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The Henry J. Kaiser Family Foundation

Consumers’ Experience in Massachusetts: Lessons For National Health Reform

This report examines the impact of state health reform efforts on the lives of ordinary people in Massachusetts, including a look at coverage provided by both public programs and private sources. It focuses specifically on people’s ability to afford and obtain needed care. Report (.pdf)

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The Henry J. Kaiser Family Foundation

Controlling Health Insurance Premiums: Perspectives from the States, the Federal Government and Industry

The Affordable Care Act creates a process for states and the Department of Health and Human Services to review “unreasonable” premium increases and provide information to consumers about the process. The rules governing this rate review process went into effect September 1, 2011. This briefing by the Kaiser Family Foundation,…

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The Henry J. Kaiser Family Foundation

Inside Deficit Reduction: What Now?

The Budget Control Act of 2011 tasked members of a “Super Committee” to find at least $1.2 trillion in deficit reduction over the next decade. Members did not reach an agreement by the November 23 deadline and as a result automatic spending cuts to defense and entitlement programs are set…

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The Henry J. Kaiser Family Foundation

Health Insurance Market Reforms: Pre-Existing Condition Exclusions

Insurers pursue multiple strategies to reduce the cost of covering enrollees with pre-existing conditions, or medical conditions and health problems that existed before the individual enrolled in a health plan. One strategy, the pre-existing condition exclusion, allows insurers to refuse to cover any costs associated with care for a pre-existing…

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The Henry J. Kaiser Family Foundation

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

Protection in Managed Care Plans: A Side-by-Side Comparison of Proposed Federal Legislation. A side-by-side comparison of the provisions for consumer protection in managed care plans contained in the House and Senate budget reconciliation bills and in eight other consumer protection bills currently under consideration by Congress. These bills, which would…

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The Henry J. Kaiser Family Foundation

The Impact of Managed Care Legislation: An Analysis of Five Legislative Proposals from California

This study analyzed five 1997 managed care consumer protection proposals currently or recently under consideration by the California state legislature: allowing consumers to sue their HMO (health maintenance organization) or managed care plan; expanding access to prescription drugs not approved by the health plan; expanded coverage of mental health services;…

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The Henry J. Kaiser Family Foundation

Managed Care Plan Liability: An Analysis of Texas and Missouri Legislation

This report analyzes recently enacted laws in Texas and Missouri that expand consumers' ability to sue their HMOs or other managed care plans for inappropriately denied care or similar problems.Report Report

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The Henry J. Kaiser Family Foundation

External Review of Health Plan Decisions — Policy Brief

An 8-page policy brief on the external review of health plan decisions to inform the policy debate in California and nationally. The policy brief covers external review systems in other states and the Medicare program, the current status of external review in California, and issues regarding the design and implementation…

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The Henry J. Kaiser Family Foundation

Retiree Health Benefits in 2003: Employer Survey

This survey, conducted by the Kaiser Family Foundation and Hewitt Associates between June and September 2003 provides detailed information on retiree health programs offered by large private-sector employers. The data in this survey reflect the responses of 408 large firms (private-sector employers with 1,000 or more workers) and provides information…

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The Henry J. Kaiser Family Foundation

Health Care and the 2004 Elections: Medical Liability Reform

Medical Liability ReformDownload a printable .pdf of Health Care and the 2004 Elections: Medical Liability Reform.IssueBackgroundOptions for Assuring Access to Affordable Liability CoverageAssessing Candidate PositionsIssueSharp increases in medical liability insurance premiums in recent years, and the withdrawal of some insurers from this market have focused the attention of health care…

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