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The Henry J. Kaiser Family Foundation

Impact of Potential Changes to ERISA: Litigation and Appeals Experience of CalPERS, Other Large Public Employers and a Large California Health Plan

The Employee Retirement Income Security Act (ERISA) currently preempts state law related to the wrongful denial or delay of health benefits to the extent that such laws relate to a health benefit plan sponsored by a private employer. This report examines the frequency, nature and costs associated with the appeals…

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The Henry J. Kaiser Family Foundation

Managed Care Consumer Protections Offered by Medium and Large Employers

A fact sheet summarizing data from a survey conducted between January and March of 1998 with 1,583 firms with 200 or more workers. The survey, which is conducted annually, focuses on the characteristics of the health benefit plans sponsored by employers.The supplemental questions discussed in this brief were developed jointly…

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The Henry J. Kaiser Family Foundation

Consumer Protection Issues in Medicare + Choice

This report describes and analyzes key Medicare+Choice provisions in the Balanced Budget Act and the accompanying regulations related to consumer protections. It explains how the BBA makes significant improvements for beneficiaries in the areas of access, appeals, and quality. It also explores areas that could be strengthened to better serve…

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The Henry J. Kaiser Family Foundation

National Survey on Consumers’ Experiences With Patient Safety and Quality Information — Toplines

National Survey on Consumers’ Experiences With Patient Safety and Quality Information — ToplinesThis document includes the complete toplines from a national survey assessing Americans’ perceptions about the quality of health care, their awareness and reported usage of information in making their health care choices, and their experiences with their health…

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The Henry J. Kaiser Family Foundation

Testimony before the Advisory Commission on Consumer Protection and Quality in the Health Care Industry on Protecting Vulnerable Populations

This testimony addresses the issue of access to care for vulnerable populations and the implications of the shift to managed care for these populations. In particular, it focuses on those with low incomes and disabling conditions requiring particular attention in the reshaping of health financing and delivery systems. Testimony:

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The Henry J. Kaiser Family Foundation

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…

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The Henry J. Kaiser Family Foundation

National Survey of Small Business Executives on Health Care

A survey of 800 small business executives on their views on health care and the coverage they offer their employees. The survey also asked small employers how they feel about current proposals to protect consumers and regulate managed care.

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The Henry J. Kaiser Family Foundation

Benefits and Costs of Consumer Protection Proposals in California: An Analysis of Selected Recommendations of the California Managed Care Task Force

This report assesses the potential impact of selected recommendations of the Managed Health Care Improvement Task Force in the areas of access to care and specialists, information disclosure, and dispute resolution. The Managed Health Care Improvement Task Force was established in 1998 to inform state leaders about the health industry…

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The Henry J. Kaiser Family Foundation

Protection For Consumers In Managed Care Plans: A Comparison Of Medicare, Medicaid and the Private Insurance Market

This policy paper describes key requirements of consumer protection regulation under Medicare, Medicaid and federal and state laws as they apply to private health insurance. These include choice and availability of plans, disclosure of information, marketing, access, quality, and the grievance and appeals process. The discussion highlights differences and similarities…

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The Henry J. Kaiser Family Foundation

New Survey on Consumer Experiences with Health Plans

Survey on Consumer Experiences with Health PlansA Kaiser Family Foundation/Harvard School of Public Health survey found that more than six in ten privately insured American adults under age 65 give their health plans a grade of A or B, but nearly half report having some type of problem with their…

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