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Health Insurance Market Reforms
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Book Synopsis State Health Insurance Market Reform by : Joel C. Cantor
Download or read book State Health Insurance Market Reform written by Joel C. Cantor and published by Routledge. This book was released on 2012-09-25 with total page 193 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this volume, leading American health economists provide a critical assessment of the current state of knowledge of insurance market reform that is accessible to both policy-makers and researchers.
Book Synopsis Private Health Insurance Market Reforms in the Patient Protection and Affordable Care Act (ACA). by : Annie L. Mach
Download or read book Private Health Insurance Market Reforms in the Patient Protection and Affordable Care Act (ACA). written by Annie L. Mach and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This report provides background information about the private health insurance market, including market segments and regulation. It then describes each ACA market reform, grouped under the following categories: obtaining coverage, keeping coverage, cost of purchasing coverage, covered services, cost-sharing limits, consumer assistance and other health care protections, and plan requirements related to health care providers.
Book Synopsis Health Reform in the 21st Century by : United States. Congress. House. Committee on Ways and Means
Download or read book Health Reform in the 21st Century written by United States. Congress. House. Committee on Ways and Means and published by . This book was released on 2009 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Reforming Private Health Insurance by : Mark A. Hall
Download or read book Reforming Private Health Insurance written by Mark A. Hall and published by American Enterprise Institute. This book was released on 1994 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt: Between 1987 and 1991, the portion of Americans covered by individually purchased health insurance dropped 40per cent. Assuming the US will continue to rely on private financing for health care, the author clarifies benefits to society from an efficient health insurance market.
Book Synopsis Private Health Insurance Market Reforms in the Patient Protection and Affordable Care Act (ACA) by : Annie L. Mach
Download or read book Private Health Insurance Market Reforms in the Patient Protection and Affordable Care Act (ACA) written by Annie L. Mach and published by Createspace Independent Pub. This book was released on 2012-07-28 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt: The private health insurance provisions in the Patient Protection and Affordable Care Act (P.L. 111-148, ACA, as amended) include market reforms that impose requirements on private health insurance plans. Such reforms relate to the offer, issuance, generosity, and pricing of health plans, among other requirements. ACA's market reforms largely focus on the individual and small group health insurance markets, and in this report the reforms have been grouped by effective dates: “immediate” market reforms that become effective prior to the full implementation date of ACA, and reforms that become effective on the full implementation date (January 1, 2014). ACA requires implementation of a number of reforms prior to its full implementation date (i.e., prior to plan years beginning on or after January 1, 2014). “Immediate” reforms include a process to review unreasonable rate increases; an Internet portal to assist consumers in identifying coverage options; prohibition on lifetime limits and restriction of annual limits; the prohibition on rescissions; coverage of preventive health services with no cost-sharing; extension of dependent coverage; prohibition of discrimination based on salary; standards related to medical loss ratios and rebates to plan participants; appeals process; coverage of preexisting health conditions for children; patient protections; uniform explanation of coverage documents; and reporting requirements regarding quality of care. Market reforms effective beginning in 2014 include nondiscrimination based on health status; guaranteed issue and guaranteed renewability; coverage of preexisting health conditions (regardless of age); nondiscrimination regarding clinical trial participation; rating restrictions; waiting period limitation; and nondiscrimination regarding health care providers. This report provides background information about the private health insurance market, including market segments and regulation. It describes each ACA market reform and notes any major implementation activity that has occurred (e.g., issuance of final rule from a department such as Health and Human Services). The appendices of the report provide additional information about the status of regulations relating to each reform and how the reforms apply to the different market segments and health plans.
Book Synopsis Size Matters by : Jill Mathews Yegain
Download or read book Size Matters written by Jill Mathews Yegain and published by Routledge. This book was released on 2019-07-23 with total page 263 pages. Available in PDF, EPUB and Kindle. Book excerpt: First published in 1999, this volume responds to a large and growing interest among health policy and research circles on the use of purchasing alliances to leverage change in health care. This book gives detailed and useful specifics on how a leading alliance has fared in California, the most competitive health care market in the United States. Although it is generally accepted that large organizations are more effective purchasers of health insurance, little work has been done to carefully examine the reasons that underlie that phenomenon. Yet, creating interventions and designing potential solutions requires a thorough understanding of the issues. The econometric analysis adds to the limited literature on the influence of premium on choice behaviour for employees of small firms, and introduces an analysis of choice behaviour in a purchasing cooperative setting. The political section of this book presents a much more detailed historical account and analysis of California’s small group market reforms, the most significant health-related legislation in the state in the prior decade, than has been previously available. The conclusions are becoming particularly relevant, both in California and elsewhere, as the issues of reform of the individual market for health insurance comes to the forefront.
Book Synopsis Private Health Insurance Market Reforms in the Patient Protection and Affordable Care Act by : Annie L. Mach
Download or read book Private Health Insurance Market Reforms in the Patient Protection and Affordable Care Act written by Annie L. Mach and published by . This book was released on 2012-11-05 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States. Congress. Senate. Committee on Health, Education, Labor, and Pensions Publisher : ISBN 13 : Total Pages :104 pages Book Rating :4.:/5 (318 download)
Book Synopsis Addressing Insurance Market Reform in National Health Reform (roundtable Discussion) by : United States. Congress. Senate. Committee on Health, Education, Labor, and Pensions
Download or read book Addressing Insurance Market Reform in National Health Reform (roundtable Discussion) written by United States. Congress. Senate. Committee on Health, Education, Labor, and Pensions and published by . This book was released on 2011 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Private Health Insurance Market Reforms in the Affordable Care Act (ACA). by : Annie L. Mach
Download or read book Private Health Insurance Market Reforms in the Affordable Care Act (ACA). written by Annie L. Mach and published by . This book was released on 2014 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This report provides background information about the private health insurance market, including market segments and regulation. It then describes each Affordable Care Act (ACA) market reform.
Author :United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment Publisher : ISBN 13 : Total Pages :184 pages Book Rating :4.0/5 ( download)
Book Synopsis Health Care Reform by : United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment
Download or read book Health Care Reform written by United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment and published by . This book was released on 1996 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Health Insurance Market Reform by : United States. Congress. Senate. Committee on Finance
Download or read book Health Insurance Market Reform written by United States. Congress. Senate. Committee on Finance and published by . This book was released on 1994 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Private Health Insurance written by and published by . This book was released on 1990 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Health Insurance Market Reforms by :
Download or read book Health Insurance Market Reforms written by and published by . This book was released on 2012 with total page 4 pages. Available in PDF, EPUB and Kindle. Book excerpt: Guaranteed issue laws require insurance companies to issue a health plan to any applicant - an individual or a group - regardless of the applicant's health status or other factors. Currently, in most states, insurance companies can deny nongroup coverage to people based on their health status or their medical expenses over the past year. This means that an uninsured person who develops a certain condition, such as breast cancer, might not be able to buy health insurance. In such an instance, insurance companies can (and often do) refuse to issue a health insurance policy to that individual. The ACA requires significant changes to guaranteed issue laws. Beginning January 1, 2014, all individual and group health plans must guarantee issue policies to all applicants, regardless of health status or other factors. This fact sheet examines guaranteed issue laws in the individual and small group markets across the nation and how the transition to 2014 will change those markets.
Book Synopsis Health Insurance Market Reforms by : Mark A. Hall
Download or read book Health Insurance Market Reforms written by Mark A. Hall and published by . This book was released on 1999 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This project evaluates the performance of health insurance market reforms in seven states. Its focus is on state reforms to the small group and individual markets, but it also includes some preliminary findings about the early impact of the federal Health Insurance Portability and Accountability Act (HIPAA). Little is presently known about the details of how well these reforms have performed in achieving their various objectives and avoiding predicted harms. Other studies test for aggregate effects on enrollment and premiums using primarily quantitative measures. This project is a primarily qualitative evaluation that attempts to understand why these effects have occurred and how these reforms affect the inner workings of the insurance market. The principal reforms studied are: (1) guaranteed issue; (2) renewability and portability; (3) rating bands and community rating; (4) restrictions on underwriting practices such as risk selection and pre-existing condition exclusions; (5) reinsurance and risk adjustment; and (6) public purchasing cooperatives.The primary method is an intensive case study of seven states that have enacted varying reforms: Colorado, Florida, Iowa, New York, North Carolina, Ohio and Vermont. This multiple case study consists primarily of two rounds of structured, in-depth, open-ended interviews with over 100 insurance industry and regulatory sources. The study also includes an analysis of quantitative, documentary, and other secondary data, and a market test in which a potential purchaser contacted 144 agents.
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :030946921X Total Pages :161 pages Book Rating :4.3/5 (94 download)
Book Synopsis Health-Care Utilization as a Proxy in Disability Determination by : National Academies of Sciences, Engineering, and Medicine
Download or read book Health-Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.
Book Synopsis Private Health Insurance Market Reforms in the Affordable Care Act by : Mach
Download or read book Private Health Insurance Market Reforms in the Affordable Care Act written by Mach and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Market Reforms in Health Care by : Jack A. Meyer
Download or read book Market Reforms in Health Care written by Jack A. Meyer and published by . This book was released on 1983 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt:
