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Better Care & Lower Costs: Exploring the Promise of Patient Engagement

03/05/10 Engaging consumers more directly in their care may improve health outcomes and help control the costs of care. This briefing, cosponsored by the Alliance for Health Reform and the AARP Public Policy Institute, focused on the potential for changing consumer behavior to promote the use of effective interventions and…

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

Managed Care Plan Liability: An Analysis Of Texas And Missouri Legislation Patricia A. Butler, JD, DrPH November 1997 Background As increasing numbers of Americans receive health care coverage through managed care plans, public attention has been focused on some of the problems consumers have with such plans. Although most consumers…

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…

Kaiser Family Foundation/Harvard University School of Public Health: Update on Americans’ Views on the Consumer Protections Debate

Kaiser Family Foundation/Harvard University School of Public Health: Update on Americans’ Views on the Consumer Protections DebateThe Kaiser Family Foundation/Harvard University School of Public Health Update on American’s Views on Consumer Protections in Managed Care is based on findings from the April 1999 Kaiser/Harvard Health News Index. The survey was…

Kaiser /Harvard Survey of Americans on Health Policy

A telephone survey of 1,011 adults (between June 20 and July 9, 1996) about how health care reform (specically Medicare reform, MSAs and the Kassebaum/Kennedy bill) fits into the upcoming Novemeber election. The survey was designed by the Kaiser Family Foundation, Harvard University, and Princeton Survey Research Associates (PSRA). The…

How Private Health Coverage Works: A Primer – 2008 Update

How Private Health Coverage Works: A Primer— 2008 UpdateThis primer explains the role and operations of private health coverage in the United States. Private health coverage is provided under a variety of different arrangements, including health insuring organizations regulated under state law and health plans sponsored by employers and employee organizations…

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…

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…

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…