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The Henry J. Kaiser Family Foundation

Explaining Douglas v. Independent Living Center: Questions About the Upcoming United States Supreme Court Case Regarding Medicaid Beneficiaries’ and Providers’ Ability to Enforce the Medicaid Act

On October 3, 2011, the U.S. Supreme Court is scheduled to hear oral argument in a group of three cases, Douglas v. Independent Living Center of Southern California, Douglas v. California Pharmacists Association, and Douglas v. Santa Rosa Memorial Hospital. All three cases raise the same issue: whether Medicaid beneficiaries…

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The Henry J. Kaiser Family Foundation

Kaiser Family Foundation/Harvard University National Survey of Americans’ Views on Consumer Protection in Managed Care

A survey of 1,204 adults on Americans’ views on consumer protections and government regulation of managed care and the President’s “Consumer Bill of Rights.” The survey was conducted for the Foundation and Harvard University by Princeton Survey Research Associates. Additional questions were asked as part of a national omnibus telephone…

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The Henry J. Kaiser Family Foundation

External Review of Health Plan Decisions in the States and Medicare – Report

External Review of Health Plan Decisions:An Overview of Key Program Features in the States and MedicareExternal Review of Health Plan Decisions:An Overview of Key Program Features in the States and MedicarePrepared for the Kaiser Family Foundation by:Karen Pollitz, M.P.P., Geraldine Dallek, M.P.H., and Nicole Tapay, J.D.Institute for Health Care Research…

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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

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

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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