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Business Coalition Asks HHS To Keep Essential Benefits Manageable

01/24/13

  04:42:02 pm, by MedBen5   , 210 words,  
Categories: News, Health Plan Management

Business Coalition Asks HHS To Keep Essential Benefits Manageable

Concerned that governmental decree of what constitutes “essential” health care benefits could overburden small-group and individual insurance plans, a coalition of business groups, health plans and health care providers has asked the Department of Health and Human Services to keep the final list affordable.

Modern Healthcare reports that The Essential Health Benefits Coalition, whose membership includes the National Retail Federation, the U.S. Chamber of Commerce, America’s Health Insurance Plans, the American Osteopathic Association and the Pharmacy Care Management Association, submitted a list last month of six recommendations to HHS to help keep the cost of coverage within the means of the nation’s small businesses.

“We think the administration in its final rule should focus on allowing more private-sector strategies to achieve greater benefit value and affordability and again avoid including benefits that are not commonly offered today,” said coalition chairman Neil Trautwein. “If they’re not commonly offered today, there’s a reason and a rationale why they’re not offered.”

Trautwein, who serves as vice president and employee benefits policy counsel at the National Retail Federation, added that of particular concern to the coalition is the potential inclusion of state-mandated benefits in essential health benefit benchmark plans. Often such mandates lack strong medical evidence and needlessly increase coverage costs, he said.

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