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The Henry J. Kaiser Family Foundation

Protection in Managed Care Plans: A Side-by-Side Comparison of Proposal Federal Legislation – Report

Side-By-Side Comparison Of Proposed Federal Legislation For Consumer Protection In Managed Care PlansNicole Tapay, Karen Pollitz, Jalena CurtisInstitute for Health Care Research and Policy Georgetown University Medical CenterJuly 18, 1997Issue SummaryOver the past decade, an increasing number of Americans have been receiving their health care coverage through HMOs, PPOs and…

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The Henry J. Kaiser Family Foundation

A Brief Overview of Major Features of Pending Patient Protection Legislation: House and Senate Versions of H.R. 2990

During the 1999 legislative year, both the U.S. House of Representatives and the U.S. Senate passed legislation addressing patient protections under health care plans. The purpose of this brief overview is to highlight in broad terms the key similarities and differences between the bills in four general areas: scope of…

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The Henry J. Kaiser Family Foundation

National Survey on Americans as Health Care Consumers: An Update on the Role of Quality Information

This survey of Americans by the Kaiser Family Foundation and the Agency for Health Care Research and Quality (AHRQ) shows that the recent attention to medical errors may have entered the public’s consciousness since it is now among the public’s leading measures of health care quality. The survey also found…

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The Henry J. Kaiser Family Foundation

Pulling it Together: Last Week’s Health Reform “Shocker”

Last week we learned that health reform could cost the federal government at least a trillion dollars over ten years, and that it will be really difficult to forge bipartisan agreement on legislation and keep major interest groups on board. This obviously brought more angst to the deliberations, several Republicans…

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The Henry J. Kaiser Family Foundation

Spending To Survive: Cancer Patients Confront Holes in the Health Insurance System

This report highlights the severe challenges cancer patient may face in paying for life-saving care even when they have private health insurance. Jointly authored by the Kaiser Family Foundation and the American Cancer Society, the report profiles 20 patients and illustrates the potential difficulties people diagnosed with cancer or other…

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The Henry J. Kaiser Family Foundation

Explaining Health Care Reform: What Is An Employer “Pay-or-Play” Requirement?

To broaden coverage, some health reform proposals would require employers to offer coverage or pay to help finance subsidies for those without access to affordable coverage. These types of reforms are often referred to as “pay-or-play” policies. The brief explains the concept and policy implications of employer pay-or-play proposals, which…

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The Henry J. Kaiser Family Foundation

Uniform Coverage Summaries for Consumers

This brief explains the proposed federal rule that requires private health plans to provide a short, easy-to-read uniform summary of benefits and coverage to all health insurance applicants and enrollees. The rule, which implements a provision in the Affordable Care Act (ACA), is intended to make it simpler for consumers…

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The Henry J. Kaiser Family Foundation

Health Insurance Market Reforms: Guaranteed Issue

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…

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The Henry J. Kaiser Family Foundation

Quantifying the Effects of Health Insurance Rate Review

This report from the Kaiser Family Foundation analyzes the effect of government efforts to ensure that insurance premium increases are justifiable and provide value to consumers and small businesses. Rate review programs require insurers in the small group and individual markets to submit proposed rate increase requests to state or…

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The Henry J. Kaiser Family Foundation

Health Insurance Market Reforms: Rate Review

Rate review is the process by which insurance regulators review health plans’ new or renewed rates for insurance policies in order to ensure that the rates charged are based on accurate, verifiable data and realistic projections of health costs. Historically, state insurance departments have conducted rate review, but under the…

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