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The Henry J. Kaiser Family Foundation

Medical Liability Reforms: Comparison of the Candidates’ Proposals

Medical Liability Reforms: Comparison of Candidate’s ProposalsBush-Cheney1Kerry-Edwards2Supports a $250,000 cap on non-economic damages and a reasonable cap on punitive damages.Supports limiting a party’s share of total damages to their proportionate share of blame for the injury inflicted.Supports action to allow providers to review best practices without fear of litigation.Opposes capping…

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The Henry J. Kaiser Family Foundation

Health Insurance Market Reforms: Rate Restrictions

Rate restrictions limit how much insurance companies can vary premiums charged to individuals and businesses based on factors such as health status, age, tobacco use and gender. Currently, federal law does not place any limits on the ways that insurance companies set their premium rates. However, beginning January 1, 2014,…

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The Henry J. Kaiser Family Foundation

Update on Individual Health Insurance

This report provides information about the individual health insurance market using data from the largest vendor of this type of insurance, eHealthInsurance. The report includes who is buying individual insurance, what they are actually paying for the insurance, and buying patterns. It is the first in an up-coming series of…

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The Henry J. Kaiser Family Foundation

Kaiser Health Poll Report July/August 2004 – The Public, Managed Care and Consumer Protections

A broad and informative bimonthly report, the Kaiser Health Poll Report provides key tracking information, including historical trends and in-depth analysis of public opinion about timely health care topics.In June 2004, the U.S. Supreme Court overturned a Texas law that gave patients the right to sue their health plans for…

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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 – Report

Impact of Potential Changes to ERISA:Litigation and Appeal Experience of CalPERS, Other Large Public Employers and a Large California Health PlanJune 1998By Coopers & Lybrand L.L.P.Sandra Hunt, M.P.A.John Saari, M.A.A.A.Kelly Traw, J.D.BackgroundThe Employee Retirement Income Security Act (ERISA) currently preempts state law related to the wrongful denial or delay of…

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The Henry J. Kaiser Family Foundation

External Review of Health Plan Decisions in the States and Medicare

An analysis of the external review process, the formal dispute resolution process established by state or federal agencies, independent of disputing parties, that has the capacity to evaluate and resolve at least those disputes involving medical issues. This paper identifies critical features of external review systems in thirteen states and…

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The Henry J. Kaiser Family Foundation

Health Plan Liability — Policy Brief

An 8-page policy brief to inform the policy debate in California about health plan liability issues, including barriers to lawsuits (ERISA), liability approaches used in other industries, and potential impact on premiums. The brief includes a variety of perspectives presented by speakers at a California Health Policy Roundtable held in…

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The Henry J. Kaiser Family Foundation

Pulling it Together: The Sleeper in Health Reform

The health reform legislation currently being crafted on Capitol Hill is undeniably complex.  To oversimplify slightly it can be boiled down into four parts: coverage (subsidies for private coverage and Medicaid expansions); delivery and payment reforms; insurance market reforms and regulations; and prevention, with each broad category containing a range…

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The Henry J. Kaiser Family Foundation

A Guide to the Medicaid Appeals Process

This background brief provides a comprehensive look at the appeals process for the Medicaid program, which differs significantly from those available through the Medicare program and private health insurance. The Medicaid appeals process provides redress for individual applicants and beneficiaries seeking eligibility for the program or coverage of prescribed services,…

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The Henry J. Kaiser Family Foundation

A Guide to Developing Assistance Programs for Health Care Consumers

The Health Rights Hotline, based in Sacramento, California, wasestablished in 1997 as a model to demonstrate and assess how anindependent assistance program can help consumers successfully accesscare, navigate the health care system, and improve the system for allhealth care consumers. Based on the experiences of the Health Rights Hotline, this…

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