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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
Managed Care Plan Liability: An Analysis Of Texas And Missouri Legislation Patricia A. Butler, JD, DrPH November 1997 Background As increasing numbers of Americans receive health care coverage through managed care plans, public attention has been focused on some of the problems consumers have with such plans. Although most consumers…
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;…
State Reforms of Small Group Health InsuranceBetween 1989 and 1995, 45 states enacted laws to make health insurance more accessible and attractive to small businesses. The small group market was targeted for reform because about half of all uninsured workers are either self-employed or working in firms with fewer than…
Small Employers and Health InsuranceNearly half of all uninsured workers are either self-employed or work for firms with fewer than 25 employees; another 14% are in firms with 25-99 workers (EBRI, 1996). Differences in health coverage depending on the size and type of businesses have existed for years. Today, only…
Fact sheets on health insurance among small employers and state reforms of small group health insurance.Fact Sheet: Small Employers and Health Insurance Fact Sheet: Small Employers and Health Insurance Fact Sheet: State Reforms of Small Group Health Insurance Fact Sheet: State Reforms of Small Group Health Insurance
Retiree Health Trends and Implications of Possible Medicare ReformsPrepared by: Hewitt Associates LLC Prepared for: Kaiser Medicare Policy ProjectSeptember 1997Preparation of this report was supported by The Henry J. Kaiser Family Foundation Grant Number 96-1710B. The study consists of a review and analysis of recent trends in the provision of…
Retiree Health Trends And Implications Of Possible Medicare Reforms September 1997 Approximately 12 million of Medicare’s 39 million beneficiaries receive employer-sponsored retiree health benefits as a supplement to their Medicare coverage. In addition, millions of retired workers under age 65 rely on retiree health benefits as their primary source of…
With the assistance of the First Nations Development Institute, the Henry J. Kaiser Family Foundation commissioned several studies of critical issues in Native-American health care. These studies examined the trends shaping the future of Native-American health care; the existing health systems and planning capacity in the Native-American health care system;…
Side-By-Side Comparison Of Proposed Federal Legislation For Consumer Protection In Managed Care PlansNicole Tapay, Karen Pollitz, Jalena CurtisInstitute for Health Care Research and Policy Georgetown University Medical CenterJuly 18, 1997Issue SummaryOver the past decade, an increasing number of Americans have been receiving their health care coverage through HMOs, PPOs and…
