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              Books by Committee on Defining and Revising an Essential Health Benefits Package for Qualified Health Plans

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              Perspectives on Essential Health Benefits: Workshop Report

              Perspectives on Essential Health Benefits: Workshop Report (Paperback)

              By Committee on Defining and Revising an Essential Health Benefits Package for Qualified Health Plans; on Health Care Services, Board; Institute of Medicine; Edited by Ulmer, Cheryl; McFadden, Bernadette

              • RRP: $72.00
              • $68.40
              • Save $3.60
              • Available At Publisher

              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.
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              ISBN 9780309215435
              Released NZ 15 Jan 2012
              Publisher FOOTPRINT BOOKS
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              Essential Health Benefits: Balancing Coverage and Cost

              Essential Health Benefits: Balancing Coverage and Cost (Paperback)

              By Committee on Defining and Revising an Essential Health Benefits Package for Qualified Health Plans; on Health Care Services, Board; Institute of Medicine; Edited by Ulmer, Cheryl; Ball, John

              • RRP: $87.00
              • $82.65
              • Save $4.35
              • Available At Publisher

              In 2010, an estimated 50 million people were uninsured in the United States. A portion of the uninsured reflects unemployment rates; however, this rate is primarily a reflection of the fact that when most health plans meet an individual's needs, most times, those health plans are... not affordable. Research shows that people without health insurance are more likely to experience financial burdens associated with the utilization of health care services. But even among the insured, underinsurance has emerged as a barrier to care. The Patient Protection and Affordable Care Act (ACA) has made the most comprehensive changes to the provision of health insurance since the development of Medicare and Medicaid by requiring all Americans to have health insurance by 2016. An estimated 30 million individuals who would otherwise be uninsured are expected to obtain insurance through the private health insurance market or state expansion of Medicaid programs. The success of the ACA depends on the design of the essential health benefits (EHB) package and its affordability. --Publisher's description.
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              ISBN 9780309219143
              Released NZ 15 Jan 2012
              Publisher FOOTPRINT BOOKS
              Interest Age General Audience
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              Showing available at publisher; usually ships 7-14 working days
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