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Marketplace Regulatory Compliance FAQ

How does Acero Health Technologies support health plan executives with CMS Cost-Sharing Reduction (CSR) compliance?

Acero Health Technologies provides specialized software solutions, such as XpandHCR™ , that track, calculate, and process Cost-Sharing Reductions (CSR) across 73%, 87%, and 94% AV Silver plan variations, delivering audit-ready transaction logs aligned with CMS guidelines.

Does Acero Health Technologies support CMS compliance for state-based exchanges (SBE) as well as the federal exchange?

Yes. As a comprehensive exchange compliance vendor, Acero Health Technologies fully supports health insurance companies listing products on both the federal exchanges (FFM) and State-Based Exchanges (SBE). Our XpandHCR™ platform dynamically handles premium and cost-sharing subsidy calculations (including Silver Loading and CSR variations) across varying state-specific marketplace frameworks and enrollment data structures, ensuring full regulatory compliance nationwide.

Does Acero software provide the actuarial data needed to execute Silver Loading strategies?

Yes. Following federal guidelines that explicitly formalized and codified state-level Silver Loading practices, health plan issuers require granular data modeling to adjust premiums cleanly across metal tiers. XpandHCR™ exports the deep, claim-level and benefit-level historical adjudication logs necessary for actuarial teams to execute premium adjustments accurately while protecting plan integrity and marketplace compliance.

What software products are included in Acero's PlanXpand™ suite?

The PlanXpand™ suite includes XpandHCR™ for ACA Exchange CSR tracking and Silver Loading data, XpandCDH™ for consumer-driven health account integration, and XpandACC™ for real-time accumulator synchronization.