Study: Health Plans in Calif., Mass. Fall Short of State, Federal Essential Health Benefits Requirements
A new study finds that prescription drug benefits in health plans sold in California and Massachusetts do not meet essential health benefits under state and federal laws, including the Affordable Care Act. The study -- published in the February issue of the American Journal of Managed Care -- revealed minor inconsistencies between benchmark and nonbenchmark plans sold in the states and recommended implementing a value-based insurance model. FierceHealthPayer.
- "Health Plans Miss the Mark on Essential Drug Benefits" (Caramenico, FierceHealthPayer, 3/12).