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Post-Election Survey: Priorities for the 106th Congress – News Release

Voters Say Medicare Top Health Issue For New Congress Embargoed for release until: Thursday, January 14, 1999 For more information contact: Matt James or Missy Krasner: (650)854-9400 Best Chance for Bipartisan Voter Support in Health on Patients’ Rights Washington, DC — A new survey conducted immediately after the election by…

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…

Medicaid Managed Care for Persons With Disabilities: State Profiles-2114

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…

Consumer Protection Issues in Medicare + Choice

This report describes and analyzes key Medicare+Choice provisions in the Balanced Budget Act and the accompanying regulations related to consumer protections. It explains how the BBA makes significant improvements for beneficiaries in the areas of access, appeals, and quality. It also explores areas that could be strengthened to better serve…

External Review of Health Plan Decisions in the States and Medicare

An analysis of the external review process, the formal dispute resolution process established by state or federal agencies, independent of disputing parties, that has the capacity to evaluate and resolve at least those disputes involving medical issues. This paper identifies critical features of external review systems in thirteen states and…

External Review of Health Plan Decisions in the States and Medicare – Report

External Review of Health Plan Decisions:An Overview of Key Program Features in the States and MedicareExternal Review of Health Plan Decisions:An Overview of Key Program Features in the States and MedicarePrepared for the Kaiser Family Foundation by:Karen Pollitz, M.P.P., Geraldine Dallek, M.P.H., and Nicole Tapay, J.D.Institute for Health Care Research…

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…

Managed Care Consumer Protections Offered by Medium and Large Employers – Fact Sheet

Managed Care Consumer Protections Offered by Medium and Large EmployersNovember 1998BackgroundDuring the past year, Congress and the states considered a number of proposals that would have provided additional protections to consumers in health insurance plans, particularly managed care plans. Among the key issues raised in these debates was how much…