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Health Plans

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  • Topic: Health plans
  • Program: Quality/Equality
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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.

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.

Physician Opinions Sought to Create Report Cards that Rate Health Plans

September 1, 2006 | Program Result Report

Researchers at the University of Minnesota investigated the usefulness of developing physician report cards to complement consumer report cards and other measures of the quality of managed care plans.

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.

Under Workers' Compensation Health Initiative, N.Y. Union Health Center Helps Injured Garment Workers, But Claims Take Long to be Decided

February 20, 2004 | Program Result Report

From 1996 to 2000, the Union of Needletrades Industrial and Textile Employees created a union-based health program to provide more timely access to medical treatment for garment and textile workers in New York.

Health Plans Try to Boost Their Grades on Plan Report Cards

August 1, 2003 | Program Result Report

This 1996-1998 project, conducted by Jinnet B. Fowles, Ph.D., and researchers at the Institute for Research and Education in Minneapolis, evaluated how consumer-based reports cards affect institutional behavior in the health care market.

Aggregating Physician Performance Data Across Health Plans

March 1, 2011 | Issue Brief

An effort to help enhance the quality and equality of U.S. health care.

Nearly Half of Families in High-Deductible Health Plans Whose Members Have Chronic Conditions Face Substantial Financial Burden

February 1, 2011 | Journal Article

High-deductible health plans—typically with deductibles of at least $1,000 per individual and $2,000 per family—require greater enrollee cost sharing than traditional plans.

Bending the Curve: Person-Centered Health Care Reform

April 29, 2013 | Report

Experts recommend solutions for closing the gaps in quality and efficiency of health care.

Rewarding Results: Aligning Incentives with High-Quality Health Care

National Program

To invent, prove and diffuse innovations in systems of provider payments and nonfinancial incentives that will encourage and reward high-quality care.

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