The Patient
Protection and Affordable Care Act of 2010 (PPACA) introduced a concept
called essential health benefits (EHB), ten categories of healthcare
services that plans operating in the state health insurance exchanges
must cover when the exchanges come online on January 1, 2014. In
December 2011, the U.S. Department of Health and Human Services (HHS)
issued a bulletin providing guidance on EHB. HHS delegated to the states the responsibility for determining the essential benefits in their states, with some constraints. This initial approach by HHS (for plan years 2014 and 2015) is intended to help states phase in the market reforms. It allows some flexibility for states in the initial decision about which specific services will be covered as essential, but limits the choice to what is currently covered by major plans in the state and nationally. States had to define their essential benefits during 2012, and had to designate one existing health plan as the benchmark to define its own EHB from ten available plans as specified by HHS. On February 14th, 2013 at 1PM Eastern, please join Milliman's Bob Cosway as he reviews the Essential Health Benefit and State Benchmark Plan requirements, guidelines and process, and reviews findings from Milliman's analysis of state variability in benefits of one available benchmark plan option and other related issues. |
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Participants will be able to:
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Interested attendees would include:
Attendees would represent organizations including:
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