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Obama Administration to Investigate Insurers for Bias Against Costly Conditions

December 25, 2014  /  Essential Benefits, State Exchanges

The Obama administration said Monday that it would investigate prescription drug coverage and other benefits offered by health insurance companies to see if they discriminated against people with AIDS, mental illness, diabetes or other costly chronic conditions.

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CMS: States can switch PPACA benchmark plans in 2017

December 1, 2014  /  Essential Benefits, State Exchanges

Insurers, provider groups and patient groups are gearing up for a new round of fighting over the products and services a major medical insurance policy ought to cover.

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Revisiting the ACA’s Essential Health Benefits Requirements

November 4, 2014  /  Essential Benefits, State Exchanges

This issue brief examines how states have exercised their options under the initial federal essential health benefits framework.

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Will Obamacare Cover That? Depends on Where You Live

October 22, 2014  /  Essential Benefits, State Exchanges

The benefits offered by health plans created under the Affordable Care Act are all over the map.

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New ACA Guidance Addresses Cost Sharing, Wellness, Mental Health

January 13, 2014  /  Essential Benefits

Beginning in 2015, health plans and issuers are required to apply all out-of-pocket maximums across all essential benefits, the federal government said in a new set of frequently-asked-questions and answers on implementation of the Affordable Care Act.

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Latest

How Obamacare’s ‘Essential Benefits’ Led To Cancellations

November 22, 2013  /  Essential Benefits

President Obama’s proposal to allow consumers to keep older insurance policies for another year has put into focus the 10 “essential health benefits” that are required under the Affordable Care Act for private plans offered on government-run exchanges.

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Latest

ObamaCare benefit mandates pose few problems for states

August 14, 2013  /  Essential Benefits

Adopting new benefit mandates under ObamaCare will not require major changes or cost increases, according to a study released Wednesday.

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Warning says cost of specialty drugs will rise in health overhaul

May 14, 2013  /  Essential Benefits

Although the money for covering uninsured Americans is coming from Washington, the health care law gives states broad leeway to tailor benefits, and the local approach also can allow disparities to emerge.

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Latest

Few insurers now cover services required in 2014 under health care law

March 8, 2013  /  Essential Benefits, Insurers

Just 2 percent of health plans available to consumers in the private insurance market offer all the coverage that will become mandatory next year under the health care overhaul, a new analysis has found.

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Latest

HHS Finalizes Essential Health Benefits Rule

February 20, 2013  /  Essential Benefits, State Exchanges

The Department of Health and Human Services (HHS) finalized a key Affordable Care Act (ACA) rule Wednesday that outlines the core package of benefits health insurers must provide to customers.

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