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.
Reimbursement Issues
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Physicians' Opinions about Reforming Reimbursement
October 25, 2010 | Journal Article
Most physicians believe that Medicare reimbursements are inequitable but do not agree on how to reform the payment system. Physicians' views may be helpful in optimizing the design of any reimbursement reforms. The researchers of this study solicited their opinions regarding three reform strategies.
Coverage When it Counts
May 1, 2009 | Report
This report suggests a new method for developing benchmarks to illustrate some types and costs of medical care consumers might need under a variety of scenarios, and for evaluating health insurance protection using these benchmarks.
PROMETHEUS Payment Reform Quarterly Newsletter, Issue 6
June 21, 2010 | Book
The sixth issue of the PROMETHEUS Payment® project’s newsletter provides brief updates on the program’s latest work to lead a revolution in health care payment and the way providers and insurers conduct business.
1996 Working Group Finds Insurers and Health Plans Not Supporting Smoking-Cessation Treatment
June 1, 1998 | Program Result
Pinney Associates, Inc., a Bethesda, Md. health consulting firm. oversaw the creation of a working group on tobacco dependence treatment policy comprised of 18 experts in health policy, smoking cessation, and reimbursement.
Health Care Financing and Organization Grant Recipient Works to Understand What the Uninsured Pay for Hospital Services
October 7, 2011 | Story
A Profile of Glenn A. Melnick, PhD.
An Emerging Middle Ground?
July 6, 2009 | Report
The report identifies and explores eight areas in which diverse business, medical and consumer interests are beginning to find middle ground and earn the support of bipartisan lawmakers.
What We Know and Do Not Know About Tiered Provider Networks
January 10, 2008 | Journal Article
Related websites Subscription required: What We Know and Do Not Know About Tiered Provider Networks Some health care plans in the United States have adopted tiered provider networks (TPNS) to address the escalation of costs and poor quality care in ...