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.
Utilization Review
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Medical Directors Often Apply Different Definitions of "Medical Necessity"
August 1, 2003 | Program Result
In this 2000–2001 project, Linda Bergthold, PhD, and researchers at Stanford University, Stanford, Calif., surveyed health plan medical directors in 48 states about medical necessity decision making. The study provides input for policy-making at the state and national levels.
How Will Comparative Effectiveness Research Affect the Quality of Health Care?
February 1, 2010 | Issue Brief
Paper explores the potential impact of comparative effectiveness research and looks at implications for quality of care and health outcomes.
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
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
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.