Private Markets

Forum Session — December 9, 2011
Medicare Supplemental Coverage: Weighing the Consequences and Trade-Offs for Medicare Spending and Beneficiaries
Author: Kathryn Linehan

Forum Session — December 2, 2011
Mission Possible? Saving on Health Care Costs by Reducing Unnecessary Services
Author: Michele J. Orza, ScD

Forum Session — October 21, 2011
Review and Disclosure of Health Insurance Premium Changes: State and Federal Roles After PPACA
Author: Kathryn Linehan

Special Briefing — October 14, 2011
Reengineering Health Care Delivery: What Lies Ahead?
Author: Lisa Sprague

Issue Brief No. 844 — September 28, 2011
Individual and Small-Group Market Health Insurance Rate Review and Disclosure: State and Federal Roles After PPACA
Author: Kathryn Linehan

Forum Session — July 29, 2011
Fiscal Pressure and Hospital Financial Position
Authors: Laura A. Dummit & Kathryn Linehan

Forum Session — June 24, 2011
Tiered Provider Networks: Steps to Cost Containment?
Author: Kathryn Linehan

Site Visit — May 31–June 2, 2011
Rocky Mountain Highs and Lows: Efforts to Improve Health and Reduce Costs in Denver
Authors: Michele J. Orza, ScD & Jessamy Taylor

Forum Session — May 20, 2011
Medicare's Vision of Accountable Care Organizations: Will Providers Have the Same View?
Author: Laura A. Dummit

Forum Session — April 15, 2011
Private Long-Term Care Insurance: Where Is the Market Heading?
Author: Sally Coberly, PhD

Forum Session — March 25, 2011
Been There, Done That, Bought the Practice? Why Hospital Employment of Physicians Is Rising Again
Author: Kathryn Linehan

Fundamentals Briefing — February 25, 2011
Health Policy Essentials: The Fundamentals of Private Health Insurance
Author: Kathryn Linehan

Fundamentals Briefing — February 18, 2011
Health Policy Essentials: The Fundamentals of Health Care Spending, Growth, and Managing Costs
Author: Laura A. Dummit

Briefing Book — February 11, 2011
Health Policy Essentials

Forum Session — January 21, 2011
Oral Health Update: Ten Years After the Surgeon General’s Report
Author: Jessamy Taylor

Issue Brief No. 840 — December 21, 2010
Self-Insurance and the Potential Effects of Health Reform on the Small-Group Market
Author: Kathryn Linehan

Forum Session — December 10, 2010
Insurer-Provider Payment Negotiations: Implications for Health Spending
Author: Mary Ellen Stahlman

Forum Session — October 15, 2010
Transforming Primary Care: Implications for Practice Design and Workforce
Authors: Lisa Sprague & Rob Cunningham, Consultant

Background Paper No. 80 — October 12, 2010
Premium Assistance: An Update
Author: Cynthia Shirk, Consultant

Forum Session — October 8, 2010
The Cost of Hospital Care
Author: Laura A. Dummit

Forum Session — September 17, 2010
Focus on Reform: Employer-Sponsored Insurance
Author: Kathryn Linehan

Forum Session — July 22, 2010
Focus on Reform: How a Law Becomes a Reg - Regulatory Processes to Implement Legislation
Author: Judith D. Moore

Background Paper No. 76 — July 6, 2010
Tapping the Potential of the Health Care Workforce: Scope-of-Practice and Payment Policies for Advanced Practice Nurses and Physician Assistants
Author: Robert Cunningham, Consultant

Issue Brief No. 837 — June 24, 2010
Keeping Health Insurance After a Job Loss: COBRA Continuation Coverage and Subsidies
Author: Kathryn Linehan

Forum Session — June 21, 2010
Health Care Cost Drivers in Massachusetts: Lessons for Federal Policymakers
Author: Mary Ellen Stahlman

Site Visit — June 2–4, 2010
Heath Care Spending: Why Is Miami an Outlier?
Authors: Laura A. Dummit & Mary Ellen Stahlman

Forum Session — May 14, 2010
Focus on Reform: Private Health Insurance Provisions
Author: Kathryn Linehan

Forum Session — May 7, 2010
Focus on Reform: Medicaid Coverage Expansions
Author: Christie Provost Peters

Forum Session — April 30, 2010
Recession and Budgets: Where Do States Stand for 2011 and Beyond?
Author: Christie Provost Peters

Forum Session — April 16, 2010
Transforming Health Care Delivery: Insights from the New Orleans Safety Net
Authors: Jessamy Taylor & Michele J. Orza, ScD

Forum Session — March 12, 2010
Not Your Father's Drug Approval Process: FDAAA and the Evolving Pharmaceutical Marketplace
Author: Michele J. Orza, ScD

Forum Session — February 26, 2010
Assessing and Ensuring Health Plan Provider Network Adequacy
Author: Kathryn Linehan

Forum Session — January 14, 2010
Health Information Exchange: Building the Infrastructure for Better Care
Authors: Rob Cunningham, Consultant & Lisa Sprague

Forum Session — November 13, 2009
Health Care Provider Consolidation and Reform
Author: Laura A. Dummit

Forum Session — November 6, 2009
Fit for the Job: What Can Workplace Wellness Programs Deliver?
Author: Kathryn Linehan

Forum Session — October 30, 2009
Prevention and Early Detection of Health Care Fraud, Abuse, and Waste
Author: Mary Ellen Stahlman

Small-Group Session — July 17, 2009
Encouraging Cost-Reducing Innovations in Health Care: New Technology Apps, New Business Models
Author: Lisa Sprague

Forum Session — June 26, 2009
Proposals to Reform the Individual Health Insurance Market
Author: Kathryn Linehan

Issue Brief No. 832 — June 5, 2009
A Health Insurance Exchange: Prototypes and Design Issues
Author: Mark Merlis, Consultant

Background Paper No. 69 — June 4, 2009
Underwriting in the Non-Group Health Insurance Market: The Fundamentals
Author: Kathryn Linehan

Small-Group Session — May 8, 2009
Issues in Health Insurance Reform: Federal/State Regulatory Roles, Subsidy Administration
Author: Sally Coberly, PhD

Issue Brief No. 831 — April 21, 2009
Show Me the Money: The Implications of Schedule H
Author: Eileen Salinsky, Consultant

Background Paper No. 67 — April 21, 2009
Schedule H: New Community Benefit Reporting Requirements for Hospitals
Author: Eileen Salinsky, Consultant

Small-Group Session — April 15, 2009
Issues in Health Insurance Reform: More on Insurance Exchanges
Author: Sally Coberly, PhD

Small-Group Session — April 7, 2009
Issues in Health Insurance Reform: Actuarial Equivalence
Author: Sally Coberly, PhD

Small-Group Session — March 20, 2009
Issues in Health Insurance Reform: Rating in the Small-Group Market, Merging the Individual and Small-Group Markets, and Risk Adjustment
Author: Sally Coberly, PhD

Small-Group Session — March 6, 2009
Issues in Health Insurance Reform: Health Insurance Exchanges
Author: Sally Coberly, PhD

Small-Group Session — February 19, 2009
Issues in Health Insurance Reform: The Nuts and Bolts of Rating Rules in the Individual Insurance Market
Author: Sally Coberly, PhD

Fundamentals Briefing — February 6, 2009
Medicaid, Employers, and Medigap: Wrapping Around Medicare
Author: Mary Ellen Stahlman

Fundamentals Briefing — January 30, 2009
The World of Prescription Drugs: Approvals, Pricing, and Purchasing
Authors: Laura A. Dummit & Mary Ellen Stahlman

Tools — December 12, 2008
Glossary of Health Insurance Terms
Author:

Small-Group Session — December 3, 2008
Issues in Health Insurance Reform: Underwriting, Rating, and Regulation in the Individual Market
Author: Sally Coberly, PhD

Small-Group Session — November 21, 2008
Preview of RAND Health's COMPARE (Comprehensive Assessment of Reform Efforts) Initiative
Author: Sally Coberly, PhD

Forum Session — November 14, 2008
A Tale of Three Cities: Local Health Care Markets and Health Care Reform
Authors: Laura A. Dummit & Lisa Sprague

Forum Session — November 13, 2008
Medical Imaging Services: Utilization, Spending, and Appropriateness
Author: Laura A. Dummit

Small-Group Session — May 2, 2008
Physician Income and Medical Practice Differences Across Specialties: Should Medicare Care?
Author: Laura A. Dummit

Forum Session — April 11, 2008
Employer Use of Medicare Private Fee-for-Service Plans as a Retiree Health Benefit
Author: Mary Ellen Stahlman

The Basics — March 25, 2008
HIPAA Coverage Provisions
Author: Lisa Sprague

Site Visit — March 16–18, 2008
Competition and Collaboration, Chicago-Style
Authors: Laura A. Dummit & Lisa Sprague

Fundamentals Briefing — February 21–22, 2008
Insurance 101: The Fundamentals of Private Health Insurance
Author: Sally Coberly, PhD

Forum Session — January 17, 2008
Running Up the Health Care Tab: Will We Have Buyer's Remorse?
Authors: Mary Ellen Stahlman & Christie Provost Peters

Forum Session — November 9, 2007
Shampoo, Sunscreen, and Strep Tests: The Retail Approach to Primary Care
Author: Lisa Sprague

Issue Brief No. 825 — September 10, 2007
Physician Profiling: Can Medicare Paint an Accurate Picture?
Author: Laura A. Dummit

Forum Session — July 20, 2007
Behavioral Health in the Workplace: How are Employers Managing Mental Health and Disability?
Author: Christopher W. Loftis, PhD

Forum Session — July 13, 2007
What Can Physician Profiling Do for Medicare?
Author: Laura A. Dummit

Background Paper — April 23, 2007
The Fundamentals of Health Savings Accounts and High-Deductible Health Plans
Authors: Beth Fuchs, PhD & Lisa Potetz, Consultants

Issue Brief No. 821 — April 19, 2007
What Have You Done for Me Lately? Assessing Hospital Community Benefit
Author: Eileen Salinsky

Site Visit — April 3–5, 2007
Competition and Collaboration: The Spirit of St. Louis
Authors: Laura A. Dummit & Lisa Sprague

Background Paper — March 28, 2007
Health Care Price Transparency and Price Competition
Author: Mark Merlis, Consultant

Forum Session — September 22, 2006
Specialty-Service Lines: Healthy Competition or Arms Race?
Author: Lisa Sprague

Forum Session — July 27, 2006
Canary in the Coal Mine or Crying Wolf? Examining Crowding in America's Emergency Departments
Author: Jessamy Taylor

Issue Brief No. 811 — July 7, 2006
Don't Bring Me Your Tired, Your Poor: The Crowded State of America's Emergency Departments
Author: Jessamy Taylor

Forum Session — June 20, 2006
Health Care for All in Massachusetts: Implications for a Changing Safety Net
Authors: Laura A. Dummit & Lisa Sprague

Forum Session — June 14, 2006
“Mental Health: Progress and Pitfalls,” the Health Affairs Special Issue—A Discussion of Trends in Mental Health Services
Author: Christopher W. Loftis, PhD

Forum Session — March 17, 2006
Physician Spending Growth: Do We Get What We Pay For?
Author: Laura A. Dummit

Forum Session — February 24, 2006
Financing Health Care in Retirement: A Day Late and a Dollar Short?
Author: Sally Coberly, PhD

Background Paper — February 8, 2006
Health Benefits in Retirement: Set for Extinction?
Author: Mark Merlis, Consultant

Site Visit — December 4–6, 2005
Redesigning Practice to Improve Care Delivery (Boston)
Authors: Laura A. Dummit & Lisa Sprague

Special Briefing — November 30, 2005
The Bean, the Cod and the Medical Establishment: A Boston Market Overview
Authors: Laura A. Dummit & Lisa Sprague

Forum Session — September 23, 2005
Location, Location, Location: Market Characteristics and Private Payer Health Care Spending
Author: Laura A. Dummit

Forum Session — July 28, 2005
Containing Health Care Costs for Active Employees: What's New in Health Plan Design?
Authors: Lisa Sprague & Sally Coberly, PhD

Issue Brief No. 804 — July 13, 2005
Specialty Hospitals: Can General Hospitals Compete?
Author: Laura A. Dummit

Forum Session — July 8, 2005
Parity Is in the Eye of the Beholder: Evaluation of Mental Health Parity Under the FEHB Program
Author: Eileen Salinsky

Fundamentals Briefing — April 22 and May 6, 2005
Insurance 101: The Fundamentals of Private Health Insurance
Authors: Sally Coberly, PhD & Lisa Sprague

Background Paper — April 19, 2005
Health Insurance Coverage for Small Employers
Author: Dawn M. Gencarelli

Background Paper — April 13, 2005
Fundamentals of Underwriting in the Nongroup Health Insurance Market: Access to Coverage and Options for Reform
Author: Mark Merlis, Consultant

Background Paper — April 11, 2005
Health Savings Accounts: The Fundamentals
Authors: Beth Fuchs, PhD & Julie A. James, Consultants

Forum Session — March 4, 2005
Cost, Quality, Access: Balancing the Health Policy Triumvirate
Author: Eileen Salinsky

Forum Session — October 22, 2004
Financing Long-Term Care: Will Insurance Make the Difference?
Author: Randy A. Desonia

Background Paper — July 31, 2004
The Promise and the Reality of Long-Term Care Insurance
Author: Randy A. Desonia

Issue Brief No. 798 — May 14, 2004
Consumer Cost Sharing in Private Health Insurance: On the Threshold of Change
Author: Veronica V. Goff, Consultant

Forum Session — May 7, 2004
Implementing the Health Coverage Tax Credit Program: Model for the Future?
Author: Sally Coberly, PhD

Forum Session — January 27, 2004
Toward Safer, Better, More Accountable Health Care: A Conversation with George Halvorson
Authors: Lisa Sprague & Sally Coberly, PhD

Site Visit — November 6–7, 2003
Rural Health Care in the Electronic Age (Danville, PA)
Authors: Lisa Sprague & Nora Super

Forum Session — September 25, 2003
The Medicare Prescription Drug Proposals and Health Insurance Risk
Author: Dawn M. Gencarelli

Issue Brief No. 793 — September 4, 2003
The Medicare Prescription Drug Proposals and Health Insurance Risk
Author: Dawn M. Gencarelli

Forum Session — July 30, 2003
The Geography of Medicare: Explaining Differences in Payment and Costs
Author: Nora Super

Forum Session — July 9, 2003
Preferred Provider Organizations: Bringing the Mainstream to Medicare?
Author: Lisa Sprague

Issue Brief No. 792 — July 3, 2003
The Geography of Medicare: Explaining Differences in Payment and Costs
Author: Nora Super

Forum Session — June 6, 2003
Depression in Primary Care: Making Good Care Good Business
Author: Veronica V. Goff, Consultant

Issue Brief No. 786 — November 22, 2002
Depression: A Decade of Progress, More to Do
Author: Veronica V. Goff, Consultant

Issue Brief No. 785 — November 15, 2002
U.S. Childhood Vaccine Availability: Legal, Regulatory, and Economic Complexities
Author: Robin J. Strongin, Consultant

Small-Group Session — October 11, 2002
Waiting for the Next Vision: Purchasing Health Care in Uncertain Times
Authors: Lisa Sprague & Sally Coberly, PhD

Forum Session — October 2, 2002
Medigap: Prevalence, Premiums, and Opportunities for Reform
Author: Nora Super

Issue Brief No. 782 — September 9, 2002
Medigap: Prevalence, Premiums, and Opportunities for Reform
Author: Nora Super

Background Paper — August 28, 2002
Expanding Health Coverage for the Uninsured: Fundamentals of the Tax Credit Option
Authors: Beth Fuchs, PhD, Mark Merlis & Julie James, Consultants

Forum Session — July 18, 2002
Managing Advanced Illness: A Quality and Cost Challenge to Medicare, Medicaid, and Private Insurers
Author: Karen Matherlee

Issue Brief No. 779 — June 20, 2002
Managing Advanced Illness: A Quality and Cost Challenge to Medicare, Medicaid, and Private Insurers
Author: Karen Matherlee

Forum Session — April 26, 2002
Pharmacy Benefits: New Concepts in Plan Design
Authors: Veronica V. Goff, Consultant & Sally Coberly, PhD

Issue Brief No. 772 — March 8, 2002
Pharmacy Benefits: New Concepts in Plan Design
Author: Veronica V. Goff, Consultant

Background Paper — January 25, 2002
From Diagnosis to Payment: The Dynamics of Coding Systems for Hospital, Physician, and Other Health Services
Author: Karen Matherlee

Site Visit — January 8–11, 2002
Managed Care: As Good As It Gets? (Los Angeles)
Authors: Lisa Sprague & Sally Coberly, PhD

Background Paper — November 2001
Meeting Employees' Information Needs in an Evolving Health Care Marketplace
Author: Lise Rybowski, Consultant

Forum Session — October 23, 2001
Terrorism and Mental Health: Private-Sector Responses and Issues for Policymakers
Author: Veronica V. Goff, Consultant

Issue Brief No. 765 — July 9, 2001
Pharmacy Benefit Managers: A Model for Medicare?
Author: Veronica V. Goff, Consultant

Forum Session — July 9, 2001
Pharmacy Benefit Managers: A Model for Medicare?
Author: Veronica V. Goff, Consultant

Forum Session — December 1, 2000
Using Arbitration to Resolve Disputes between Individuals and Health Plans: Issues for Federal Policymakers
Author: Karl Polzer

Background Paper — November 2000
Emerging Issues in the Use of Binding Arbitration to Resolve Disputes between Individuals and Health Plans
Author: Karl Polzer

Issue Brief No. 758 — September 8, 2000
Medicare+Choice: Where to from Here?
Author: Nora Super

Forum Session — September 8, 2000
Medicare+Choice: Where to from Here?
Author: Nora Super

Workshop — April 27–28, 2000
Hospital-Based Health Care Systems: The Post-BBA Era
Authors: Nora Super, Lisa Sprague & Karen Matherlee

Site Visit — April 10–11, 2000
Site Visit to Seattle — University of Washington Academic Medical Center
Author: Karen Matherlee

Site Visit — March 20, 2000
Site Visit to Detroit — Henry Ford Health System
Author: Lisa Sprague

Site Visit — March 16–17, 2000
Site Visit to Richmond and Hampton Roads — Bon Secours Health System, Inc.
Author: Nora Super

Forum Session — February 18, 2000
ERISA Health Plan Liability: Examining Models for Reform
Author: Karl Polzer

Background Paper — January 2000
ERISA Health Plan Liability: Issues and Options for Reform
Author: Karl Polzer

Issue Brief No. 749 — October 27, 1999
The ABCs of PBMs
Author: Robin J. Strongin

Forum Session — October 27, 1999
The ABCs of PBMs
Author: Robin J. Strongin

Issue Brief No. 747 — September 17, 1999
A Chicken (Nugget?) in Every Pot: What's at Stake in the Budget Debate
Author: Karl Polzer

Forum Session — September 17, 1999
A Chicken (Nugget?) in Every Pot: What's at Stake in the Budget Debate
Author: Karl Polzer

Issue Brief No. 745 — July 20, 1999
Mental Health Coverage Parity: Separating Wheat from Chaff
Author: Karl Polzer

Forum Session — July 20, 1999
Mental Health Coverage Parity: Separating Wheat from Chaff
Author: Karl Polzer

Forum Session — May 3, 1999
HIPAA as a Regulatory Model — Part II: Views from Capitol Hill
Author: Karl Polzer

Issue Brief No. 735 — April 5, 1999
HIPAA as a Regulatory Model: Early Experiences and Future Prospects
Author: Karl Polzer

Forum Session — April 5, 1999
HIPAA as a Regulatory Model: Early Experiences and Future Prospects
Author: Karl Polzer

Issue Brief No. 734 — March 30, 1999
Margins As Measures: Gauging Hospitals' Financial Health
Author: Karen Matherlee

Forum Session — March 30, 1999
Margins As Measures: Gauging Hospitals' Financial Health
Author: Karen Matherlee

Issue Brief No. 733 — March 24, 1999
Examining the Links between Retirement and Health Insurance: Implications for Medicare Eligibility
Author: Nora Super

Issue Brief No. 730 — February 5, 1999
Medicare HMO Pullouts: What Do They Portend for the Future of Medicare+Choice?
Author: Nora Super

Forum Session — February 5, 1999
Medicare HMO Pullouts: What Do They Portend for the Future of Medicare+Choice?
Author: Nora Super

Site Visit — November 17–20, 1998
Site Visit to Southern California — Plans and Providers: Risk, Accountability, and Staying Power
Authors: Lisa Sprague & Sandra M. Foote

Issue Brief No. 728 — November 12, 1998
Retooling Tax Subsidies for Health Coverage: Old Ideas, New Politics
Author: Karl Polzer

Forum Session — November 12, 1998
Retooling Tax Subsidies for Health Coverage: Old Ideas, New Politics
Author: Karl Polzer

Issue Brief No. 727 — November 9, 1998
Physician Organizations Assuming Risk: Market and Policy Implications
Authors: Sandra M. Foote & Lisa Sprague

Forum Session — November 9, 1998
Physician Organizations Assuming Risk: Market and Policy Implications
Authors: Sandra M. Foote & Lisa Sprague

Site Visit — October 27–30, 1998
Site Visit to Utah and Nevada — Essential Community Health Services on the Frontier
Authors: Karen Matherlee & Michael Anzick

Issue Brief No. 724 — September 18, 1998
Protecting the Confidentiality of Health Information
Author: Nora Super

Forum Session — September 18, 1998
Protecting the Confidentiality of Health Information
Author: Nora Super

Background Paper — July 1998
Protecting the Confidentiality of Health Information
Author: Lise Rybowski, Consultant

Issue Brief No. 720 — June 19, 1998
ERISA Health Plan Denials: Exploring Models for External Review
Author: Karl Polzer

Forum Session — June 19, 1998
ERISA Health Plan Denials: Exploring Models for External Review
Author: Karl Polzer

Issue Brief No. 715 — March 12, 1998
The Federal Employees Health Benefits Program: What Lessons Can It Offer Policymakers?
Author: Karl Polzer

Forum Session — March 12, 1998
The Federal Employees Health Benefits Program: What Lessons Can It Offer Policymakers?
Author: Karl Polzer

Site Visit — February 18–20, 1998
Site Visit to Northern California — Risk, Accountability, and Staying Power in Next-Generation Managed Care
Authors: Lisa Sprague & Sandra M. Foote

Forum Session — October 15, 1997
Preempting State Authority to Regulate Association Plans: Where Might It Take Us?
Author: Karl Polzer

Issue Brief No. 653 — July 28, 1994
Small Group Market Health Insurance Purchasing Cooperatives Revisited
Author: Karl Polzer