Private Markets

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

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

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

Briefing Book — February 11, 2011
Health Policy Essentials

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

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

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

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

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 — 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

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

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

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

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

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

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

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

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. 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

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