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Essential Health Benefits (EHB)

The Affordable Care Act requires that health plans on the individual and small group market, including all plans sold on the exchanges, contain a package of items and services. Required care services include: emergency services, ambulatory patient services, maternity care, pediatric care, mental health care, laboratory services, prescription drugs, and others.

Quality Improvement Organization (QIO)

An organization tasked with reviewing the quality of care received by Medicare and Medicaid beneficiaries. Previously called a Peer Review Organization.