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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…

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…

Guide to Federal Patients Bill of Rights Debate

This guide, prepared by Stephanie Lewis, JD, MHSA for the Kaiser Family Foundation, explores key issues in the Congressionaldebate over a federal patients bill of rights. It includes an overview of private health insurance market regulation and itsrelationship to the patient protection debate, a discussion of areas of consensus such…

Public Opinion Update: The Public, Managed Care, and Consumer Protections

The Kaiser Family Foundation and Harvard School of Public Health monitored consumer experiences with managed care and attitudes toward alternative consumer protection approaches. This Public Opinion Update summarizes key findings from surveys conducted between 1997 and 2001, a period in which the intensity of public debate and media attention paid…

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…

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…

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…

Kaiser /Harvard Survey of Americans on Health Policy – Chart Pack

Survey of Americans on Health PolicyThe Kaiser-Harvard Program on the Public and Health/Social PolicyJuly 30, 1996Conducted for the Foundation by Princeton Survey Research AssociatesReturn to topSurvey of Americans on Health Policy:Press Release Survey Chart Pack

Insurer Rebates under the Medical Loss Ratio: 2012 Estimates

Beginning in 2011, the Affordable Care Act (ACA) requires insurance plans to pay out a minimum percentage of premium dollars towards health care expenses and quality improvement activities, limiting the amount spent on administrative and marketing costs and profit. Under the law, large group plans are required to spend at…