LEADER 04071nam 2200613 a 450 001 9910779061903321 005 20230802004612.0 010 $a0-309-21917-5 010 $a1-280-12327-3 010 $a9786613527134 010 $a0-309-21915-9 035 $a(CKB)2550000000087904 035 $a(EBL)3378931 035 $a(SSID)ssj0000621561 035 $a(PQKBManifestationID)11926341 035 $a(PQKBTitleCode)TC0000621561 035 $a(PQKBWorkID)10616970 035 $a(PQKB)10419785 035 $a(Au-PeEL)EBL3378931 035 $a(CaPaEBR)ebr10531103 035 $a(CaONFJC)MIL352713 035 $a(OCoLC)923287517 035 $a(MiAaPQ)EBC3378931 035 $a(EXLCZ)992550000000087904 100 $a20120305d2012 uy 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt 182 $cc 183 $acr 200 00$aEssential health benefits$b[electronic resource] $ebalancing coverage and costs /$fCheryl Ulmer ... [et al.], editors ; Committee on Defining and Revising an Essential Health Benefits Package for Qualified Health Plans ; Board on Health Care Services 210 $aWashington, D.C. $cNational Academies Press$d2012 215 $a1 online resource (256 p.) 300 $aDescription based upon print version of record. 311 $a0-309-21914-0 320 $aIncludes bibliographical references. 327 $a""Front Matter""; ""Reviewers""; ""Foreword""; ""Preface""; ""Acknowledgments""; ""Contents""; ""Boxes, Figures, and Tables""; ""Abstract""; ""Summary""; ""1 Introduction""; ""2 Approaches to Determining Covered Benefits and Benefit Design""; ""3 Policy Foundations and Criteria for the EHB""; ""4 Resolving ACA Intent""; ""5 Defining the EHB""; ""6 Public Deliberation""; ""7 Program Monitoring and Research""; ""8 Allowance for State Innovation""; ""9 Updating the EHB""; ""Appendix A: Patient Protection and Affordable Care Act, Section 1302, and Web Questions for Public Input"" 327 $a""Appendix B: Stakeholder Decisions on Health Insurance""""Appendix C: Examples of Possible Degrees of Specificity of Inclusions in Small Group and Individual Markets""; ""Appendix D: Examples of Benefit Package Statutory Guidance""; ""Appendix E: Description of Small Group Market Benefits, Provided by WellPoint""; ""Appendix F: General Exclusions""; ""Appendix G: Medical Necessity"" 330 $a"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. 606 $aMedical economics 606 $aPublic health 615 0$aMedical economics. 615 0$aPublic health. 676 $a368.4200973 701 $aUlmer$b Cheryl$01510134 712 02$aCommittee on Defining and Revising an Essential Health Benefits Package for Qualified Health Plans. 712 02$aInstitute of Medicine (U.S.).$bBoard on Health Care Services. 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910779061903321 996 $aEssential health benefits$93810851 997 $aUNINA