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Health Plans

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  • Topic: Health plans
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Essential Health Benefits

May 2, 2013 | Issue Brief

States are allowed under the Affordable Care Act to customize their own health insurance plans to meet a required 10 categories of “essential health benefits.” While states like the flexible approach, patient advocates prefer a national standard.

The Increased Concentration of Health Plan Markets Can Benefit Consumers Through Lower Hospital Prices

September 8, 2011 | Journal Article

The long-term trend of consolidation among U.S. health plans has raised providers' concerns that the concentration of health plan markets can depress their prices.

Post Claims Underwriting and Rescission Practices

January 1, 2009 | Report

Study details regulations and enforcement needed to fill gaps in protecting consumers in insurance markets.

Health Risk Appraisals

September 1, 2009 | Journal Article

Risk appraisals might influence employees' health behavior, but they're not the entire answer. In this paper the authors explore the potential role of health risk appraisals as a tool for managing health care quality and costs in employer-sponsored insurance.

Primer on Post Claims Underwriting and Rescission Practices

November 25, 2009 | Toolkit

This case study examines the current state of post-claims underwriting and rescissions regulation in Texas.

Does Enrollment in a CDHP Stimulate Cost-Effective Utilization?

August 1, 2008 | Journal Article

In examining health care utilization, consumer-driven health plans (CDHPs) appeared to exert most of their influence in the first year with CDHP enrollees making fewer office visits than did PPO (preferred provider organization) enrollees.

NCQA Identifies Opportunities to Implement Measurements to Assess the Quality of Care for Childhood and Adolescent Obesity

November 11, 2008 | Program Result Report

The National Committee for Quality Assurance worked to identify potential quality measures that could be incorporated into HEDIS and used to improve the prevention, assessment and management of childhood and adolescent obesity.

Roundtable Calls on Health Plans to Get Pumped for Exercise

October 1, 2003 | Program Result Report

Partnership for Prevention, a nonprofit association focused on promoting health and preventing disease, held an executive roundtable discussion, "Engaging Health Plans in Promoting Physical Activity," on January 24, 2002, in Washington, D.C.

Churning Under the ACA and State Policy Options for Mitigation

June 1, 2012 | Issue Brief

To lessen the damage done by churning, it will be important for states to provide consumers with intensive assistance to help them navigate through the involuntary coverage transitions.

For the Country Doctor, Substitute the Rural Health Network

November 1, 2004 | Program Result Report

Between 1996 and 2003, researchers at the Rural Health Research Center at the University of Minnesota studied changes in the rural health system and produced and disseminated several publications describing those changes.

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