Health insurance exchange formularies: Charting new waters in the world of formulary.
New regulations in the Patient Protection and Affordable Care Act have led to the birth of essential health benefits. The Centers for Medicare and Medicaid Services' (CMS) new division, the Center for Consumer Information and Insurance Oversight (CCIIO), is responsible for the oversight of the insur...
| Publicado en: | Formulary Vol. 48; no. 9; pp. 290 - 299 |
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| Formato: | statistics tables/charts Journal Article |
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MJH Life Sciences
Sep2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107972349&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107972349 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1082801X FRM jtl: Formulary issn: 1082801X maglogo: N pubinfo: dt: Sep2013 vid: 48 iid: 9 pid: 54670 pub: MJH Life Sciences place: Cranbury, New Jersey artinfo: ui: 107972349 107972349 90263490 107972349 ppf: 290 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Health insurance exchange formularies: Charting new waters in the world of formulary. aug: au: Sternaman, Debora B. affil: Director, Formulary Services, Catamaran sug: subj: Formularies Classification Government Regulations Health Insurance Exchanges Accreditation Drugs, Prescription Insurance Benefits National Library of Medicine (U.S.) Patient Protection and Affordable Care Act Software ab: New regulations in the Patient Protection and Affordable Care Act have led to the birth of essential health benefits. The Centers for Medicare and Medicaid Services' (CMS) new division, the Center for Consumer Information and Insurance Oversight (CCIIO), is responsible for the oversight of the insurance offerings on the new health insurance exchanges, which have 10 required essential health benefit categories. One of these essential categories is prescription drugs. Prospective qualified health plans, pharmacy benefit managers, and consultant agencies have struggled through the legislation and guidance from CCIIO in an attempt to build benefits that meet the requirements. With elements of typical commercial offerings as well as those of Medicare Part D, there are many nuances that one must consider when building an exchange formulary and creating the surrounding benefit (Formulary. 2013; 48:290-298.) pubtype: Academic Journal doctype: statistics tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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