Health Affairs October 28, 2017
The Department of Health and Human Services released its Proposed Benefit and Payment Parameters Rule for 2019 on October 27, 2017. Our first post addressed the provisions of the proposed rule dealing with insurers, providers, and exchanges. This second post deals with the more consumer-facing provisions of the proposed rule.
Exchanges and Qualified Health Plan Provisions
Essential Health Benefits
New Benchmark Plan Options. The Affordable Care Act requires health insurers in the individual and small group markets to cover ten essential health benefits (EHB). The EHB must be covered to the extent that they would be under a typical employer plan.
Beginning with 2019 plan year, the proposed rule would give states additional flexibility to define their EHB benchmark plan...
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