AHA: Essential Health Benefit Rules Too Flexible to Insure All

CMS’ proposed rule on essential health benefits for insurance plans offered on health insurance exchanges may be too loose to adequately cover the newly insured, the American Hospital Association cautioned today.

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The Patient Protection and Affordable Care Act requires insurance policies included on states’ exchanges meet essential health benefits, which were proposed by CMS in November.

The AHA told CMS in a letter today it was concerned the federal agency’s proposed EHB provisions “may have granted states and health plans too much flexibility undermining the PPACA’s goal of extending meaningful and affordable coverage to the millions of people who are currently uninsured or underinsured.”

More Articles on Essential Health Benefits:

IHI Suggests Measures for Tracking Progress in Healthcare Reform Goals
CMS Drafts Parameters for PPACA’s Health Plan Risk Provisions
CMS Reduces Supervision Requirements for 22 Hospital Outpatient Services

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