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Utilization Review

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  • Topic: Utilization review
  • Topic: Insurance coverage
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Health Expenditures for Privately Insured Adults Enrolled in Managed Care Gatekeeping vs Indemnity Plans

February 1, 2005 | Journal Article

Gatekeeping arrangements, whereby health maintenance organizations mandate that primary care providers approve referrals to specialists, were the focus of the current investigation. Data from the 1996 Medical Expenditure Panel Survey (MEPS) of the A ...

Spillover Effects of Community Uninsurance on Working-Age Adults and Seniors

September 1, 2011 | Report

This article explores the indirect, or spillover, health care effects of a high uninsurance rates. Working-age adults with private insurance living in areas with a high rate of uninsurance were less likely than their peers in areas with a low uninsurance rate to have a usual source of care, an office-based visit, and any medical care expenditures.

When a Community Has a Higher Rate of Uninsured Residents, Does that Affect Care for Those with Insurance?

September 19, 2011 | Program Result Report

In 2009 and 2010, researchers at UCLA and RAND measured the impact of high local rates of uninsurance on access to care and the quality of care among adults with health insurance.

Making Health Insurance More Affordable for Small Businesses

January 1, 2001 | Program Result Report

Starting in September 1991, researchers at the Pittsburgh Research Institute, Pittsburgh, compared the health care costs and use for employees at small firms and individual health plan subscribers with employees at large firms.

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