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Essential Health Benefits (EHB)

The Affordable Care Act requires that health plans on the individual and small group market, including all plans sold on the exchanges, contain a package of items and services. Required care services include: emergency services, ambulatory patient services, maternity care, pediatric care, mental health care, laboratory services, prescription drugs, and others.

Aligning Incentives

Aligning incentives refers to an effort to pay for the actions that provide value (such as good quality care, care coordination, and the like) and…