Health Costs

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How Private Insurance Works: A Primer

This primer, prepared by Gary Claxton of the Institute for Health Care Research and Policy at Georgetown University, examines the structure and operation of private health insurance including the types of organizations that provide it, how managed care is delivered, and how risk pools work and describes how private health…

Benefits and Costs of Consumer Protection Proposals in California: An Analysis of Selected Recommendations of the California Managed Care Task Force

This report assesses the potential impact of selected recommendations of the Managed Health Care Improvement Task Force in the areas of access to care and specialists, information disclosure, and dispute resolution. The Managed Health Care Improvement Task Force was established in 1998 to inform state leaders about the health industry…

Protection 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…

The New American Electorate and Health Reform

An analysis of the electorate and health reform that considers how American voters’ values influenced their support or opposition toward health reform proposals and how those attitudes shifted over the course of the debate.

Public Health in a Changing Health Care System: Linkages Between Public Health and MCOs In the Treatment and Prevention of STDs

Public health agencies and managed care organizations share responsibility for the health of the populations they serve. Their relationships are particularly important in the area of STDs. This study analyzes the evolving relationships between managed care organizations and public health agencies in how they manage the prevention, treatment, and tracking…

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

Prescription Drugs: Results from a National Survey

Prescription drugs have become an integral part of medical practice – they help keep people healthy and save lives. But rising prescription drug costs have placed a growing burden on consumers, employers, and public programs. The issue of drug coverage for seniors under Medicare has moved to center stage in…