Essential Health Benefits Proposal Broadens Formulary Standards By Aligning With State Benchmark Plans
This article was originally published in The Pink Sheet Daily
Executive Summary
The essential health benefits proposed rule was released by HHS Nov. 20 to implement a provision of the Affordable Care Act pertaining to individual and small group plans available through state-based insurance exchanges. Its regulations on plan formularies will likely produce broader access to drugs than would have resulted from an earlier approach suggested by HHS.