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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

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

New Report Looks at Health Care Trends in California Compared to Rest of Nation

A new chartbook by the Kaiser Family Foundation shows that on most, though not all indicators, California’s health care system fares poorly when compared to the U.S. as a whole. The report, Health Care Trends and Indicators in California and the United States, shows that many more Californians have no…

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The Henry J. Kaiser Family Foundation

How Accessible is Individual Health Insurance for Consumer in Less-Than-Perfect Health?

This report documents the findings of a study examining access to health insurance coverage in the individual market for people with health problems. Seven hypothetical consumers with varying health conditions were defined and insurers and HMOs in eight different markets around the country were asked to consider them as though…

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The Henry J. Kaiser Family Foundation

Online Tools for Consumer-Directed Health Plans

On Jan. 25, 2005, Kaiser Family Foundation hosted a demonstration of the online tools made available to enrollees in consumer-directed health plans. Executives from Humana and Lumenos — two major firms in the consumer-directed care market — conducted real-time demonstrations of their consumer web tools to show how enrollees might…

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The Henry J. Kaiser Family Foundation

Toplines —  Kaiser Health Poll Report Selected Findings on 2006 State of the Union Address and Health Care

Toplines — Kaiser Health Poll Report Selected Findings on 2006 State of the Union Address and Health CareThese toplines provide complete results from the February 2006 poll on what the public took away from President Bush’s State of the Union address. Survey Toplines (.pdf)

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The Henry J. Kaiser Family Foundation

How Accessible is Individual Health Insurance for Consumers in Less-Than Perfect Health?

This report documents the findings of a study examining access to health insurance coverage in the individual market for people with health problems. Seven hypothetical consumers with varying health conditions were defined and insurers and HMOs in eight different markets around the country were asked to consider them as though…

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The Henry J. Kaiser Family Foundation

How Private Insurance Works: A Primer

This primer, prepared by Gary Claxton of the Institute for Health Care Research and Policy at Georgetown University, examines the structure and operation of private health insurance including the types of organizations that provide it, how managed care is delivered, and how risk pools work and describes how private health…

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The Henry J. Kaiser Family Foundation

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…

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The Henry J. Kaiser Family Foundation

New Survey on Consumer Experiences with Health Plans

Survey on Consumer Experiences with Health PlansA Kaiser Family Foundation/Harvard School of Public Health survey found that more than six in ten privately insured American adults under age 65 give their health plans a grade of A or B, but nearly half report having some type of problem with their…

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