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Briefing Date:09/07/2011
Topic:Perspectives on Essential Health Benefits: Workshop Report

THE NATIONAL ACADEMIES
Institute of Medicine
Board on Health Care Services
Committee on Defining and Revising an Essential Health Benefits Package for Qualified Health Plans

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Congressional Briefing
Wednesday, September 7, 2011
835 Hart Senate Office Bldg. – 2:00 p.m.

on

Perspectives on Essential Health Benefits: Workshop Report

The Department of Health and Human Services requested that the Institute of Medicine (IOM) recommend criteria and methods for determining and updating the Essential Health Benefits, which are a standard core set of covered benefits that all private health plans must contain. In response, the IOM convened two workshops in 2011 where experts from federal and state government, as well as employers, insurers, providers, consumers, and health care researchers were asked to identify current methods for determining medical necessity, and share decision-making approaches to determining which benefits would be covered and other benefit design practices. This report summarizes the presentations at this workshop. The IOM committee's recommendations will be released in a subsequent report later in the year.

This briefing was for members of Congress and congressional staff only. The report was publicly released on August 29, 2011 and can be found, in its entirety, on the Web site of the National Academies Press.

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