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HHS releases proposed rule on Essential Health Benefits establishing data collection standards

Posted on June 4, 2012 | No Comments

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A proposed rule released by the Department of Health and Human Services (HHS) would establish data collection standards necessary to implement aspects of Essential Health Benefits (EHBs), a provision of the Affordable Care Act (ACA). The rule outlines the data on applicable plans to be collected from issuers to support the definition of essential health benefits and establishes a process for the recognition of accrediting entities as qualified health plans (QHPs). HHS, the states, Exchanges, and health insurance issuers would use the collected information to better define and evaluate EHBs.

Section 1302 of the Affordable Care Act (ACA) establishes EHBs, to be defined by the Secretary of Health and Human Services and included in QHPs offered through the Exchanges. HHS released a bulletin on EHBs in December which outlined intended definitions for EHBS, allowing states to choose from among four different benchmark plans.

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