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Implementing Health Reform: The Essential Health Benefits Final Rule

February 20, 2013  /  Essential Benefits

On February 20, 2013, the Department of Health and Human Services issued a final regulation covering the essential health benefits, actuarial value, and accreditation requirements of the Affordable Care Act.

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Which drugs are Essential Benefits depends on the state

December 5, 2012  /  Essential Benefits, State Exchanges

States have established significantly different sets of “essential health … as essential benefits All other plans in the exchange would be required to …

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Analysis finds big state-by-state swings in Rx coverage

December 4, 2012  /  Essential Benefits, State Exchanges

A new analysis from Avalere Health of State Exchange benchmark plans said some states cover as little as 45 percent of available drugs, while others cover more than 99 percent.

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ACA minimum coverage rule raises drug benefits — and objections

December 3, 2012  /  Essential Benefits, State Exchanges

The proposed higher standard raises new questions about drug access to patients. Insurers say the basic benefits package could increase costs for beneficiaries.

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Pharma Gains from Rule On Health Insurance Benefits

November 28, 2012  /  Essential Benefits, State Exchanges

A key change in rules to implement the Affordable Care Act (ACA) is regarded as a big win for pharma, as some 20 million Americans are expected to enroll in plans sold through exchanges, greatly expanding the market for prescription drugs. The revision … Pharmaceutical Technology Magazine (blog) via Pharmaceutical Technology Magazine (blog)

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Administration Defines Benefits that Must be offered under the Health Law

November 21, 2012  /  Essential Benefits, State Exchanges

The Obama administration took a big step on Tuesday to carry out the new health care law by defining “essential health benefits” that must be offered to most Americans and by allowing employers to offer much bigger financial rewards to employees who quit smoking or adopt other healthy behaviors.

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Federal Government Prepares to Define Essential Benefits

November 21, 2012  /  Essential Benefits, State Exchanges

In California, legislators maintain acupuncture benefits are essential to every plan. In Michigan, officials want to include chiropractic services. … in response to active lobbying efforts in the statehouse from “rent-seekers”. “Once the Affordable …

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HHS Releases Proposed Rules On Essential Health Benefits, Other Key Parts Of Health Law

November 20, 2012  /  Essential Benefits, State Exchanges

The Obama Administration Tuesday released some much anticipated rules that will govern the types of benefits insurers must offer in policies sold after 2014.

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States Moving Ahead On Defining ‘Essential’ Health Insurance Benefits Under Federal Law

October 30, 2012  /  Essential Benefits, State Exchanges

States are determining what minimum insurance benefits millions of their residents will be entitled to in 2014 under the federal health law.  The decisions – which affect people who will buy individual and small group policies — are being closely watched because they’ll determine how comprehensive the plans are and affect how much they cost.

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Brewer picks essential benefits under federal health law

October 28, 2012  /  Essential Benefits, States

Gov. Jan Brewer has selected a standardized health insurance plan for Arizona under the new federal law. It has comprehensive benefits for behavioral health, including serious mental illness, Brewer picks essential benefits under federal health law

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