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019 755119857|a785779557
020 9780309215435|q(electronic book)
020 0309215439|q(electronic book)
020 9780309215442|q(electronic book)
020 0309215447|q(electronic book)
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050 4 RA411|b.P48 2012eb
072 7 MED|x002000|2bisacsh
072 7 MED|x095000|2bisacsh
082 04 362.1/068/3|222
090 RA411|b.P48 2012eb
245 00 Perspectives on essential health benefits :|bworkshop
report /|cCheryl Ulmer, Bernadette McFadden, and Cassandra
Cacace, rapporteurs ; Committee on Defining and Revising
an Essential Health Benefits Package for Qualified Health
Plans, Board on Health Care Services, National Research
Council of the National Academies.
246 30 Essential health benefits
264 1 Washington, D.C. :|bNational Academies Press,|c[2012]
264 4 |c©2012
300 1 online resource (xvii, 164 pages) :|billustrations
336 text|btxt|2rdacontent
337 computer|bc|2rdamedia
338 online resource|bcr|2rdacarrier
340 |gpolychrome|2rdacc
347 text file|2rdaft
504 Includes bibliographical references.
505 0 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.
520 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.
588 0 Print version record.
590 eBooks on EBSCOhost|bEBSCO eBook Subscription Academic
Collection - North America
610 10 United States.|tPatient Protection and Affordable Care Act
|0https://id.loc.gov/authorities/names/no2010066448
|vCongresses.|0https://id.loc.gov/authorities/subjects/
sh99001533
610 24 United States.
630 07 Patient Protection and Affordable Care Act (United States)
|2fast|0https://id.worldcat.org/fast/1916081
650 0 Medical policy|zUnited States|0https://id.loc.gov/
authorities/subjects/sh2008107275|xStates|0https://
id.loc.gov/authorities/subjects/sh2001008678|vCongresses.
|0https://id.loc.gov/authorities/subjects/sh99001533
650 0 Right to health|zUnited States|0https://id.loc.gov/
authorities/subjects/sh2010111057|xStates|0https://
id.loc.gov/authorities/subjects/sh2001008678|vCongresses.
|0https://id.loc.gov/authorities/subjects/sh99001533
650 0 Health insurance|zUnited States|xStates|0https://
id.loc.gov/authorities/subjects/sh2008123846|vCongresses.
|0https://id.loc.gov/authorities/subjects/sh99001533
650 0 Health insurance|zUnited States|xCosts|0https://id.loc.gov
/authorities/subjects/sh2008123844|xForecasting|0https://
id.loc.gov/authorities/subjects/sh00005779|vCongresses.
|0https://id.loc.gov/authorities/subjects/sh99001533
650 0 Medical care, Cost of|zUnited States|0https://id.loc.gov/
authorities/subjects/sh2008107281|xForecasting|0https://
id.loc.gov/authorities/subjects/sh00005779|vCongresses.
|0https://id.loc.gov/authorities/subjects/sh99001533
650 0 Health services accessibility|zUnited States|0https://
id.loc.gov/authorities/subjects/sh2008105522|vCongresses.
|0https://id.loc.gov/authorities/subjects/sh99001533
650 0 Health care reform|zUnited States|0https://id.loc.gov/
authorities/subjects/sh2008105519|vCongresses.|0https://
id.loc.gov/authorities/subjects/sh99001533
650 0 Welfare economics|0https://id.loc.gov/authorities/subjects
/sh85146027|vCongresses.|0https://id.loc.gov/authorities/
subjects/sh99001533
650 0 Fairness|0https://id.loc.gov/authorities/subjects/
sh85046908|vCongresses.|0https://id.loc.gov/authorities/
subjects/sh99001533
650 2 State Health Plans|xeconomics.|0https://id.nlm.nih.gov/
mesh/D013221Q000191
650 2 Insurance, Health|xeconomics.|0https://id.nlm.nih.gov/mesh
/D007348Q000191
650 2 Insurance Benefits|xstandards.|0https://id.nlm.nih.gov/
mesh/D007342Q000592
650 2 Insurance Benefits|xeconomics.|0https://id.nlm.nih.gov/
mesh/D007342Q000191
650 7 Medical policy.|2fast|0https://id.worldcat.org/fast/
1014505
650 7 Right to health.|2fast|0https://id.worldcat.org/fast/
1759363
650 7 Health insurance.|2fast|0https://id.worldcat.org/fast/
1715839
650 7 Forecasting.|2fast|0https://id.worldcat.org/fast/931721
650 7 Medical care, Cost of.|2fast|0https://id.worldcat.org/fast
/1013902
650 7 Health services accessibility.|2fast|0https://
id.worldcat.org/fast/953278
650 7 Health care reform.|2fast|0https://id.worldcat.org/fast/
952850
650 7 Welfare economics.|2fast|0https://id.worldcat.org/fast/
1173620
650 7 Fairness.|2fast|0https://id.worldcat.org/fast/919888
651 2 United States.|0https://id.nlm.nih.gov/mesh/D014481
651 7 United States.|2fast|0https://id.worldcat.org/fast/1204155
655 4 Electronic books.
655 7 Conference papers and proceedings.|2fast|0https://
id.worldcat.org/fast/1423772
655 7 Conference papers and proceedings.|2lcgft|0https://
id.loc.gov/authorities/genreForms/gf2014026068
700 1 Ulmer, Cheryl.|0https://id.loc.gov/authorities/names/
n2009180354
700 1 McFadden, Bernadette.|0https://id.loc.gov/authorities/
names/no2009191963
700 1 Cacace, Cassandra.|0https://id.loc.gov/authorities/names/
no2012014312
710 2 Institute of Medicine (U.S.).|bBoard on Health Care
Services.|0https://id.loc.gov/authorities/names/no99064513
710 2 Institute of Medicine (U.S.).|bCommittee on Defining and
Revising an Essential Health Benefits Package for
Qualified Health Plans.|0https://id.loc.gov/authorities/
names/no2012014691
776 08 |iPrint version:|tPerspectives on essential health
benefits.|dWashington, D.C. : National Academies Press,
©2012|z9780309215442|w(OCoLC)754743035
856 40 |uhttps://rider.idm.oclc.org/login?url=http://
search.ebscohost.com/login.aspx?direct=true&scope=site&
db=nlebk&AN=433032|zOnline eBook. Access restricted to
current Rider University students, faculty, and staff.
856 42 |3Instructions for reading/downloading this eBook|uhttp://
guides.rider.edu/ebooks/ebsco
901 MARCIVE 20231220
948 |d20160607|cEBSCO|tebscoebooksacademic|lridw
994 92|bRID
