The Institute of Medicine (IOM) recently issued its long-awaited report on defining the essential health benefits under the Affordable Care Act (ACA). As expected, the committee preparing the IOM report did not recommend which specific services should be covered, but rather discussed what the process should be for defining the essential benefits, which all insurers selling coverage to individuals and small businesses will have to provide beginning in 2014. Somewhat unexpected was their recommendation to set a dollar target – reflecting the current average cost of a small business health insurance plan – as the benchmark for decisions about what to include and not include in the essential health benefits package. 

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This entry was posted by cmonfils on Wednesday, October 26th, 2011 at 9:56 am and is filed under Health Care Legislation, Health Insurance, HHS. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.