Perspectives on Essential Health Benefits Workshop Report (2012) / Chapter Skim
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1 Introduction
1 Introduction
Pages 13-16
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From page 13... ...
-- 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. EXCHANGES AND ESSENTIAL HEALTH BENEFITS 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 (EHB)
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From page 14... ...
To hear a variety of viewpoints on issues contained within the committee's charge, the committee held public workshops on January 13-14, 2011, in Washington, DC, and March 2, 2011, in Costa Mesa, California. Experts from federal and state government, employers, insurers, providers, consumers, and health care researchers were asked to identify current methods for determining medical necessity, express state-specific concerns, and share decision-making approaches to determining which benefits would be covered and other benefit design practices, 6 Individuals whose incomes are at or below 133 percent of the federal poverty level (FPL)
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From page 15... ...
The com mittee will also take into account language in Section 1302 on periodic review of essential health benefits, and other sections of the Affordable Care Act: for example, coverage of preventive health services (Sec tion 2713) , utilization of uniform explanation of coverage documents and standardized definitions (Section 2715)
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