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Health Plans

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The Increased Concentration of Health Plan Markets Can Benefit Consumers Through Lower Hospital Prices

September 8, 2011 | Journal Article

The long-term trend of consolidation among U.S. health plans has raised providers' concerns that the concentration of health plan markets can depress their prices.

Determining Health Benefit Designs to be Offered on a State Health Insurance Exchange

November 1, 2011 | Toolkit

The series' third installment reveals several key lessons in developing the part of the Massachusetts' exchange serving unsubsidized, individual purchasers—known as Commonwealth Choice.

Assessing the Evidence for Value-Based Insurance Design

November 1, 2010 | Journal Article

High copayments for medical services can cause patients to underuse essential therapies.

Post Claims Underwriting and Rescission Practices

January 1, 2009 | Report

Study details regulations and enforcement needed to fill gaps in protecting consumers in insurance markets.

Paying for Individual Health Insurance Through Tax-Sheltered Cafeteria Plans

September 1, 2010 | Journal Article

An examination of the legal issues surrounding the taxation of employees? premiums for individual health insurance found that state and federal law are unclear as to ?cafeteria plans?? legality, and that implementation of health reform in 2014 will only partially resolve the confusion.

B Resource Guide: Choosing a Health Plan

January 1, 2011 | Toolkit

What’s in this guide: Definition of group health plans Why offer a group health plan? How to choose a group health plan

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.

Primer on Post Claims Underwriting and Rescission Practices

November 25, 2009 | Toolkit

This case study examines the current state of post-claims underwriting and rescissions regulation in Texas.

Freelancers in New York State Get a Health Insurance Plan

January 26, 2010 | Program Result Report

Working Today, through its affiliated Freelancers Union, established the for-profit Freelancers Insurance Company and began designing a health plan model for freelancers in New York state.

Does Enrollment in a CDHP Stimulate Cost-Effective Utilization?

August 1, 2008 | Journal Article

In examining health care utilization, consumer-driven health plans (CDHPs) appeared to exert most of their influence in the first year with CDHP enrollees making fewer office visits than did PPO (preferred provider organization) enrollees.

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