Coverart for item
The Resource 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

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

Label
Perspectives on essential health benefits : workshop report
Title
Perspectives on essential health benefits
Title remainder
workshop report
Statement of responsibility
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
Title variation
Essential health benefits
Contributor
Subject
Genre
Language
eng
Summary
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
Member of
Cataloging source
N$T
Dewey number
362.1/068/3
Illustrations
illustrations
Index
no index present
LC call number
RA411
LC item number
.P48 2012eb
Literary form
non fiction
Nature of contents
  • dictionaries
  • bibliography
http://library.link/vocab/relatedWorkOrContributorName
  • Ulmer, Cheryl
  • McFadden, Bernadette
  • Cacace, Cassandra
  • Institute of Medicine (U.S.)
  • Institute of Medicine (U.S.)
http://library.link/vocab/subjectName
  • United States.
  • Medical policy
  • Right to health
  • Health insurance
  • Health insurance
  • Medical care, Cost of
  • Health services accessibility
  • Health care reform
  • Welfare economics
  • Fairness
  • Insurance Benefits
  • Insurance Benefits
  • Insurance, Health
  • State Health Plans
  • MEDICAL
  • MEDICAL
  • Fairness
  • Health care reform
  • Health insurance
  • Health insurance
  • Health services accessibility
  • Medical care, Cost of
  • Medical policy
  • Right to health
  • Welfare economics
  • United States
Label
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
Instantiates
Publication
Antecedent source
unknown
Bibliography note
Includes bibliographical references
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Color
multicolored
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Contents
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
Control code
777959279
Dimensions
unknown
Extent
1 online resource (xvii, 164 pages)
File format
unknown
Form of item
online
Isbn
9780309215442
Lccn
2012382501
Level of compression
unknown
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other physical details
illustrations
Quality assurance targets
not applicable
Reformatting quality
unknown
Sound
unknown sound
Specific material designation
remote
System control number
(OCoLC)777959279
Label
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
Publication
Antecedent source
unknown
Bibliography note
Includes bibliographical references
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Color
multicolored
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Contents
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
Control code
777959279
Dimensions
unknown
Extent
1 online resource (xvii, 164 pages)
File format
unknown
Form of item
online
Isbn
9780309215442
Lccn
2012382501
Level of compression
unknown
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other physical details
illustrations
Quality assurance targets
not applicable
Reformatting quality
unknown
Sound
unknown sound
Specific material designation
remote
System control number
(OCoLC)777959279

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