Kaiser Family Foundation/Field Institute Survey of Californians on the Health Care Initiatives, Propositions 214 and 216 September 29, 1996 Report Results of two surveys that track Californian’s knowledge of the two initiatives on the California Ballot, Propositions 214 and 216 (also known as the Patient Protection Acts) and attitudes towards them as the debate unfolds. The surveys were conducted from August 14-21, 1996 and from September 23-30, 1996. Also included…
A Guide to the Medicaid Appeals Process March 29, 2012 Issue Brief This background brief provides a comprehensive look at the appeals process for the Medicaid program, which differs significantly from those available through the Medicare program and private health insurance. The Medicaid appeals process provides redress for individual applicants and beneficiaries seeking eligibility for the program or coverage of prescribed services,…
Pulling it Together: The Sleeper in Health Reform June 16, 2009 Perspective The health reform legislation currently being crafted on Capitol Hill is undeniably complex. To oversimplify slightly it can be boiled down into four parts: coverage (subsidies for private coverage and Medicaid expansions); delivery and payment reforms; insurance market reforms and regulations; and prevention, with each broad category containing a range…
Alternative Approaches to Liability: Models for Health Plan Liability August 31, 1999 Report This report looks at the different ways in which liability is handled in a number of industries, and explores how these models might apply to health plans. The report also discusses health plan liability in the context of the ongoing Consumer Protection debate.Report: Models for Health Plan Liability
Survey of Physicians and Nurses July 1, 1999 Poll Finding A national random survey of 1053 doctors and 768 nurses on their experiences with and attitudes towards health plans. The survey provides quantitative information from doctors and nurses about their non-elderly patients, as well as verbatim descriptions of patient experiences with health plan decisions, including doctors’ judgments on the consequences…
Kaiser Family Foundation/Harvard University School of Public Health: Update on Americans’ Views on the Consumer Protections Debate March 30, 1999 Poll Finding Kaiser Family Foundation/Harvard University School of Public Health: Update on Americans’ Views on the Consumer Protections Debate The 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…
Managed Care Consumer Protections Offered by Medium and Large Employers – Fact Sheet October 30, 1998 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…
Consumer Protection Issues in Medicare + Choice November 29, 1998 Report 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…
Managed Care Consumer Protections Offered by Medium and Large Employers October 30, 1998 Fact Sheet 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…
Impact of Potential Changes to ERISA: Litigation and Appeals Experience of CalPERS, Other Large Public Employers and a Large California Health Plan May 30, 1998 Report The Employee Retirement Income Security Act (ERISA) currently preempts state law related to the wrongful denial or delay of health benefits to the extent that such laws relate to a health benefit plan sponsored by a private employer. This report examines the frequency, nature and costs associated with the appeals…