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- 2012382501 abstract "The Patient Protection and Affordable Care Act (herein known as the Affordable Care Act [ACA]) was signed into law on March 23, 2010. Several provisions of the law went into effect in 2010 (including requirements to cover children up to age 26 and to prohibit insurance companies from denying coverage based on preexisting conditions for children). Other provisions will go into effect during 2014, including the requirement for all individuals to purchase health insurance. In 2014, insurance purchasers will be allowed, but not obliged, to buy their coverage through newly established health insurance exchanges (HIEs)--marketplaces designed to make it easier for customers to comparison shop among plans and for low and moderate income individuals to obtain public subsidies to purchase private health insurance. The exchanges will offer a choice of private health plans, and all plans must include a standard core set of covered benefits, called essential health benefits (EHBs). The Department of Health and Human Services requested that the Institute of Medicine (IOM) recommend criteria and methods for determining and updating the EHBs. In response, the IOM convened two workshops in 2011 where experts from federal and state government, as well as employers, insurers, providers, consumers, and health care researchers were asked to identify current methods for determining medical necessity, and share decision-making approaches to determining which benefits would be covered and other benefit design practices. Essential health benefits summarizes the presentations in this workshop. The committee's recommendations will be released in a subsequent report.".
- 2012382501 alternative "Essential health benefits".
- 2012382501 contributor B12553631.
- 2012382501 contributor B12553632.
- 2012382501 created "c2012.".
- 2012382501 date "2012".
- 2012382501 date "c2012.".
- 2012382501 dateCopyrighted "c2012.".
- 2012382501 description "Includes bibliographical references.".
- 2012382501 description "Introduction -- The policy context for essential health benefits -- Purchaser perspectives on the EHB -- State experiences with defining a minimum benefit standard -- Medical necessity and use of evidence -- Insurer decisions of benefit coverage and medical necessity -- Examining two categories of care in section 1302 -- Non-discrimination in the required elements for consideration -- Additional stakeholder perspectives -- Two private-sector approaches to benefit coverage and design -- Deciding what is essential and evidence-based in two states for public insurance programs -- Lessons from California's benefit review process -- Priority setting and value-based insurance design -- Assessing affordability and the potential for underinsurance.".
- 2012382501 description "The Patient Protection and Affordable Care Act (herein known as the Affordable Care Act [ACA]) was signed into law on March 23, 2010. Several provisions of the law went into effect in 2010 (including requirements to cover children up to age 26 and to prohibit insurance companies from denying coverage based on preexisting conditions for children). Other provisions will go into effect during 2014, including the requirement for all individuals to purchase health insurance. In 2014, insurance purchasers will be allowed, but not obliged, to buy their coverage through newly established health insurance exchanges (HIEs)--marketplaces designed to make it easier for customers to comparison shop among plans and for low and moderate income individuals to obtain public subsidies to purchase private health insurance. The exchanges will offer a choice of private health plans, and all plans must include a standard core set of covered benefits, called essential health benefits (EHBs). The Department of Health and Human Services requested that the Institute of Medicine (IOM) recommend criteria and methods for determining and updating the EHBs. In response, the IOM convened two workshops in 2011 where experts from federal and state government, as well as employers, insurers, providers, consumers, and health care researchers were asked to identify current methods for determining medical necessity, and share decision-making approaches to determining which benefits would be covered and other benefit design practices. Essential health benefits summarizes the presentations in this workshop. The committee's recommendations will be released in a subsequent report.".
- 2012382501 extent "xvii, 164 p. :".
- 2012382501 hasFormat "Also available in Open Book format via the National Academies Press home page.".
- 2012382501 identifier "0309215439".
- 2012382501 identifier "9780309215435".
- 2012382501 identifier catalog.php?record_id=13182.
- 2012382501 isFormatOf "Also available in Open Book format via the National Academies Press home page.".
- 2012382501 issued "2012".
- 2012382501 issued "c2012.".
- 2012382501 language "eng".
- 2012382501 publisher "Washington, D.C. : National Academies Press,".
- 2012382501 relation "Also available in Open Book format via the National Academies Press home page.".
- 2012382501 spatial "United States".
- 2012382501 spatial "United States.".
- 2012382501 subject "362.10973 23".
- 2012382501 subject "Fairness Congresses.".
- 2012382501 subject "Health care reform United States Congresses.".
- 2012382501 subject "Health insurance United States Costs Forecasting Congresses.".
- 2012382501 subject "Health insurance United States States Congresses.".
- 2012382501 subject "Health services accessibility United States Congresses.".
- 2012382501 subject "Insurance Benefits economics United States".
- 2012382501 subject "Insurance Benefits standards United States".
- 2012382501 subject "Insurance, Health economics United States.".
- 2012382501 subject "Medical care, Cost of United States Forecasting Congresses.".
- 2012382501 subject "Medical policy United States States Congresses.".
- 2012382501 subject "RA411 .P48 2012".
- 2012382501 subject "Right to health United States States Congresses.".
- 2012382501 subject "State Health Plans economics United States.".
- 2012382501 subject "United States. Patient Protection and Affordable Care Act Congresses.".
- 2012382501 subject "Welfare economics Congresses.".
- 2012382501 tableOfContents "Introduction -- The policy context for essential health benefits -- Purchaser perspectives on the EHB -- State experiences with defining a minimum benefit standard -- Medical necessity and use of evidence -- Insurer decisions of benefit coverage and medical necessity -- Examining two categories of care in section 1302 -- Non-discrimination in the required elements for consideration -- Additional stakeholder perspectives -- Two private-sector approaches to benefit coverage and design -- Deciding what is essential and evidence-based in two states for public insurance programs -- Lessons from California's benefit review process -- Priority setting and value-based insurance design -- Assessing affordability and the potential for underinsurance.".
- 2012382501 title "Essential health benefits".
- 2012382501 title "Perspectives on essential health benefits : workshop report / Cheryl Ulmer, Bernadette McFadden, and Cassandra Cacace, rapporteurs ; Committee on Defining and Revising an Essential Health Benefits Package for Qualified Health Plans, Board on Health Care Services, National Research Council of the National Academies.".
- 2012382501 type "text".