Perspectives on Essential Health Benefits : Workshop Report.

FrontMatter -- Reviewers -- Acknowledgments -- Contents -- Boxes, Figures, and Tables -- Summary -- 1 Introduction -- 2 The Policy Context for Essential Health Benefits -- 3 Purchaser Perspectives on the EHB -- 4 State Experiences with Defining a Minimum Benefit Standard -- 5 Medical Necessity and Use of Evidence -- 6 Insurer Decisions of Benefit Coverage and Medical Necessity -- 7 Examining Two Categories of Care in Section 1302 -- 8 Non-Discrimination in the Required Elements for Consideration -- 9 Additional Stakeholder Perspectives -- 10 Two Private-Sector Approaches to Benefit Coverage and Design -- 11 Deciding What Is Essential and Evidence-Based in Two States for Public Insurance Programs -- 12 Lessons from California's Benefit Review Processes -- 13 Priority Setting and Value-Based Insurance Design -- 14 Assessing Affordability and the Potential for Underinsurance -- Appendix A: Patient Protection and Affordable Care Act, Section 1302 -- Appendix B: Web-Based Questions for Public Input on Determination of Essential Health Benefits -- Appendix C: Stanford Model Contractual Language for Medical Necessity.

Description based on publisher supplied metadata and other sources.

Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2024. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.