By: Wayne Turner
Introduced 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 Benefit and Payment Parameters for 2016 final rule (Final Rule 2016), which finalized changes to the EHB standard. The Final Rule 2016 significantly modified the EHB prescription drug requirements. This fact sheet, focusing on Pharmacy and Therapeutics (P&T) Committees, is the fifth in a series of NHeLP fact sheets describing the EHB prescription drug standard.
This updated paper examines the demographics of the Medicaid expansion population and provides insights into how expansion has impacted…
The foundation of accessible health care is affordability. High premiums prevent people from getting insurance, increase uncompensated care in…
To ensure that Medicaid beneficiaries have complete access to quality health care, Medicaid provides important consumer protections and due…
