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Alternative Approaches to Liability: Models for Health Plan Liability

This report looks at the different ways in which liability is handled in a number of industries, and explores how these models might apply to health plans. The report also discusses health plan liability in the context of the ongoing Consumer Protection debate.Report: Models for Health Plan Liability

Analysis of Benefits Offered By Medicare HMOs, 1999: Complexities and Implications

This report analyzes supplemental benefits offered and premiums charged by Medicare HMOs nationwide in 1999, assessing the generosity of selected benefits, including prescription drugs. The study finds that the level of monthly premiums charged by Medicare HMOs, and the generosity of many supplemental benefits, especially prescription drugs, vary widely within…

Medicare State Profiles: State and Regional Data on Medicare and the Population it Serves

Although Medicare is a national program, there are substantial variations across states and regions in terms of beneficiary characteristics, health needs, and utilization of Medicare-covered services. Likewise, there are also considerable differences in Medicare spending and the emergence of Medicare managed care. In a single resource document, , presents state-by-state…

Medicaid and HIV/AIDS Policy: A Basic Primer

The Medicaid Primer presents in depth information on Medicaid, the federal/state program that provides health coverage for low-income families and people with disabilities and is the largest source of public financing for HIV/AIDS care in the U.S. The Medicaid Primer is designed to help policymakers and advocates navigate through the…

Access To Health Care:

Promises and Prospects For Low-Income AmericansThis book explores critical issues affecting access to health care for low-income Americans by assessing the importance of expansions of health coverage for the poor, the emerging challenges providers who serve low-income and uninsured populations face in a rapidly evolving health care delivery system, and…

Medical Groups — Issue Brief

A 2-page issue brief about medical groups in California, including a discussion on risk-bearing, solvency and current regulatory approaches. In preparation for a Roundtable Event: Tuesday, July 20, 1999 – 1:00-4:00 PM, State Capitol, Room 447 – Sacramento, California.Issue Brief

Survey of Physicians and Nurses

A national random survey of 1053 doctors and 768 nurses on their experiences with and attitudes towards health plans. The survey provides quantitative information from doctors and nurses about their non-elderly patients, as well as verbatim descriptions of patient experiences with health plan decisions, including doctors’ judgments on the consequences…

Individuals With Disabilities and their Experiences with Medicaid Managed Care

Today, one out of every four disabled Medicaid beneficiaries receives health care through managed care. This Background Paper provides insights into how Medicaid managed care is working for individuals with disabilities, based on the findings from seven focus groups held in Florida and New Mexico. The key findings show that…

Medicaid and Managed Care

This fact sheet provides an overview of the Medicaid program’s increasing reliance on managed care to deliver services.Fact Sheet