Workshop Report
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Köp båda 2 för 802 kr1 Front Matter; 2 Summary; 3 1 Introduction; 4 2 The Policy Context for Essential Health Benefits; 5 3 Purchaser Perspectives on the EHB; 6 4 State Experiences with Defining a Minimum Benefit Standard; 7 5 Medical Necessity and Use of Evidence; 8 6 Insurer Decisions of Benefit Coverage and Medical Necessity; 9 7 Examining Two Categories of Care in Section 1302; 10 8 Non-Discrimination in the Required Elements for Consideration; 11 9 Additional Stakeholder Perspectives; 12 10 Two Private-Sector Approaches to Benefit Coverage and Design; 13 11 Deciding What Is Essential and Evidence-Based in Two States for Public Insurance Programs; 14 12 Lessons from California's Benefit Review Processes; 15 13 Priority Setting and Value-Based Insurance Design; 16 14 Assessing Affordability and the Potential for Underinsurance; 17 Appendix A: Patient Protection and Affordable Care Act, Section 1302; 18 Appendix B: Web-Based Questions for Public Input on Determination of Essential Health Benefits; 19 Appendix C: Stanford Model Contractual Language for Medical Necessity