America's Affordable Health Choices Act of 2009, October 14, 2009, 111-1 House Report 111-299, Part 1, *2009 |
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Страница 8
... costs of the inclusion of such coverage , but may not take into account any cost reduction estimated to result from such services , including prenatal care , delivery , or postnatal care ; ( B ) shall estimate such costs as if such ...
... costs of the inclusion of such coverage , but may not take into account any cost reduction estimated to result from such services , including prenatal care , delivery , or postnatal care ; ( B ) shall estimate such costs as if such ...
Страница 33
... costs of the items and services for which each claim is being submitted . ( B ) BASIS FOR CLAIMS . - Each claim submitted under subparagraph ( A ) shall be based on the actual amount expended by the participating employ- ment - based ...
... costs of the items and services for which each claim is being submitted . ( B ) BASIS FOR CLAIMS . - Each claim submitted under subparagraph ( A ) shall be based on the actual amount expended by the participating employ- ment - based ...
Страница 34
... costs borne directly by the participants and beneficiaries for health benefits provided under such plan in the form of premiums , co - payments , deductibles , co - insurance , or other out - of- pocket costs . Such payments shall not ...
... costs borne directly by the participants and beneficiaries for health benefits provided under such plan in the form of premiums , co - payments , deductibles , co - insurance , or other out - of- pocket costs . Such payments shall not ...
Страница 49
... cost sharing . ( 3 ) PROVISION OF BENEFIT LEVELS . - The public health insurance option- ( A ) shall offer basic ... costs related to operating the public health insur- ance option . ( 2 ) CONTINGENCY MARGIN . - In establishing ...
... cost sharing . ( 3 ) PROVISION OF BENEFIT LEVELS . - The public health insurance option- ( A ) shall offer basic ... costs related to operating the public health insur- ance option . ( 2 ) CONTINGENCY MARGIN . - In establishing ...
Страница 51
... cost geographic areas or otherwise in order to reduce total program costs or to pro- mote high value care . ( e ) NON - UNIFORMITY PERMITTED . - Nothing in this subtitle shall prevent the Sec- retary from varying payments based on ...
... cost geographic areas or otherwise in order to reduce total program costs or to pro- mote high value care . ( e ) NON - UNIFORMITY PERMITTED . - Nothing in this subtitle shall prevent the Sec- retary from varying payments based on ...
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111TH CONGRESS administrative Advisory agencies amount applicable appropriate areas assistance authorized Center clause clinical Commissioner Committee Congress contract coordination cost-sharing costs coverage Current Law dual eligibles durable medical equipment employers enactment end the following enrollee enrollment ensure establish evaluation federal fiscal funds GENERAL.-Section grant Health and Human health benefits plan health care Health Insurance Exchange health plan health workforce HIPAA hospital Human Services implement improve individual inserting items and services Law This provision Medicaid medical home Medicare Part D Medicare Prescription Drug ment mental health counselor nursing facility participate patient payment period PHSA sec PHSA section PHSA title physician pilot program premium prescription drug preventive services Proposed Law qualified health benefits quality measures rebate resident respect retary Security Act 42 Social Security Act specified standards striking submit subparagraph subsection Subtitle Task Force telehealth term tion United States Code