STRIK­ING A BAL­ANCE

Modern Healthcare - - COVER STORY -

The In­sti­tute of Medicine rec­om­mends HHS fol­low this process to get the right mix of af­ford­abil­ity and cov­er­age un­der the health­care re­form law. 1. Start with a typ­i­cal small-em­ployer plan and cre­ate a ser­vice list that ful­fills

the law’s 10 cat­e­gories (above). 2. As­sess the cost of that pack­age and de­velop a national premium tar­get. 3. Rec­on­cile the ser­vice list to the premium tar­get, with trade-offs guided by

pub­lic de­lib­er­a­tion.

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