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Download or read book How Healthcare Provider Organizations Manage Their Self-funded Employee Health Plans written by and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309083435
Total Pages : 213 pages
Book Rating : 4.3/5 (9 download)
Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309048273
Total Pages : 381 pages
Book Rating : 4.3/5 (9 download)
Download or read book Employment and Health Benefits written by Institute of Medicine and published by National Academies Press. This book was released on 1993-02-01 with total page 381 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States is unique among economically advanced nations in its reliance on employers to provide health benefits voluntarily for workers and their families. Although it is well known that this system fails to reach millions of these individuals as well as others who have no connection to the work place, the system has other weaknesses. It also has many advantages. Because most proposals for health care reform assume some continued role for employers, this book makes an important contribution by describing the strength and limitations of the current system of employment-based health benefits. It provides the data and analysis needed to understand the historical, social, and economic dynamics that have shaped present-day arrangements and outlines what might be done to overcome some of the access, value, and equity problems associated with current employer, insurer, and government policies and practices. Health insurance terminology is often perplexing, and this volume defines essential concepts clearly and carefully. Using an array of primary sources, it provides a store of information on who is covered for what services at what costs, on how programs vary by employer size and industry, and on what governments doâ€"and do not doâ€"to oversee employment-based health programs. A case study adapted from real organizations' experiences illustrates some of the practical challenges in designing, managing, and revising benefit programs. The sometimes unintended and unwanted consequences of employer practices for workers and health care providers are explored. Understanding the concepts of risk, biased risk selection, and risk segmentation is fundamental to sound health care reform. This volume thoroughly examines these key concepts and how they complicate efforts to achieve efficiency and equity in health coverage and health care. With health care reform at the forefront of public attention, this volume will be important to policymakers and regulators, employee benefit managers and other executives, trade associations, and decisionmakers in the health insurance industry, as well as analysts, researchers, and students of health policy.
Author : DIANE Publishing Company
Publisher : DIANE Publishing
ISBN 13 : 9780788120831
Total Pages : 90 pages
Book Rating : 4.1/5 (28 download)
Download or read book Access to Health Insurance written by DIANE Publishing Company and published by DIANE Publishing. This book was released on 1995-08 with total page 90 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : F. Randall Childers, Jr.
Publisher : Xlibris Corporation
ISBN 13 : 1462848575
Total Pages : 219 pages
Book Rating : 4.4/5 (628 download)
Download or read book Forensics of a Medical Plan written by F. Randall Childers, Jr. and published by Xlibris Corporation. This book was released on 2011-07-26 with total page 219 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this book is to give information and the ability to understand and determine the pertinent facts as it relates to the analysis of Health Benefit Plans in transparency in costs and compensation with vendors in a Self-Funded Health Benefit Plan. This book will provide information on the analysis and understanding in each of the architectural structures of an employee benefit health plan and provide insight into the ability to question the presentations from Agents, Brokers and Consultants (ABCs) and CAs. There are many aspects to structuring, managing, and taking control of the Health Benefit Plan for the best outcomes in plan design, administration, controlling cost, and retaining dollars for the future of the employee benefits.
Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309076099
Total Pages : 204 pages
Book Rating : 4.3/5 (9 download)
Download or read book Coverage Matters written by Institute of Medicine and published by National Academies Press. This book was released on 2001-10-27 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: Roughly 40 million Americans have no health insurance, private or public, and the number has grown steadily over the past 25 years. Who are these children, women, and men, and why do they lack coverage for essential health care services? How does the system of insurance coverage in the U.S. operate, and where does it fail? The first of six Institute of Medicine reports that will examine in detail the consequences of having a large uninsured population, Coverage Matters: Insurance and Health Care, explores the myths and realities of who is uninsured, identifies social, economic, and policy factors that contribute to the situation, and describes the likelihood faced by members of various population groups of being uninsured. It serves as a guide to a broad range of issues related to the lack of insurance coverage in America and provides background data of use to policy makers and health services researchers.
Author : Minnesota Health Care Commission
Publisher :
ISBN 13 :
Total Pages : 36 pages
Book Rating : 4.E/5 ( download)
Download or read book Study of Health Care Management Companies written by Minnesota Health Care Commission and published by . This book was released on 1993 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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)
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.
Author : Carlton Harker
Publisher : International Foundation of Employee benefit
ISBN 13 : 9780891545675
Total Pages : 643 pages
Book Rating : 4.5/5 (456 download)
Download or read book Self-Funding of Health Care Benefits written by Carlton Harker and published by International Foundation of Employee benefit. This book was released on 2003-05-01 with total page 643 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book and the companion Web site provide all of the parties to a self-funded health care plan the information needed to make informed decisions. Comprehensive and insightful, the manual covers every aspect that plan sponsors, attorneys and other professionals need to consider when establishing or maintaining a plan. A finely tuned index helps readers pinpoint information easily.
Author :
Publisher :
ISBN 13 :
Total Pages : 108 pages
Book Rating : 4.3/5 ( download)
Download or read book Health Benefits Coverage Under Federal Law--. written by and published by . This book was released on 2010 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Christian Funk
Publisher : diplom.de
ISBN 13 : 3832423214
Total Pages : 147 pages
Book Rating : 4.8/5 (324 download)
Download or read book Law and Practice of Private Health Insurance and Managed Care written by Christian Funk and published by diplom.de. This book was released on 2000-04-28 with total page 147 pages. Available in PDF, EPUB and Kindle. Book excerpt: Inhaltsangabe:Abstract: A true revolution has taken place in the financing of health care in America. Today, managed care is dominating the way Americans receive and pay for their health care. With the rise of managed care medicine has been wrenched out of its atomized world of solo physician practices and community hospitals and has been transformed into a modern industry of giant for-profit companies traded on Wall Street. The current marketplace is characterized by mergers, acquisitions and the establishment of giant multi-billion dollar healthcare networks. Hospitals and managed care plans run big advertisement campaigns in the media, praising their products and services in order to get the biggest share possible of the $1.1 trillion America spends on health care each year. All parties involved in providing health care lobby for their interests at all levels of political decision-making in order to influence legislators and policymakers. Today s health care market changes quickly and at a high rate. New variations of managed care arise constantly making any analysis of managed care an ongoing game of "catch-up" with the marketplace. While writing this paper, for example, UnitedHealthcare dropped one of the major managed care instruments, utilization review, to address public s concerns and pending legislation. This paper will take a snapshot of managed care on the eve of the new millennium by using the most recent information available. After this introduction, the paper will give a description of the current American health care system in chapter two (The U.S. Health Care System). Then, the paper will focus on two aspects: A detailed description of managed care in chapter three (Managed Care) and an introduction of the main issues connected with this way of providing health care in chapter four (Managed Care issues). The paper will argue in chapter five (Results and Future Developments), that managed care of the future will be a light version of what is currently existing, resulting in less strict restrictions and more freedom for patients and doctors. Finally, the report will focus on recent developments in Germany, where policy-makers have started to adopt particular elements of managed care. In chapter six (Managed Care Approaches in Germany), the paper will argue, that Germany should pay more attention to the American experiences regarding managed care in order to prevent harm for patients in [...]
Author : United States. General Accounting Office
Publisher :
ISBN 13 :
Total Pages : 68 pages
Book Rating : 4.3/5 (91 download)
Download or read book Employer-based Health Plans written by United States. General Accounting Office and published by . This book was released on 1995 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Carlton Harker
Publisher :
ISBN 13 :
Total Pages : 852 pages
Book Rating : 4.3/5 ( download)
Download or read book Self-funding of Health Care Benefits written by Carlton Harker and published by . This book was released on 1993 with total page 852 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Jay Wolfson
Publisher : Irwin Professional Publishing
ISBN 13 :
Total Pages : 224 pages
Book Rating : 4.:/5 (43 download)
Download or read book Managing Employee Health Benefits written by Jay Wolfson and published by Irwin Professional Publishing. This book was released on 1985 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Gary S. Whitted
Publisher : Greenwood
ISBN 13 :
Total Pages : 440 pages
Book Rating : 4.:/5 (1 download)
Download or read book Managing Corporate Health Care Expenses written by Gary S. Whitted and published by Greenwood. This book was released on 1985 with total page 440 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Jena L. Kennedy
Publisher :
ISBN 13 : 9781579740580
Total Pages : 132 pages
Book Rating : 4.7/5 (45 download)
Download or read book Intro to Managed Care written by Jena L. Kennedy and published by . This book was released on 1998 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt: Gives you an overview of the principles of managed health care coverage. After explaining traditional indemnity coverages and providers, the text focuses on health care delivery systems, including HMOs, PPOs, and POS plans, and explains managed care oper
Author :
Publisher : DIANE Publishing
ISBN 13 : 1428978356
Total Pages : 90 pages
Book Rating : 4.4/5 (289 download)
Download or read book Health insurance management strategies used by large employers to control costs : report to the chairman, Committee on Labor and Human Resources, U.S. Senate written by and published by DIANE Publishing. This book was released on with total page 90 pages. Available in PDF, EPUB and Kindle. Book excerpt:
