IOM holds first meeting on essential health benefits
Posted on January 14, 2011 | No Comments
The Institute of Medicine’s (IOM) Committee on the Determination of Essential Health Benefits held its first meeting this week to discuss essential benefits under the Affordable Care Act (ACA). The IOM is charged with making recommendations to the Secretary of HHS on the criteria for determining what constitutes essential health benefits for insurance plans sold in exchanges. For more information on essential benefits, click here.
- Parity for intermediate care offered in residential or outpatient settings and all plan standards (i.e. network adequacy and geographic limits);
- Clarifying transparency expectations for insurers to remain compliant with the law; and
- Eliminating provisions that enabled insurers to make exceptions for parity requirements for certain benefits offered.