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Financial Barriers to Care

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Revised Medigap Policies Helped Consumers Purchase Insurance

January 31, 2001 | Program Result Report

Researchers examined the market for Medicare supplemental insurance (Medigap) before and after OBRA-90, which simplified comparison shopping for Medigap, to determine whether changes decreased marketing abuses and confusion among elderly Americans.

California's Shift to Medicaid Managed Care Doesn't Save Money or Improve Outcomes

October 26, 2005 | Program Result Report

Mark Duggan, PhD, at the University of Maryland evaluated how county-level mandates requiring most Medicaid recipients to enroll in a managed care plan affected government spending and health outcomes in 20 California counties.

HMOs Surpass Traditional Insurance in Eliminating Some Disparities

December 1, 2006 | Program Result Report

Researchers at the University of Rochester hypothesized that managed care penetration may help alleviate disparities in health care access and quality between different socioeconomic and racial/ethnic populations.

New Jersey's 1993 Reform of Individual Insurance Market Gets High Marks

January 31, 2001 | Program Result Report

From 1995 to 1999, researchers from Harvard University School of Public Health evaluated the effectiveness of New Jersey's 1993 implementation of the Individual Health Coverage Program (IHCP).

Working as If One's Health Depended Upon it

August 1, 2003 | Program Result Report

In 1996-1999, investigators at the Urban Institute, Washington, investigated the effectiveness of the nation's health insurance system in providing coverage for older Americans using data from the 1992-1994 Health and Retirement study.

Study Shows Physician Gatekeeping May Help Lower Costs, But Questions Remain about Physician and Patient Satisfaction

August 25, 2003 | Program Result Report

David Blumenthal, MD, PhD, and researchers at Massachusetts General Hospital, Boston, evaluated the impact of a major component of managed care - the use of a primary care physician as a gatekeeper to authorize all health services of HMO members.

Laws that Limit Providers and Limit Patient Choice May Have Limited Effects

January 1, 2001 | Program Result Report

From 1996 to 1998, researchers at the University of Alabama studied the effect of any willing provider (AWP) and freedom of choice (FOC) laws on Health Maintenance Organizations (HMOs) and employers.

Managed Care Policies Limit the Diffusion of Medical Technology

January 1, 2001 | Program Result Report

Researchers looked at how managed care penetration in given geographic areas affected the diffusion and use of magnetic resonance imaging (MRI), a technology that allows physicians to obtain clear pictures of patients' internal structures.

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