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Perspectives on essential health benefits : workshop report /

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 coverag...

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Автор-организация: Institute of Medicine (U.S.). Board on Health Care Services., Institute of Medicine (U.S.). Committee on Defining and Revising an Essential Health Benefits Package for Qualified Health Plans.
Други автори: Ulmer, Cheryl., McFadden, Bernadette., Cacace, Cassandra.
Формат: Електронна книга
Език: English
Публикувано: Washington, D.C. : National Academies Press, ℗♭2012.
Предмети:
United States. > Patient Protection and Affordable Care Act > Congresses.
United States.
Patient Protection and Affordable Care Act (United States)
Medical policy > United States > States > Congresses.
Right to health > United States > States > Congresses.
Health insurance > United States > States > Congresses.
Health insurance > United States > Costs > Forecasting > Congresses.
Medical care, Cost of > United States > Forecasting > Congresses.
Health services accessibility > United States > Congresses.
Health care reform > United States > Congresses.
Welfare economics > Congresses.
Fairness > Congresses.
State Health Plans > economics.
Insurance, Health > economics.
Insurance Benefits > standards.
Insurance Benefits > economics.
MEDICAL > Administration.
MEDICAL > Practice Management & Reimbursement.
Fairness.
Health care reform.
Health insurance > Costs > Forecasting.
Health insurance > U.S. states.
Health services accessibility.
Medical care, Cost of > Forecasting.
Medical policy > U.S. states.
Right to health > U.S. states.
Welfare economics.
United States > .
Electronic books.
Conference papers and proceedings.
Онлайн достъп: http://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&AN=433032
Подобни документи: Print version:: Perspectives on essential health benefits.
Съдържание:
  • 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.

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