Catalog of Health Insurance Plans ebooks

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“Independent” health insurance plans
by United States. Social Security Administration. Office of Program Research

Association Health Plans & the Future of American Health Insurance
by Kev Coleman

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.

Report of the Joint Legislative Committee on Health Insurance Plans
by New York (State). Legislature. Joint Committee on Health Insurance Plans

Free for All?
by Joseph P. Newhouse, Rand Corporation. Insurance Experiment Group, Insurance Experiment Group Staff

In the most important health insurance study ever conducted researchers at the RAND Corporation devised all experiment to address two key questions in health care financing: how much more medical care will people use if it is provided free of charge, and what are the consequences for their health? For three- or five-year periods the experiment measured both use and health outcomes in populations carefully selected to be representative of both urban and rural regions throughout the United States. Participants were enrolled in a range of insurance plans requiring different levels of copayment for medical care, from zero to 95 percent. The researchers found that in plans that reimbursed a higher proportion of the bill, patients used substantially more services – indeed, those who paid nothing used 40 percent more services than those required to pay a high deductible – but the effect on the health of the average person was negligible. In addition, participants who were assigned at random to a well-established health maintenance organization used hospitals substantially less than those in the fee-for-service system, again with no measurable effect on the health of the average person. This book collects in one place for the first time results previously dispersed through many journals over many years. Drawing comprehensive, coherent conclusions from an immense amount of data, it is destined to be a classic work serving as an invaluable reference for all those concerned with health care policy – health service researchers, policymakers in both the public and the private sectors, and students.

Health Insurance Plans in the United States

“Independent” Health Insurance Plans (plans Other Than Blue Cross and Blue Shield Plans and Insurance Companies)
by United States. Social Security Administration. Division of Program Research

Civilian Health Insurance Options of Military Retirees
by Louis T. Mariano, Sheila Nataraj Kirby, Christine Eibner, Scott Naftel

The Department of Defense (DoD) provides health benefits to qualified retired service personnel. Active duty personnel who retire with at least 20 years of service are immediately eligible to receive retiree health benefits for themselves, their spouses, and dependent children through TRICARE, the DoD-sponsored health care plan. A substantial majority of retirees have second careers after retirement and have access to civilian health insurance. However, many choose to rely primarily on TRICARE, in large part because of the significant price differential between TRICARE and civilian insurance. In order to understand the implications of this reliance for DoD health care expenditures, DoD asked RAND to explore the available civilian health insurance options of working-age military retirees and the impact of those options on TRICARE utilization. The authors surveyed a random sample of 1,600 military retirees (officers and enlisted personnel) under age 65 who were entitled to TRICARE benefits. This pilot survey was designed to ask about the current employment of the retiree and his or her spouse, participation in a civilian health insurance plan, use of TRICARE for medical care, and the likely effect of premium increases or decreases on participation in civilian heath plans. Key findings showed that although a large majority of retirees have access to civilian health insurance, many choose not to enroll, most frequently citing the cost of premiums. Among those enrolled in civilian plans, many still rely on TRICARE for medical care and prescription drugs, and many would drop their civilian plans if costs rose substantially. As long as DoD premiums are considerably lower than civilian premiums, a shift away from TRICARE use is unlikely. A larger survey, collecting data from retirees and their civilian employers, would be needed for DoD to analyze the effects of benefit design changes to TRICARE on retiree reliance.

Group Health Insurance Plans for Public-school Personnel
by National Education Association of the United States. Research Division

Report of the Joint Legislative Committee on Health Insurance Plans
by New York (State) Legislative. Joint Committee on Health Insurance Plans

The End of Employer-Provided Health Insurance
by Paul Zane Pilzer, Rick Lindquist

How to save 20 to 60 percent on health insurance!

The End of Employer-Provided Health Insurance is a comprehensive guide to utilizing new individual health plans to save 20 to 60 percent on health insurance. This book is written to ensure that you, your family, and your company get your fair share of the trillions of dollars the U.S. government will spend subsidizing individual health insurance plans between now and 2025. You will learn how to navigate the Affordable Care Act to save money without sacrificing coverage, and how to choose the plan that offers exactly what you, your family and your company need.

Over the next 10 years, 100 million Americans will move from employer-provided to individually purchased health insurance. The purpose of The End of Employer-Provided Health Insurance is to show you how to profit from this paradigm shift while helping you, your family, and your employees get better and safer health insurance at lower cost. It will help you save thousands of dollars per person each year and protect you from the greatest threat to your financial future—our nation’s broken employer-provided health insurance system.

We are at the beginning of a paradigm shift in the way businesses offer employee health benefits and the way Americans get health insurance—a shift from an employer-driven defined benefit model to an individual-driven defined contribution model. This parallels a similar shift in employer-provided retirement benefits that took place two to three decades ago from defined benefit to defined contribution retirement plans.

Written by a world-renowned economist and New York Times best-selling author, this insightful guide explains how individual health insurance offers more to employees than employer-provided plans. Using the techniques outlined in this book, you and your employer will save money on health insurance by migrating from employer-provided health insurance coverage to employer-funded individual plans at a total cost that is 20 percent to 60 percent lower for the same coverage. That’s $4,000 to $12,000 in savings per year for a family of four for the same hospitals, same doctors, and same prescriptions.

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