National Health Insurance And Corporate Benefit Plans

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National Health Insurance by Regulation

Author : Charles E. Phelps
Publisher : Unknown
Page : 40 pages
File Size : 48,7 Mb
Release : 1980
Category : Employee fringe benefits
ISBN : IND:39000001991095

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National Health Insurance by Regulation by Charles E. Phelps Pdf

Social issues have often been solved, at least in part, by requiring that certain activities be undertaken by businesses on behalf of their employees. The entire social security system, workmen's compensation plans, and affirmative action for hiring of minorities are cases in point. The concept of using mandating as a portion of a national health insurance (NHI) plan arose during the Nixon administration and has been periodically (though not necessarily currently) embraced by such diverse entities as the administrations of Presidents Nixon and Carter, the U.S. Chamber of Commence, and prominent members of Congress of a variety of political persuasions from both major political parties. The broad political appeal for using mandated insurance appears to arise from several roots. First, it is 'off budget'. That is, a national health insurance plan can be structured without giving the appearance of affecting federal spending. Second, it gains the political support of a potentially powerful interest group: Because it retains an active role for the private insurance industry, it retains a market-oriented structure generally appealing to those desiring to minimize the appearance of government intervention.

Essential Health Benefits

Author : Institute of Medicine,Board on Health Care Services,Committee on Defining and Revising an Essential Health Benefits Package for Qualified Health Plans
Publisher : National Academies Press
Page : 256 pages
File Size : 51,6 Mb
Release : 2012-01-17
Category : Medical
ISBN : 9780309219174

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Essential Health Benefits by Institute of Medicine,Board on Health Care Services,Committee on Defining and Revising an Essential Health Benefits Package for Qualified Health Plans Pdf

In 2010, an estimated 50 million people were uninsured in the United States. A portion of the uninsured reflects unemployment rates; however, this rate is primarily a reflection of the fact that when most health plans meet an individual's needs, most times, those health plans are not affordable. Research shows that people without health insurance are more likely to experience financial burdens associated with the utilization of health care services. But even among the insured, underinsurance has emerged as a barrier to care. The Patient Protection and Affordable Care Act (ACA) has made the most comprehensive changes to the provision of health insurance since the development of Medicare and Medicaid by requiring all Americans to have health insurance by 2016. An estimated 30 million individuals who would otherwise be uninsured are expected to obtain insurance through the private health insurance market or state expansion of Medicaid programs. The success of the ACA depends on the design of the essential health benefits (EHB) package and its affordability. Essential Health Benefits recommends a process for defining, monitoring, and updating the EHB package. The book is of value to Assistant Secretary for Planning and Evaluation (ASPE) and other U.S. Department of Health and Human Services agencies, state insurance agencies, Congress, state governors, health care providers, and consumer advocates.

Coverage Matters

Author : Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance
Publisher : National Academies Press
Page : 204 pages
File Size : 50,6 Mb
Release : 2001-10-27
Category : Medical
ISBN : 9780309076098

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Coverage Matters by Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance Pdf

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.

Health Insurance Handbook

Author : Hong Wang,Kimberly Switlick,Christine Ortiz,Beatriz Zurita,Catherine Connor
Publisher : World Bank Publications
Page : 141 pages
File Size : 42,9 Mb
Release : 2012-01-18
Category : Business & Economics
ISBN : 9780821389539

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Health Insurance Handbook by Hong Wang,Kimberly Switlick,Christine Ortiz,Beatriz Zurita,Catherine Connor Pdf

Many countries that subscribe to the Millennium Development Goals (MDGs) have committed to ensuring access to basic health services for their citizens. Health insurance has been considered and promoted as the major financing mechanism to improve access to health services, as well to provide financial risk protection.

Caring for Profit

Author : Colleen Fuller,Canadian Centre for Policy Alternatives
Publisher : Unknown
Page : 340 pages
File Size : 45,7 Mb
Release : 1998
Category : Business & Economics
ISBN : 0921586590

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Caring for Profit by Colleen Fuller,Canadian Centre for Policy Alternatives Pdf

Caring For Profit traces how Canada's $77 billion a year health care industry is turning away from its original mandate of providing the best possible medical care to Canadians, and how multinational capital is forcing its way into our non'profit health care system. In Caring For Profit, Colleen Fuller traces alliances that were struck between private insurers and the medical profession during the 1950s and 1960s to defeat "socialized medicine". These alliances survived the establishment of medicare in Canada in 1968, and have been strengthened by new forces emerging in an era of globalization. Instead of a health care system focused on providing the highest quality of care to the greatest number of Canadians, the system is increasingly dominated by financial giants more concerned with consolidations, mergers, acquisitions, and higher profit margins. Caring for Profit is a "who's who" of key people and corporations making money in Canada's health care sector ? and a portrait of the strategies and alliances that threaten to replace the principles of medicare with the dictates of the stock market.

Health Insurance is a Family Matter

Author : Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance
Publisher : National Academies Press
Page : 296 pages
File Size : 49,6 Mb
Release : 2002-09-18
Category : Medical
ISBN : 0309169054

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Health Insurance is a Family Matter by Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance Pdf

Health Insurance is a Family Matter is the third of a series of six reports on the problems of uninsurance in the United Sates and addresses the impact on the family of not having health insurance. The book demonstrates that having one or more uninsured members in a family can have adverse consequences for everyone in the household and that the financial, physical, and emotional well--being of all members of a family may be adversely affected if any family member lacks coverage. It concludes with the finding that uninsured children have worse access to and use fewer health care services than children with insurance, including important preventive services that can have beneficial long-term effects.

Health and Dental Benefits

Author : Anonim
Publisher : Unknown
Page : 82 pages
File Size : 49,6 Mb
Release : 1992
Category : Business & Economics
ISBN : STANFORD:36105061960212

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Health and Dental Benefits by Anonim Pdf

Private Employee Benefit Plans

Author : United States. Bureau of Old-Age and Survivors Insurance. Division of Program Analysis
Publisher : Unknown
Page : 50 pages
File Size : 40,7 Mb
Release : 1956
Category : Employee fringe benefits
ISBN : UIUC:30112059540630

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Private Employee Benefit Plans by United States. Bureau of Old-Age and Survivors Insurance. Division of Program Analysis Pdf

Employment and Health Benefits

Author : Institute of Medicine,Committee on Employment-Based Health Benefits
Publisher : National Academies Press
Page : 381 pages
File Size : 49,6 Mb
Release : 1993-02-01
Category : Medical
ISBN : 9780309048279

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Employment and Health Benefits by Institute of Medicine,Committee on Employment-Based Health Benefits Pdf

The United States is unique among economically advanced nations in its reliance on employers to provide health benefits voluntarily for workers and their families. Although it is well known that this system fails to reach millions of these individuals as well as others who have no connection to the work place, the system has other weaknesses. It also has many advantages. Because most proposals for health care reform assume some continued role for employers, this book makes an important contribution by describing the strength and limitations of the current system of employment-based health benefits. It provides the data and analysis needed to understand the historical, social, and economic dynamics that have shaped present-day arrangements and outlines what might be done to overcome some of the access, value, and equity problems associated with current employer, insurer, and government policies and practices. Health insurance terminology is often perplexing, and this volume defines essential concepts clearly and carefully. Using an array of primary sources, it provides a store of information on who is covered for what services at what costs, on how programs vary by employer size and industry, and on what governments doâ€"and do not doâ€"to oversee employment-based health programs. A case study adapted from real organizations' experiences illustrates some of the practical challenges in designing, managing, and revising benefit programs. The sometimes unintended and unwanted consequences of employer practices for workers and health care providers are explored. Understanding the concepts of risk, biased risk selection, and risk segmentation is fundamental to sound health care reform. This volume thoroughly examines these key concepts and how they complicate efforts to achieve efficiency and equity in health coverage and health care. With health care reform at the forefront of public attention, this volume will be important to policymakers and regulators, employee benefit managers and other executives, trade associations, and decisionmakers in the health insurance industry, as well as analysts, researchers, and students of health policy.

Health-Care Utilization as a Proxy in Disability Determination

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Health Care Utilization and Adults with Disabilities
Publisher : National Academies Press
Page : 161 pages
File Size : 40,7 Mb
Release : 2018-04-02
Category : Medical
ISBN : 9780309469210

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Health-Care Utilization as a Proxy in Disability Determination by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Health Care Utilization and Adults with Disabilities Pdf

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.

Payer, Provider, Consumer: Industry Confronts Health Care Costs

Author : D.C. Walsh,R.H. Egdahl
Publisher : Springer Science & Business Media
Page : 124 pages
File Size : 46,6 Mb
Release : 2012-12-06
Category : Medical
ISBN : 9781461394303

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Payer, Provider, Consumer: Industry Confronts Health Care Costs by D.C. Walsh,R.H. Egdahl Pdf

With this first monograph, Springer-Verlag launches an unusual publishing venture. The purpose of the Springer Series on Industry and Health Care is to explore in depth the current and potential future role of industry both management and labor in all private sector enterprises-as a financer of health care benefits, as a provider of health care services, and as an extremely influential "consumer" of health care. The assumption behind the series is that private industry has the capabil ity, as an alternative to increased government intervention, to effect major change in the health care delivery system and is beginning to show evidence of exercising that influence. The subject matter covered by the series crosses boundaries between disciplines and specialities-occupational medicine, medical care, public health, economics, business administration, law, public policy, medical sociology-and arises in disparate arenas-labor-manage ment relations, corporate negotiations with insurance carriers, physician patient interactions, public policy, and politics. The Springer Series will draw much of its material from interdisciplinary working conferences, will analyze and synthesize the discussions, add timely background material, and be published within no more than six months of the conferences on which they build. The series will consist of four monographs a year and two volumes of background papers.