California Health Insurance Act (SB2) Data Update September 29, 2003 Report On October 5, 2003, Governor Gray Davis signed into law the California Health Insurance Act of 2003 (also referred to as SB2). This law would require employers with 200 or more workers to either pay into a fund that will provide coverage to their workers or to pay for 80%…
Prescription Drug Coverage for Medicare Beneficiaries: A Side-by-Side Comparison of S. 1 and H.R. 1 and the Conference Agreement H.R. 1 November 1, 2003 Report This document, prepared by Health Policy Alternatives, Inc., provides a detailed side-by-side comparison of the prescription drug provisions of the Conference Agreement (H.R. 1) passed by the House and Senate in November 2003 and the House (H.R. 1) and Senate (S. 1) Medicare proposals passed in June 2003.Report (.pdf)
Medicaid Managed Care for Persons With Disabilities: State Profiles-2114 November 30, 1998 Report Medicaid Managed Care for Persons With Disabilities: State ProfilesThis report provides state estimates of the number of Medicaid disabled enrolled in managed care and profiles these programs. It provides detailed comparative state information on enrollment, program features, rate setting, quality issues, and special enrollment features for the disabled in Medicaid…
External Review of Health Plan Decisions — Policy Brief December 30, 1998 Issue 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…
Setting Capitation Rates for HIV/AIDS Care: A Primer for Ryan White CARE Act Title IV Project January 30, 1998 Report Setting Capitation Rates for HIV/AIDS Care: A Primer for Ryan White CARE Act Title IV ProjectReport: Setting Capitation Rates for HIV/AIDS Care: A Primer for Ryan White CARE Act Title IV Projects
Managed Care Plan Liability: An Analysis of Texas and Missouri Legislation October 30, 1997 Report 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
The Impact of Managed Care Legislation: An Analysis of Five Legislative Proposals from California October 30, 1997 Report 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;…
Protection in Managed Care Plans: A Side-by-Side Comparison of Proposal Federal Legislation June 29, 1997 Report 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…
The New Dominance of Managed Care: Insurance Trends in the 1990s December 30, 1996 Report Report: Managed Care and the Small Group Market Report: Small Group Reform and Insurance Provision by Small Firms, 1989-1995