CMS Seeks Comments on Approach to ACA Actuarial Value and Cost-Sharing Reductions By Debra A. McCurdy on 28 February 2012 Print:Email this postLike this postShare this post on LinkedIn CMS has released an “Actuarial Value and Cost-Sharing Reductions Bulletin” that provides information and solicits comments on HHS’s planned approach to defining actuarial value (AV) and implementing cost-sharing reductions under the ACA.