essential health benefit造句

• The ACA's list of essential health benefits is defined in terms of ten broad classes.
• The changes in regulations regarding risk pool assessment and the inclusion of 10 essential health benefits to every insurance plan have also contributed to the rise in cost of insurance premiums.
• Essential health benefits must be offered by health plans in ERISA plans, and ERISA-governed multiemployer welfare arrangements not subject to state insurance law are exempt from the EHB requirement.
• In 2012, legislation was passed that established market rules, requirements for qualified health plans ( QHPs ), essential health benefits, and other key elements of the state s Exchange.
• The essential health benefits are a minimum standard : " Qualified health plans are not barred from offering additional benefits, and states may require that qualified health plans sold in state health insurance exchanges also cover state-mandated benefits ."
• Bruce G . Bodaken, the chief executive of Blue Shield of California, a nonprofit insurer with 2.6 million members, said his plan would require most employers in the state to provide essential health benefits for every employee, as part of a proposal to cover six million uninsured state residents.
• Dr . Shana Alex Lavarreda, the director of health insurance studies for the UCLA Center for Health Policy Research, explains that before the ACA's passage, U . S . health insurance sector experienced " a race to the bottom, with insurers cutting benefits to lower premiums . " The establishment of essential health benefits " set a standard for insurance.
• According to the county of Los Angeles, " The reforms may have had the " unintended consequence " of ending post-release support services and court-mandated drug and alcohol treatment for many offenders with mental health and substance abuse issues " The proposition also pre-dated the expansion of Medi-Cal made possible through the Affordable Care Act, which made substance use treatment and mental health services part of the " essential health benefits " of both Medi-Cal and private health insurance plans.
• The secretary ( 1 ) must " ensure that such essential health benefits reflect an appropriate balance among the categories . . . so that benefits are not unduly weighted toward any category "; ( 2 ) may " not make coverage decisions, determine reimbursement rates, establish incentive programs, or design benefits in ways that discriminate against individuals because of their age, disability, or expected length of life "; ( 3 ) must take into account " the health care needs of diverse segments of the population, including women, children, persons with disabilities, and other groups "; and ( 4 ) must ensure that essential benefits " not be subject to denial to individuals against their wishes on the basis of the individuals age or expected length of life or the individuals'present or predicted disability, degree of medical dependency, or quality of life ."