"Essential Health Benefits: Balancing Coverage and Costs" ed. by Cheryl Ulmer, John Ball, Elizabeth McGlynn, and Shadia Bel Hamdounia
Committee on Defining and Revising an Essential Health Benefits Package for Qualified Health Plans; Institute of Medicine
NAS Press | 2011 | ISBN: 0309219140 0309220971 9780309220972 | 314 pages | PDF | 2 MB
This book recommends a process that would help HHS define the benefits that should be included in the EHB, and update the benefits to take into account advances in science, gaps in access, and the effect of any benefit changes on cost. This book does not decide what is covered in the EHB, but rather proposes a set of criteria and methods that should be used in deciding what benefits are most important for coverage.