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Health Plans

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Essential Health Benefits

May 2, 2013 | Issue Brief

States are allowed under the Affordable Care Act to customize their own health insurance plans to meet a required 10 categories of “essential health benefits.” While states like the flexible approach, patient advocates prefer a national standard.

Consumer-directed Health Plans

October 1, 2012 | Report

The managed care backlash of the 1990s combined with rising health expenditures led to the creation of consumer-directed health plans (CDHPs), which place greater responsibility for health care decision-making in the hands of consumers. CDHPs are in ...

'Grandfathered' Health Plans

October 29, 2010 | Issue Brief

The health reform law exempts certain existing health insurance plans from many requirements. What does that mean for consumers, insurers, and employers?

Health Risk Appraisals

September 1, 2009 | Journal Article

Risk appraisals might influence employees' health behavior, but they're not the entire answer. In this paper the authors explore the potential role of health risk appraisals as a tool for managing health care quality and costs in employer-sponsored insurance.

Most State Governments Offer Choice of Health Plans, But Do Not Standardize Benefit Packages Survey Finds

January 1, 2001 | Program Result

A team of researchers conducted a mail and telephone survey of 500 public-sector employers to inventory their health plan purchasing practices and estimate the effect of those practices on premiums.

The Multi-State Plan Program

April 3, 2013 | Issue Brief

To spur more consumer choice in the insurance market, the Affordable Care Act created the Multi-State Plan Program to certify health insurance issuers to offer at least two plans in every state insurance exchange.

For the Country Doctor, Substitute the Rural Health Network

November 1, 2004 | Program Result

Between 1996 and 2003, researchers at the Rural Health Research Center at the University of Minnesota studied changes in the rural health system and produced and disseminated several publications describing those changes.

Medical Directors Often Apply Different Definitions of "Medical Necessity"

August 1, 2003 | Program Result

In this 2000–2001 project, Linda Bergthold, PhD, and researchers at Stanford University, Stanford, Calif., surveyed health plan medical directors in 48 states about medical necessity decision making. The study provides input for policy-making at the state and national levels.

Health Plans Try to Boost Their Grades on Plan Report Cards

August 1, 2003 | Program Result

This 1996-1998 project, conducted by Jinnet B. Fowles, Ph.D., and researchers at the Institute for Research and Education in Minneapolis, evaluated how consumer-based reports cards affect institutional behavior in the health care market.

Bending the Curve: Person-Centered Health Care Reform

April 29, 2013 | Report

Experts recommend solutions for closing the gaps in quality and efficiency of health care.

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