The IOM recommended that HHS develop an EHB package by May 2012. The high-level recommendations are as follows:
1. The EHB package should be adjusted so that the expected
national average premium for a “silver” (second-lowest-price) plan is
actuarially equivalent to the average premium small employers would have
paid in 2014 for a typical plan.
2. The HHS Secretary should establish a framework for monitoring
EHB implementation and updating that accounts for changes in provider
payment rates, financial incentives, practice organizations, and other
relevant matters. (IOM recommends that this be done by January 2013)
3. The Secretary should update the EHB package to make it more
fully evidence-based, specific, and value-promoting — explicitly
incorporating costs and a public process to gain input on the updates. (IOM recommends that this begin in January 2016)
4. State should have flexibility in adopting variants of the
federal EHB package, provided that modifications are consistent with the
federal package, not significantly more or less generous, and are
subject to public input.
5. Establish a National Benefits Advisory Council, with members
appointed through a nonpartisan process, which should make
recommendations annually stemming from its oversight of the EHB package.
For details on these high-level recommendations and more on the EHB, read Kavita Patel's Health Affairs blog post..