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Summary of Findings: Privatization of Public Hospitals
This Summary presents background, findings, and data from the Economic and Social Research Institute’s (ESRI) full report, Privatization of Public Hospitals. Section I provides background about public hospital conversions, including the role of public hospitals, reasons for conversion, the mechanisms of conversion and new ownership entities, and analysis of national…
Poll Finding Read MoreState Profiles on Women’s Health
State Profiles of Women's Health, by Jacqueline A. Horton, ScD, published by the Jacobs Institute of Women's Health , with support from the H.J. Kaiser Family Foundation compiles data from a variety of sources on key indicators of women's health status in a standard four page per state format. A…
Report Read MoreHow Well Does the Employment-Based Health Insurance System Work for Low-Income Families?
This paper describes the nature of employer coverage; its decline, especially among low-wage workers and low-income families; and the factors that are undermining its reach.Issue Paper Issue Paper
Report Read MoreTrends and Indicators in the Changing Health Care Marketplace: Chartbook
This chartbook provides an overview of health care spending and trends in health plan enrollment. It highlights health insurance premiums and costs, health insurance benefits, the structure of the health care market. Data on the stock markets role within the health care industry and implications of health insurance trends for…
Report Read MoreProtection For Consumers In Managed Care Plans: A Comparison Of Medicare, Medicaid and the Private Insurance Market
This policy paper describes key requirements of consumer protection regulation under Medicare, Medicaid and federal and state laws as they apply to private health insurance. These include choice and availability of plans, disclosure of information, marketing, access, quality, and the grievance and appeals process. The discussion highlights differences and similarities…
Report Read MoreAnalysis of the Number of Workers Covered by Self-Insured Health Plans Under the Employee Retirement Income Security Act of 1974 and 1995.
This report presents findings based upon the KPMG health benefits survey of private and public employers and explores the extent of ERISA preemption on health plans covering U.S. workers. Included is estimated data on the total number of workers covered by fully and partly self-insured health plans in 1993 and…
Report Read MoreMedicare Beneficiaries and HMOs: A Case Study of the Portland Market
This case study of the evolution of Medicare managed care in Portland, Oregon, is part of a series of four case studies being prepared for the Kaiser Family Foundation to learn more about the factors influencing, and consequences of, the growth of Medicare managed care. Portland was one of the…
Report Read MoreMedicare Beneficiaries and HMOs: A Case Study of the Tampa-St. Petersburg Market
This case study of the evolution of Medicare managed care in Tampa-St. Petersburg, Florida, is one of four in a series being prepared by Mathematica Policy Research, Inc., for the Kaiser Family Foundation to examine the growth and impact of Medicare managed care. The Medicare risk (HMO) program has developed…
Report Read MoreImpact of Potential Changes to ERISA: Litigation and Appeals Experience of CalPERS, Other Large Public Employers and a Large California Health Plan – Report
Impact of Potential Changes to ERISA:Litigation and Appeal Experience of CalPERS, Other Large Public Employers and a Large California Health PlanJune 1998By Coopers & Lybrand L.L.P.Sandra Hunt, M.P.A.John Saari, M.A.A.A.Kelly Traw, J.D.BackgroundThe Employee Retirement Income Security Act (ERISA) currently preempts state law related to the wrongful denial or delay of…
Report Read MoreImpact of Potential Changes to ERISA: Litigation and Appeals Experience of CalPERS, Other Large Public Employers and a Large California Health Plan
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…
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