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Trends in Health Plans Serving Medicaid: 2000 Data Update

Felt-Lisk, Suzanne; Dodge, Rebecca; McHugh, Megan - Mathematica Policy Research - 2001

As enrollment in Medicaid managed care grew through the 1990s, the number of health plans willing to participate in state Medicaid programs became a growing concern. Notes that between 1997 and 1999, 15 to 17 of participating plans exited Medicaid annually, a higher rate than in previous years.

Persistent link: https://www.econbiz.de/10011100812

Enabling a Survey of Primary Care to Measure the Health Care Experiences of Adults with Disabilities

Palsbo, Susan E.; Hurtado, Margarita Pl; Levine, Roger E.; … - Mathematica Policy Research - 2011

Using consumer focus groups, a technical expert panel, and careful development and testing, this study successfully enabled and administered an existing survey on primary care to assess the health care experiences reported by adults with disabilities.

Persistent link: https://www.econbiz.de/10011101112

Beyond Fair Hearings: How Five States Help Medicaid Managed Care Beneficiaries Resolve Disputes with Health Plans

Stevens, Beth; Archibald, Nancy; Foster, Leslie - Mathematica Policy Research - 2001

Persistent link: https://www.econbiz.de/10011101725

Selection in Massachusetts' Commonwealth Care Program: Lessons for State Basic Health Plans

Chollet, Deborah; Barrett, Allison; Lischko, Amy - Mathematica Policy Research - 2012

This brief analyzes risk selection over time in Massachusetts' Commonwealth Care program, which serves low-income adults ineligible for Medicaid, much like a Basic Health Plan under the Affordable Care Act. The authors offer lessons for other states considering whether to form a Basic Health...

Persistent link: https://www.econbiz.de/10011101730

Health Plans' Selection and Payment of Health Care Providers, 1999

Lake, Timothy; Gold, Marsha; Hurley, Robert; Sinclair, … - Mathematica Policy Research - 2000

Provides a timely profile of how managed care plansâ€”especially those at financial riskâ€”structure their networks and pay providers, finding that contractual arrangements between plans and providers are complex and diverse across and within networks. Furthermore, HMO contracts with...

Persistent link: https://www.econbiz.de/10011102436

Using Fees to Reduce Bed-Blocking: A Game between Hospitals and Care Providers

Kverndokk, Snorre; Melberg, Hans Olav - 2016

The Coordination Reform was introduced in Norway in 2012 including a fee for bed-blocking in hospitals. To study this, we introduce a Stackelberg game where the hospital is the leader and the care institution is the follower. The reform does not necessarily lead to less bed-blocking as this...

Persistent link: https://www.econbiz.de/10011555588

Preferences for health insurance in Germany and the Netherlands: A tale of two countries

Leukert-Becker, Karolin; Zweifel, Peter - In: Health Economics Review 4 (2014) 22, pp. 1-11

Background: This contribution seeks to measure preferences for health insurance in Germany and the Netherlands, using … citizens explicitly choose a health insurance contract, two research questions naturally arise. First, are the preferences with … the cost of information associated with future choices concerning their health insurance. …

Persistent link: https://www.econbiz.de/10011599791

The Distributional Effects of Health Reform Limits on Flexible Spending Accounts

Cardon, James H.; Moore, Joel; Showalter, Mark H. - In: Forum for Health Economics & Policy 15 (2012) 2

,322 households observed over the period 1998–2008. The data include FSA expenditures, insurance claim information for covered medical …

Persistent link: https://www.econbiz.de/10014591805

State and Federal Approaches to Health Reform: What Works for the Working Poor?

Meara, Ellen; Rosenthal, Meredith B; Sinaiko, Anna D.; … - In: Forum for Health Economics & Policy 10 (2008) 1

health insurance expansion: public insurance expansions, refundable tax credits for low income people, and employer and … mandates expand coverage to the largest number of previously insured relative to public insurance expansions and individual tax … near-poor. None of the three policies significantly expand insurance coverage among poor working families. Our findings …

Persistent link: https://www.econbiz.de/10014591969

Virtual learning for health care managers

Robertson, Mary Eileen - 2006

The health industry in Canada, as well as in other industrial countries, has been in the process of reform for many years. While such reform has been attributed to fiscal necessity due to increased health costs, the underlying causes are far more complex. Demographic changes, new technologies,...

Persistent link: https://www.econbiz.de/10009434902