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- August 14, 2015
Managed Care in California Series, Issue 5: Internal Grievances and External Review for Service Denials in Covered California Plans
Read moreFederal and state law and the Constitution ensure that enrollees in publicly-funded health care plans receive notice, grievance and appeal rights when they are denied access to medical services. Enrollees in Covered California plans have the right to a notice when their plan denies access to a service, and…
- August 12, 2015
Health Advocate: Essential Health Benefits Overview
Read moreIntroduced by the Affordable Care Act, Essential Health Benefits (EHB) are a set of ten health care service categories that certain health plans must cover. In February 2015, HHS issued a Final Rule, which finalized changes to the EHB standard. This month's Health Advocate offers an EHB overview in…
- July 29, 2015
Issue No. 5 – Pharmacy and Therapeutics Committees
Read moreIntroduced by the Affordable Care Act (ACA), Essential Health Benefits (EHB) are a set of ten health care service categories that plans must cover. One of the ten categories of benefits is prescription drugs. On February 20th, 2015, the Department of Health and Human Services (HHS) issued the Notice of…
- July 29, 2015
Issue No. 4 – United States Pharmacopeia Classification System
Read moreIntroduced by the Affordable Care Act (ACA), Essential Health Benefits (EHB) are a set of ten health care service categories that plans must cover. One of the ten categories of benefits is prescription drugs. On February 20th, 2015, the Department of Health and Human Services (HHS) issued the Notice of…
- July 24, 2015
Improving Coverage: Using State Law to Maximize Access to Family Planning and Abortion Services
Read moreLaws and policies on coverage and access to family planning and abortion services vary significantly from state to state - some of these laws promote and protect access to care, while others erect barriers. NHeLP's report provides an overview of our research in eleven states on laws and policies…
