Filling the need for trusted information on national health issues
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;…
A booklet to help health care consumers understand managed care. A Consumer’s Guide: Understanding Managed Care
HIV Capitation Risk Adjustment: Conference ReportThis report provides an overview of conference proceedings which focused on developing managed care reimbursement strategies that will ensure quality care for people living with HIV and fair compensation for those providing care.Report: HIV Capitation Risk Adjustment: Conference Report
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…
This paper suggests methods of financing managed care for people with HIV or AIDS.Note: This publication is no longer in circulation. However, a few copies may still exist in the Foundation's internal library that could be xeroxed. Please email order@kff.org if you would like to pursue this option.
Protection in Managed Care Plans: A Side-by-Side Comparison of Proposed Federal Legislation. A side-by-side comparison of the provisions for consumer protection in managed care plans contained in the House and Senate budget reconciliation bills and in eight other consumer protection bills currently under consideration by Congress. These bills, which would…
Reprinted from HEALTH AFFAIRS, Volume 16, Number 2 (March/April 1997)This paper describes the early experience of the Health Insurance Plan of California (HIPC), a small-employer purchasing cooperative established in 1993.Report: Managed Competition In California's Small-Group Insurance Market
This commentary reviews Medicaid’s role for low-income women and examines the implications Medicaid managed care on the delivery of health services to this vulnerable population. Today 40% of the Medicaid population, mostly poor women and their children, is enrolled in managed care. Medicaid agencies are hoping managed care will control…
This study is part of a larger initiative, funded by both the Henry J. Kaiser Family Foundation and The Commonwealth Fund. Case studies of seven states that are restructuring their health care systems for the Medicaid and uninsured populations: California, Florida, Minnesota, New York, Oregon, Tennessee, and Texas, are designed…
Report: Insurance Matters For Low-Income Adults: Results From A Five-State Survey
