AOPA says O&P must remain essential health benefit

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Thursday, November 30, 2017

WASHINGTON – The American Orthotic and Prosthetic Association has submitted comments on a proposal to provide individual states with increased flexibility to define essential health benefits. In its comments on the “Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2019”, AOPA reiterated its position that orthoses and prostheses must remain essential health benefits and that any action by CMS to restrict or reduce access to O&P services is not in the interest of patient care. The association believes that expanding the authority of individual states to define what counts as EHB, will likely benefit insurers who look to reduce costs by limiting coverage.