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  • The Impact of Manged Care Legislation: An Analysis of Five Legislative Proposals from California – Report

    Report

    The Impact of Managed Care Legislation: An Analysis of Five Legislative Proposals from California Health Policy Economics GroupPrice Waterhouse LLP November, 1997 Executive Summary Managed care has grown tremendously in recent years. From 1988 to 1997, at firms with 200 or more employees, the proportion of employees enrolled in HMOs nationwide increased from 18 percent to 33 percent. The presence of managed care varies by state across the country but is particularly strong in California…

  • Managed Care Plan Liability: An Analysis of Texas and Missouri Legislation

    Other Post

    The Impact of Managed Care Legislation: An Analysis of Five Legislative Proposals from California Health Policy Economics GroupPrice Waterhouse LLP November, 1997 Executive Summary Managed care has grown tremendously in recent years. From 1988 to 1997, at firms with 200 or more employees, the proportion of employees enrolled in HMOs nationwide increased from 18 percent to 33 percent. The presence of managed care varies by state across the country but is particularly strong in California…

  • The Impact of Managed Care Legislation: An Analysis of Five Legislative Proposals from California

    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; direct access to obstetrical andgynecological services; and lengthened minimum hospital stays for mastectomy patients. Report: The Impact of Manged Care Legislation: An Analysis of Five…

  • Medicaid Facts: Medicaid’s Role for Children – Fact Sheet

    Fact Sheet

    In 1995, 17.5 million children -- one-quarter of all children under age 18 -- had Medicaid coverage for health care services. Medicaid, the federal/state health program for the poor, pays for a broad range of services for children including well-child care, immunizations, prescription drugs, doctor visits, and hospitalization, and a range of long-term care services for children with disabilities. Medicaid plays a particularly strong role for low-income children, covering two-thirds (64%) of all poor children…

  • Overview of Medicaid Managed Care Provisions in the Balanced Budget Act of 1997

    Other Post

    11. Implications For Safety Net Providers Medicaid's transition from fee-for-service to managed care has enormous implications for safety net providers - those hospitals and clinics that deliver basic health care to large numbers of the uninsured. Medicaid has been a major revenue source for many of these providers, because it has reimbursed for the care and services they deliver to low-income patients who, without Medicaid coverage, generally would have no other source of payment. The…

  • National Survey of Americans on AIDS/HIV – Toplines/Survey

    Other Post

    1997 National Survey of Americans on AIDS/HIV Public Knowledge And Attitudes About AIDS/HIV : Survey II Princeton Survey Research Associates For The Kaiser Family Foundation Questionnaire and National Toplines December 4, 1997 Methodology The 1997 National Survey of Americans on AIDS/HIV was designed by staff of the Kaiser Family Foundation and conducted for the Family Foundation by Princeton Survey Research Associates. The survey was conducted by telephone with 1,205 adults (age 18 or older) nationwide…

  • Is There a Common Ground? Affiliations Between Catholic and Non-Catholic Health Care Providers and

    Other Post

    3. The Affiliation Process and the Role of Reproductive Health Services in the case studies The four case studies conducted for this project provide insight into the affiliation process between Catholic and non-Catholic health care providers and the role of reproductive health services in the process. The four successfully negotiated affiliations studied included an acquisition, a merger, a consolidation, and a 50/50 joint venture. (See Figure 1 for a summary of the contextual, organizational, and…

  • Legislative Summary: State Children’s Health Insurance Program – Fact Sheet

    Fact Sheet

    State Children's Health Insurance Program Summary November 1997 Nearly 10 million children are uninsured, often resulting in difficulties in obtaining needed health care. To expand coverage to low-income uninsured children, Congress enacted the State Children's Health Insurance Program (CHIP) as part of the Balanced Budget Act (BBA) of 1997 (P.L. 105-33). This new program allocates $20.3 billion in federal matching funds over five years to states to expand insurance for children. States can use the…

  • Legislative Summary: State Children’s Health Insurance Program

    Fact Sheet

    This Fact Sheet summarizes eligibility, benefits and cost-sharing, and financing rules of the State Children's Health Insurance Program as well as other child-related Medicaid provisions from the Balanced Budget Act of 1997. Fact Sheet Fact Sheet