with precise claim logs to model, calculate, and execute Silver Loading premium adjustment strategies, in strict alignment with the formalized guidelines established in the CMS Notice of Benefit and Payment Parameters.
- Audit-Ready Transaction Logs: Generates secure, transparent, and historical transaction trails designed to withstand rigorous marketplace integrity audits, protecting issuers against eligibility non-compliance and subsidy adjudication errors.