sufficient, the committee integrated perspectives from economics, ethics, evidence-based practice, and population health (Figure S-1) to create an overarching framework (Chapter 3).

EXPLICIT CRITERIA WERE DEVELOPED TO GUIDE THE OVERALL PACKAGE,
CHOICES OF COMPONENTS, AND THE METHODS FOR UPDATING

The committee used the integrated policy foundations to develop criteria that could guide decisions about the EHB, as the Secretary of HHS requested. As shown in Figure S-2, the committee developed criteria to guide the EHB content in the aggregate and on specific elements. The committee recognized that the process by which the EHB are initially defined and updated is critical to establishing trust in the results. The committee’s recommended criteria to guide the processes for establishing and updating the EHB are shown in Figure S-2.

A MULTI-STEP PROCESS IS RECOMMENDED FOR DEVELOPING THE INITIAL EHB

As background, the report reviews the relationships between the benefits that are eligible for coverage, the design of covered benefits, and how benefits are administered, and then discusses various approaches that have been taken by states and private insurers regarding each of these aspects of insurance (Chapter 2). The report also reviews how some of the conflicting or ambiguous issues in the ACA were interpreted by the committee to provide a common understanding from which to develop its recommendations (Chapter 4).

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FIGURE S-1 Four policy domains with associated foundational principles for thinking about essential health benefits development and implementation.

NOTE: EBP = evidence-based practice.



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