Essential Health Benefits
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Essential Health Benefits
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2012-01-17
Essential Health Benefits written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-01-17 with Medical categories.
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. Essential Health Benefits recommends a process for defining, monitoring, and updating the EHB package. The book is of value to Assistant Secretary for Planning and Evaluation (ASPE) and other U.S. Department of Health and Human Services agencies, state insurance agencies, Congress, state governors, health care providers, and consumer advocates.
Perspectives On Essential Health Benefits
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2012-01-10
Perspectives On Essential Health Benefits written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-01-10 with Medical categories.
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.
Essential Health Benefits
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Author : Committee on Defining and Revising an Essential Health Benefits Package for Qualified Health Plans
language : en
Publisher: National Academies Press
Release Date : 2012-01-17
Essential Health Benefits written by Committee on Defining and Revising an Essential Health Benefits Package for Qualified Health Plans and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-01-17 with Medical categories.
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. Essential Health Benefits recommends a process for defining, monitoring, and updating the EHB package. The book is of value to Assistant Secretary for Planning and Evaluation (ASPE) and other U.S. Department of Health and Human Services agencies, state insurance agencies, Congress, state governors, health care providers, and consumer advocates.
Perspectives On Essential Health Benefits
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Author : Committee on Defining and Revising an Essential Health Benefits Package for Qualified Health Plans
language : en
Publisher: National Academies Press
Release Date : 2012-01-10
Perspectives On Essential Health Benefits written by Committee on Defining and Revising an Essential Health Benefits Package for Qualified Health Plans and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-01-10 with Medical categories.
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.
Private Health Insurance And Essential Health Benefits
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Author : Cheryl Bennett
language : en
Publisher:
Release Date : 2016
Private Health Insurance And Essential Health Benefits written by Cheryl Bennett and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016 with Business & Economics categories.
The Patient Protection and Affordable Care Act (PPACA), as of 2014, changed how insurers determine health insurance premiums and how consumers shop for individual market health insurance plans. For example, PPACA prohibited insurers from denying coverage or varying premiums based on consumer health status or gender. At the same time, PPACA required health plans to be marketed based on their metal tiers (bronze, silver, gold, and platinum), which helps consumers compare the relative value of each plan; it also required the establishment of health insurance exchanges in each state, through which consumers can compare and select from among participating health plans. This book examines the numbers of health plans available to individuals and how they changed from 2014 to 2015; and the range of health insurance premiums in 2014 and 2015, and how they changed for individuals in each state and county for selected consumers. The book discusses premium and coverage variations of private health insurance and essential health benefits.
What S In What S Out
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Author : Amanda Glassman
language : en
Publisher: Brookings Institution Press
Release Date : 2017-10-10
What S In What S Out written by Amanda Glassman and has been published by Brookings Institution Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-10-10 with Medical categories.
Vaccinate children against deadly pneumococcal disease, or pay for cardiac patients to undergo lifesaving surgery? Cover the costs of dialysis for kidney patients, or channel the money toward preventing the conditions that lead to renal failure in the first place? Policymakers dealing with the realities of limited health care budgets face tough decisions like these regularly. And for many individuals, their personal health care choices are equally stark: paying for medical treatment could push them into poverty. Many low- and middle-income countries now aspire to universal health coverage, where governments ensure that all people have access to the quality health services they need without risk of impoverishment. But for universal health coverage to become reality, the health services offered must be consistent with the funds available—and this implies tough everyday choices for policymakers that could be the difference between life and death for those affected by any given condition or disease. The situation is particularly acute in low- and middle income countries where public spending on health is on the rise but still extremely low, and where demand for expanded services is growing rapidly. What’s In, What’s Out: Designing Benefits for Universal Health Coverage argues that the creation of an explicit health benefits plan—a defined list of services that are and are not available—is an essential element in creating a sustainable system of universal health coverage. With contributions from leading health economists and policy experts, the book considers the many dimensions of governance, institutions, methods, political economy, and ethics that are needed to decide what’s in and what’s out in a way that is fair, evidence-based, and sustainable over time.
Medicaid And Children S Health Insurance Programs Essential Health Benefits In Alternative Benefit Plans Eligibility Notices Fair Hearing Us Department Of Health And Human Services Regulation Hhs 2018 Edition
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Author : The Law The Law Library
language : en
Publisher: Createspace Independent Publishing Platform
Release Date : 2018-11-09
Medicaid And Children S Health Insurance Programs Essential Health Benefits In Alternative Benefit Plans Eligibility Notices Fair Hearing Us Department Of Health And Human Services Regulation Hhs 2018 Edition written by The Law The Law Library and has been published by Createspace Independent Publishing Platform this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-11-09 with categories.
Medicaid and Children's Health Insurance Programs - Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) The Law Library presents the complete text of the Medicaid and Children's Health Insurance Programs - Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing (US Department of Health and Human Services Regulation) (HHS) (2018 Edition). Updated as of May 29, 2018 This final rule implements provisions of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act. This final rule finalizes new Medicaid eligibility provisions; finalizes changes related to electronic Medicaid and the Children's Health Insurance Program (CHIP) eligibility notices and delegation of appeals; modernizes and streamlines existing Medicaid eligibility rules; revises CHIP rules relating to the substitution of coverage to improve the coordination of CHIP coverage with other coverage; and amends requirements for benchmark and benchmark-equivalent benefit packages consistent with sections 1937 of the Social Security Act (which we refer to as "alternative benefit plans") to ensure that these benefit packages include essential health benefits and meet certain other minimum standards. This rule also implements specific provisions including those related to authorized representatives, notices, and verification of eligibility for qualifying coverage in an eligible employer-sponsored plan for Affordable Insurance Exchanges. This rule also updates and simplifies the complex Medicaid premium and cost sharing requirements, to promote the most effective use of services, and to assist states in identifying cost sharing flexibilities. It includes transition policies for 2014 as applicable. This book contains: - The complete text of the Medicaid and Children's Health Insurance Programs - Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) - A table of contents with the page number of each section
Affordable Care Act For Dummies
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Author : Lisa Yagoda
language : en
Publisher: John Wiley & Sons
Release Date : 2014-05-20
Affordable Care Act For Dummies written by Lisa Yagoda and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-05-20 with Health & Fitness categories.
An essential and easy-to-understand guide to the Affordable Care Act The Affordable Care Act For Dummies is your survival guide to understanding the changes in our health care system and how they benefit you. Written in down-to-earth language, this handy resource outlines new protections under the Affordable Care Act, and walks you through what you—as an individual or an employer—need to do to select the best health insurance plan for your needs. With this book, you get answers to your top questions about how the law applies to you. The folks that bring you the For Dummies line of useful, educational books have teamed up with AARP to give you a hands-on guide that offers insight into how to make the right decisions about health care and improve your quality of life. It is filled with examples, ideas, and information as well as useful takeaways to help you take full advantage of the reforms. Uncover the 10 essential benefits of the Affordable Health Care Act Receive guidance on what will improve if you already have insurance coverage If you don't have coverage, determine which insurance program is right for you and your family and whether you're eligible for financial assistance Find out what changes businesses large and small can anticipate Learn how to avoid scammers who are taking advantage of consumers' confusion Use this complete guide to get the facts about the Affordable Care Act, clear up any misconceptions you may have about the law, and prepare for the health care choices ahead.
Essential Health Care
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Author : United States. Congress. Senate. Committee on Labor and Human Resources
language : en
Publisher:
Release Date : 1987
Essential Health Care written by United States. Congress. Senate. Committee on Labor and Human Resources and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1987 with Health insurance categories.
Patient Protection And Affordable Care Act Data Collection To Define Essential Health Benefits Us Centers For Medicare And Medicaid Services Regulation Cms 2018 Edition
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Author : The Law The Law Library
language : en
Publisher: Createspace Independent Publishing Platform
Release Date : 2018-07-05
Patient Protection And Affordable Care Act Data Collection To Define Essential Health Benefits Us Centers For Medicare And Medicaid Services Regulation Cms 2018 Edition written by The Law The Law Library and has been published by Createspace Independent Publishing Platform this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-07-05 with categories.
Patient Protection and Affordable Care Act - Data Collection to Define Essential Health Benefits (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Patient Protection and Affordable Care Act - Data Collection to Define Essential Health Benefits (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule establishes data collection standards necessary to implement aspects of section 1302 of the Patient Protection and Affordable Care Act (Affordable Care Act), which directs the Secretary of Health and Human Services to define essential health benefits. This final rule outlines the data on applicable plans to be collected from certain issuers to support the definition of essential health benefits. This final rule also establishes a process for the recognition of accrediting entities for purposes of certification of qualified health plans. This book contains: - The complete text of the Patient Protection and Affordable Care Act - Data Collection to Define Essential Health Benefits (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section