Search results for: health-plans

Retiree Health Plans in the Public Sector

Author : Robert L. Clark
File Size : 29.42 MB
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While retiree health plans are a dying benefit in the private sector, all US states and many local governments extend health insurance coverage to their retired employees. This book is the first to thoroughly examine public sector health insurance plans. Retiree Health Plans in the Public Sector provides a detailed description of the current plans offered and compares how they vary across states. Health insurance is an important component of compensation in the public sector as it helps governments attract and retain quality workers and encourages timely retirement for career employees. Rapidly rising medical costs, an aging labor force, and an increasing number of retirees have dramatically increased the cost of providing this benefit. A central theme of this analysis is a presentation of the actuarial accrued liabilities, the unfunded liabilities and the annual required contribution of the employers based on the actuarial statements for retiree health plans. The authors alsoinvestigate why some states face major funding problems while the costs of other states? plans are much more manageable. Extensively researched and well-suited for classroom and professional use alike, academics in the fields of economics and public policy will find this an unmatched resource. So too will policymakers, economists, legislators, public sector union leaders and those invested in public sector healthcare.

Consumer directed Health Plans

Author : Philip Ellis
File Size : 59.12 MB
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Employer based Health Plans

Author : Mark V. Nadel
File Size : 76.50 MB
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Health Insurance and Managed Care

Author : Peter R. Kongstvedt
File Size : 39.53 MB
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"The term "managed care" or "managed healthcare" describes a group of activities ostensibly intended to reduce the cost of providing for-profit health care while improving the quality of that care. One of the most common forms of managed care is the use of a panel or network of healthcare providers to provide care to enrollees. Managed care is so ubiquitous in the US, it has become nearly synonymous with health insurance.Health Insurance and Managed Care: What They Are and How They Work is a concise introduction to the foundations of the American managed health care system. Written in clear and accessible language, this handy guide offers an historical overview of managed care and then walks the reader through the organizational structures, concepts, and practices of the managed care industry"--

ConsumerDirected Health Plans Health Status Spending and Utilization of Enrollees in Plans Based on Health Reimbursement Arrangements

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File Size : 63.17 MB
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Military retiree health benefits enrollment low in federal employee health plans under DOD demonstration

Author :
File Size : 39.8 MB
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WellCare Health Plans Inc Securities and Exchange Commission Litigation Complaint

Author :
File Size : 76.65 MB
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Private health insurance employers and individuals are vulnerable to unauthorized or bogus entities selling coverage report to congressional requesters

Author :
File Size : 37.49 MB
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Health Insurance and Managed Care

Author : Peter R. Kongstvedt
File Size : 71.37 MB
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Health Insurance and Managed Care: What They Are and How They Work (formerly titled Managed Care: What It Is and How It Works) is a concise introduction to the foundations of the American managed health care system. Written in clear and accessible language, this handy guide offers an historical overview of managed care and then walks the reader through the organizational structures, concepts, and practices of the managed care industry. The Fourth Edition is a thorough update that addresses the impact of the Affordable Care Act throughout the industry including: - New underwriting requirements - New marketing and sales channels - Limitations on sales, governance, and administrative (SG&A) costs and profits - New provider organizations such as Patient Centered Medical Homes (PCHMs) and Accountable Care Organizations (ACO’s) - New payment mechanisms such as shared savings with ACOs, and severity-adjusted diagnosis related groups - Changes to Medicare Advantage - Medicaid expansion and reliance on Medicaid managed care

Questionnaires and Data Collection Methods for the Health Insurance Plans Survey

Author : Carol-Ann Emmons
File Size : 84.66 MB
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Private Health Insurance

Author : United States. General Accounting Office
File Size : 75.70 MB
Format : PDF
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Private health insurance continued erosion of coverage linked to cost pressures report to the chairman Committee on Labor and Human Resources U S Senate

Author :
File Size : 39.82 MB
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Health Insurance

Author : Michael Gutowski
File Size : 46.5 MB
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After several years of increases in the cost of employee health insurance, the nation's larger firms, employer coalitions, & even state governments entered the 1990s with an aggressive approach to rein in employee health insurance costs. This report examines the strategies of large, innovative purchasers of health insurance who have attempted to stem the rapid escalation in health insurance costs &, at the same time, maintain or enhance the quality of care for their employees. Includes information on the attributes of flexibility & leverage; evaluation criteria; & plan options, incentives, & marketing.

Access to Health Insurance

Author : DIANE Publishing Company
File Size : 76.45 MB
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Identifies the varying forms purcahsing cooperatives have taken and examines the functions, organizations, and governance of existing prototypes in the context of national reform proposals. 8 charts and tables

Expanding Health Insurance Coverage and Controlling Costs for Health Care

Author : Douglas W. Elmendorf
File Size : 63.73 MB
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Testimony on the opportunities and challenges that the Congress faces in pursuing two major policy goals: (1) expanding health insurance coverage, so that more Americans receive appropriate health care without undue financial burden; and (2) making the health care system more efficient, so that it can continue to improve Americans¿ health but at a lower cost in both the public and private sectors. Both are complex endeavors in their own right, and interactions and trade-offs between them may arise.

Increasing Small firm Health Insurance Coverage Through Association Health Plans and Healthmarts

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File Size : 81.4 MB
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Health Insurance Resources

Author : Kimberly Calder, MPS
File Size : 64.29 MB
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The second edition of Health Insurance Resources: A Guide for People with Chronic Disease and Disability continues to be a uniquely helpful reference for those who need and use health insurance most often but have the least access to it. The book was developed to assist individuals living with disability and chronic health conditions, as well as health care professionals, in understanding the health care system and maximizing their rights and entitlements within that system. The manual is completely updated throughout, and reflects the changes in the system since the first edition's publication in 2003. Crucially, the book includes new information about the new Medicare Prescription Drug Coverage plan, which took effect in January 2006. It also covers: Social Security Disability Insurance and Supplemental Security Income COBRA HIPAA State High Risk, Pools Insurance glossary State pharmacy assistance programs And much, much more! This essential guide contains information about a wide variety of options that will be of assistance to individuals who are uninsured, underinsured, or who have questions about insurance and don't know where to begin. It will also serve those who work with chronically ill individuals and their families, such as health care professionals and para-professionals, consumer and patient advocates, and the educators and institutions that serve them.

The End of Employer Provided Health Insurance

Author : Paul Zane Pilzer
File Size : 33.73 MB
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How to save 20 to 60 percent on health insurance! The End of Employer-Provided Health Insurance is a comprehensive guide to utilizing new individual health plans to save 20 to 60 percent on health insurance. This book is written to ensure that you, your family, and your company get your fair share of the trillions of dollars the U.S. government will spend subsidizing individual health insurance plans between now and 2025. You will learn how to navigate the Affordable Care Act to save money without sacrificing coverage, and how to choose the plan that offers exactly what you, your family and your company need. Over the next 10 years, 100 million Americans will move from employer-provided to individually purchased health insurance. The purpose of The End of Employer-Provided Health Insurance is to show you how to profit from this paradigm shift while helping you, your family, and your employees get better and safer health insurance at lower cost. It will help you save thousands of dollars per person each year and protect you from the greatest threat to your financial future—our nation's broken employer-provided health insurance system. We are at the beginning of a paradigm shift in the way businesses offer employee health benefits and the way Americans get health insurance—a shift from an employer-driven defined benefit model to an individual-driven defined contribution model. This parallels a similar shift in employer-provided retirement benefits that took place two to three decades ago from defined benefit to defined contribution retirement plans. Written by a world-renowned economist and New York Times best-selling author, this insightful guide explains how individual health insurance offers more to employees than employer-provided plans. Using the techniques outlined in this book, you and your employer will save money on health insurance by migrating from employer-provided health insurance coverage to employer-funded individual plans at a total cost that is 20 percent to 60 percent lower for the same coverage. That's $4,000 to $12,000 in savings per year for a family of four for the same hospitals, same doctors, and same prescriptions.

Market Structure of the Health Insurance Industry

Author : D. Andrew Austin
File Size : 27.89 MB
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Private Health Insurance Coverage Expert Views on Approaches to Encourage Voluntary Enrollment

Author :
File Size : 90.33 MB
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