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Health Insurance Exchanges, Part II: Essential Health Benefits 

Tuesday, November 8, 2011

This webinar was brought to you by the Healthcare Reform Educational Task Force (a joint endeavor of the Healthcare Liability and Litigation; Hospitals and Health Systems; In-House Counsel; Medical Staff, Credentialing, and Peer Review; Payors, Plans, and Managed Care; Physician Organizations; Regulation, Accreditation, and Payment; and Teaching Hospitals and Academic Medical Centers Practice Groups); and the Health Information and Technology and Payors, Plans, and Managed Care Practice Groups.

Materials and Recording


 
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Description

This webinar addressed the following topics:

  • Background information on state-based exchanges, statutory requirements for essential health benefits (EHB), and current landscape of state-mandated benefits;

  • Key considerations in essential health benefits—balancing cost and budgetary concerns with need for adequate, quality health insurance coverage;

  • The Institute of Medicine (IOM) report on EHB—findings, framework, and recommendations (target package to typical small employer market plan, informed by research);

  • Stakeholder concerns and IOM guidance for insurers (e.g., ten essential categories); and

  • The expected next steps.

Presenters

  • Joel Ario
    Former Director
    Office of Health Insurance Exchanges
    Center for Consumer Information and Insurance Oversight
    Centers for Medicare & Medicaid Services (CMS), Washington, DC

  • Julie Barnes
    Director of Health Policy
    Bipartisan Policy Center, Washington, DC

  • Mary Elizabeth Senkewicz
    Deputy Commissioner, Life & Health
    Florida Office of Insurance Regulation, Tallahassee, FL  

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