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Author: Kev Coleman
Publisher: Publisher Services
ISBN: 9780578414119
Category : Business & Economics
Languages : en
Pages : 216
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Book Description
Association Health Plans & The Future of American Health Insurance is not only the definitive work on emergent association health insurance but a brilliant commentary on coming changes to the health insurance landscape as well as the unfinished work of health reform. Written by a healthcare thought leader who has not only published research in the field but also served as a conceptual architect for a health insurance exchange, the book evidences a unique intersection of policy and implementation insights. Given new regulation, enrollment in association health plans is expected to grow by millions in the few years. Businesses and the self-employed have read news stories that these plans can dramatically reduce insurance costs but the articles often fail to address questions such as: How exactly can association plans achieve savings? How does association coverage differ from Obamacare? Who can join an association health plan? How can businesses collaborate to provide low-cost health coverage to their employees? What are the benefit requirements for association plans? Can freelancers, sole-proprietors, and contractors be covered? How do you decide between fully-insured and self-insured plan funding? What rules have regulators enacted to discourage plan mismanagement? Association Health Plans & The Future of American Health Insurance not only answers these questions but also considers near-term changes expected for insurance markets as well as the future of health reform. Topics ranging from benefit obligations and third-party administrators to new federal regulation are explored in straight-forward and clear discussions. Written with wit and humanity, each chapter avoids politicized commentary on association health plans and, instead, provides clear, actionable information. By the end of the book, readers will not only understand the mechanics of association health coverage but the major tasks entailed in the creation of a new association health plan. Armed with this information, readers can decide if they wish to pursue cost-saving health insurance designs that were previously limited to large companies.
Author: Kev Coleman
Publisher: Publisher Services
ISBN: 9780578414119
Category : Business & Economics
Languages : en
Pages : 216
Get Book Here
Book Description
Association Health Plans & The Future of American Health Insurance is not only the definitive work on emergent association health insurance but a brilliant commentary on coming changes to the health insurance landscape as well as the unfinished work of health reform. Written by a healthcare thought leader who has not only published research in the field but also served as a conceptual architect for a health insurance exchange, the book evidences a unique intersection of policy and implementation insights. Given new regulation, enrollment in association health plans is expected to grow by millions in the few years. Businesses and the self-employed have read news stories that these plans can dramatically reduce insurance costs but the articles often fail to address questions such as: How exactly can association plans achieve savings? How does association coverage differ from Obamacare? Who can join an association health plan? How can businesses collaborate to provide low-cost health coverage to their employees? What are the benefit requirements for association plans? Can freelancers, sole-proprietors, and contractors be covered? How do you decide between fully-insured and self-insured plan funding? What rules have regulators enacted to discourage plan mismanagement? Association Health Plans & The Future of American Health Insurance not only answers these questions but also considers near-term changes expected for insurance markets as well as the future of health reform. Topics ranging from benefit obligations and third-party administrators to new federal regulation are explored in straight-forward and clear discussions. Written with wit and humanity, each chapter avoids politicized commentary on association health plans and, instead, provides clear, actionable information. By the end of the book, readers will not only understand the mechanics of association health coverage but the major tasks entailed in the creation of a new association health plan. Armed with this information, readers can decide if they wish to pursue cost-saving health insurance designs that were previously limited to large companies.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309083435
Category : Medical
Languages : en
Pages : 213
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Book Description
Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309076099
Category : Medical
Languages : en
Pages : 204
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Book Description
Roughly 40 million Americans have no health insurance, private or public, and the number has grown steadily over the past 25 years. Who are these children, women, and men, and why do they lack coverage for essential health care services? How does the system of insurance coverage in the U.S. operate, and where does it fail? The first of six Institute of Medicine reports that will examine in detail the consequences of having a large uninsured population, Coverage Matters: Insurance and Health Care, explores the myths and realities of who is uninsured, identifies social, economic, and policy factors that contribute to the situation, and describes the likelihood faced by members of various population groups of being uninsured. It serves as a guide to a broad range of issues related to the lack of insurance coverage in America and provides background data of use to policy makers and health services researchers.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 030946921X
Category : Medical
Languages : en
Pages : 161
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Book Description
The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.
Author: Victor R. Fuchs
Publisher: Harvard University Press
ISBN: 9780674338265
Category : Health services
Languages : en
Pages : 276
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Book Description
Fuchs (economics, Stanford U.) presents the basic concepts and facts necessary to understand the ongoing debate about health care reform in the US. Any program that benefits society as a whole will inevitable burden certain individuals and groups, he says, and the critical issues are decoupling health care from employment, taming but not destroying technological advances, and coping with the increased costs of an aging population. Annotation copyright by Book News, Inc., Portland, OR
Author: National Council on Health Planning and Development (U.S.)
Publisher:
ISBN:
Category : Health planning
Languages : en
Pages : 166
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Book Description
Author: Institute of Medicine and National Research Council
Publisher: National Academies Press
ISBN: 0309173930
Category : Medical
Languages : en
Pages : 216
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Book Description
America's Children is a comprehensive, easy-to-read analysis of the relationship between health insurance and access to care. The book addresses three broad questions: How is children's health care currently financed? Does insurance equal access to care? How should the nation address the health needs of this vulnerable population? America's Children explores the changing role of Medicaid under managed care; state-initiated and private sector children's insurance programs; specific effects of insurance status on the care children receive; and the impact of chronic medical conditions and special health care needs. It also examines the status of "safety net" health providers, including community health centers, children's hospitals, school-based health centers, and others and reviews the changing patterns of coverage and tax policy options to increase coverage of private-sector, employer-based health insurance. In response to growing public concerns about uninsured children, last year Congress voted to provide $24 billion over five years for new state insurance initiatives. This volume will serve as a primer for concerned federal policymakers and regulators, state agency officials, health plan decisionmakers, health care providers, children's health advocates, and researchers.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309133181
Category : Medical
Languages : en
Pages : 536
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Book Description
The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.
Author: Troyen A. Brennan
Publisher: JHU Press
ISBN: 1421449102
Category : Medical
Languages : en
Pages : 259
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Book Description
Can American health insurance survive? In The Transformation of American Health Insurance, Troyen A. Brennan traces the historical evolution of public and private health insurance in the United States from the first Blue Cross plans in the late 1930s to reforms under the Biden administration. In analyzing this evolution, he finds long-term trends that form the basis for his central argument: that employer-sponsored insurance is becoming unsustainably expensive, and Medicare for All will emerge as the sole source of health insurance over the next two decades. After thirty years of leadership in health care and academia, Brennan argues that Medicare for All could act as a single-payer program or become a government-regulated program of competing health plans, like today's Medicare Advantage. The choice between these two options will depend on how private insurers adapt and behave in today's changing health policy environment. This critical evolution in the system of financing health care is important to employers, health insurance executives, government officials, and health care providers who are grappling with difficult strategic choices. It is equally important to all Americans as they face an inscrutable health insurance system and wonder what the future might hold for them regarding affordable coverage.
Author: Anup Malani
Publisher: University of Chicago Press
ISBN: 022625495X
Category : Health & Fitness
Languages : en
Pages : 365
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Book Description
When the Supreme Court's majority ruling in NFIB v. Sebelius upheld the Patient Protection and Affordable Care Act (the PPACA, or Obamacare), it was clear that this major shift in American health care provision was here to stay. For better or worse, the PPACA is now both a target for, and a constraint on, the next wave of reformist ideas. Driven by curiosity about how the American health care regime will continue to evolve in the near and medium term, Dean Michael Schill and Professor Anup Malani of the University of Chicago Law School commissioned fourteen essays from leading scholars of law, economics, medicine, and public health that offer predictions for the most important issues and debates in health-care reform over the next five to seven years. Essays are arranged in five sections. Part I, ACA and the Law, sets the stage with three essays on legal challenges and justifications for the Act. Part II, ACA and the Federal Budget, explores the variety of potential fiscal consequences resulting from Obamacare. Part III, ACA and Health Care Delivery, offers competing viewpoints on what the Act will ultimately mean for consumers of health care. Part IV, Health Care Costs, Innovation, and the ACA speculates about what the altered financial structure of health care will mean for the pace of development of new medical technologies. Part V, ACA and Health Insurance Markets, concludes the volume with a pair of contrasting assessments of the prospects for the new insurance "exchange" markets.
