Essential health benefits : balancing coverage and cost / Cheryl Ulmer ... [and others], editors ; Committee on Defining and Revising an Essential Health Benefits Package for Qualified Health Plans, Board on Health Care Services, Institute of Medicine of the National Academies.

Format:

Book

Contributor:

Ulmer, Cheryl.

Institute of Medicine (U.S.). Committee on Defining and Revising an Essential Health Benefits Package for Qualified Health Plans.

Institute of Medicine (U.S.). Board on Health Care Services.

Language:

English

Subjects (All):

United States. Patient Protection and Affordable Care Act.

United States.

Health care reform--United States.

Health care reform.

Medical care, Cost of.

Forecasting.

Health insurance.

Health insurance--United States--Costs--Forecasting.

Health insurance--United States--States.

Medical care, Cost of--United States--Forecasting.

Health services accessibility--United States.

Health services accessibility.

Insurance Benefits.

Insurance Benefits--economics.

Insurance, Health.

Insurance, Health--economics.

Medical Subjects:

Insurance Benefits.

United States.

Insurance Benefits--economics.

Insurance, Health.

Insurance, Health--economics.

Physical Description:

xxiii, 231 pages : illustrations ; 28 cm

Place of Publication:

Washington, D.C. : National Academies Press, [2012]

Summary:

"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."--Publisher's description.

Contents:

Introduction

Approaches to determining covered benefits and benefit design

Policy foundations and criteria for the EHB [Essential Health Benefits]

Resolving ACA [Affordorable Care Act] intent

Defining the EHB

Public deliberation

Program monitoring and research

Allowance for state innovation

Updating the EHB.

Notes:

Includes bibliographical references.

ISBN:

9780309219143

0309219140

OCLC:

782251068