How Private Insurance Works: A Primer
This primer, prepared by Gary Claxton of the Institute for Health Care Research and Policy at Georgetown University, examines the structure and operation of private health insurance including the types of organizations that provide it, how managed care is delivered, and how risk pools work and describes how private health insurance coverage is regulated under state and federal laws. The primer explains how the current nature of private insurance relates to key issues facing federal and state policymakers.
also of interest
- Summary of Coverage Provisions in the Patient Protection and Affordable Care Act
- Explaining Health Care Reform: Questions About Health Insurance Subsidies
- Quick Take: Timing Matters: States Waiting for a Supreme Court Decision to Plan an Exchange
- Insurer Rebates under the Medical Loss Ratio: 2012 Estimates