Defining the ObamaCare Essential Health Benefits

On this edition of Lawyer2Lawyer, your host J. Craig Williams speaks with Dr. Shana Alex Lavarreda and David Cusano, Esq., two health-insurance industry professionals, on the implementation of the Essential Health Benefits within the Affordable Care Act, a.k.a. ObamaCare. There are ten Essential Health Benefits that all states are required to include, but the missing element is the lack of definitions for these benefits – which leaves us all wondering how to confirm the 50 states are correctly implementing them.

• Dr. Shana Alex Lavarreda is the director of health insurance studies for the UCLA Center for Health Policy Research. Her research focuses on discontinuous health insurance, under insurance, as well as the political issues surrounding healthcare reform, at the state and federal level.

• David Cusano, Esq., works in Georgetown’s State Health Reform Assistance Network to provide technical assistance to state officials on implementing the Essential Health Benefits and the Affordable Care Act. He has previously worked as in-house counsel for insurance providers where he advised them on how to implement the ACA’s new requirements and on their day-to-day health care plan operations.

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