Skip Nav Destination
Close Modal
1-20 of 299
Search Results for carrier
Follow your search
Access your saved searches in your account
Would you like to receive an alert when new items match your search?
1
Journal Article
J Health Polit Policy Law (1994) 19 (1): 7–26.
Published: 01 February 1994
..., to link clinical guidelines to reimbursement, will likely prevail. We examine the utilization review programs of Medicare Part B carriers and the carriers' attempts to use clinical guidelines to determine medical necessity for the purpose of payment. We find that because the utilization review programs...
Journal Article
J Health Polit Policy Law (2002) 27 (1): 5–30.
Published: 01 February 2002
... employers to provide their employees with a choice of health carriers, a fixed-dollar strategy (defined contribution), and quality information to make appropriate choices among carriers, managed competition offers to remedy imperfections in both the consumer and provider sides of the market for health...
Journal Article
J Health Polit Policy Law (1993) 18 (3): 695–722.
Published: 01 June 1993
... remain as fiscal intermediaries. Doctors and hospitals would continue to work much as they do now. They would prosper from more utilization, few bad debts, and less administrative trouble. The payment and work of doctors would be governed by collective negotiations between the insurance carriers...
Journal Article
J Health Polit Policy Law (2023) 48 (6): 951–968.
Published: 01 December 2023
... backlash, governments moved to ensure consumer access by issuing a number of requirements for carriers related to the composition and size of their networks and how this information is shared with consumers. The authors provide a comprehensive review of these state-based efforts to regulate provider...
FIGURES
Journal Article
J Health Polit Policy Law (1995) 20 (1): 31–48.
Published: 01 February 1995
...Peter D. Fox; Thomas Rice; Lisa Alecxih Congress enacted legislation in 1990 that dramatically changed the rules for selling supplemental health insurance, or “Medigap” policies, to the elderly. Most notably, policy coverage was standardized. Insurance carriers are allowed to sell only the ten...
Journal Article
J Health Polit Policy Law (2002) 27 (2): 243–260.
Published: 01 April 2002
... to school for protection. Current proposals for preventing school violence include punishing the violence-prone, expulsion for weapon carriers, and creating a culture of nonviolence through various behavioral methods like conflict resolution. None of these proposals address the issue of lethal violence...
Journal Article
J Health Polit Policy Law (1977) 2 (3): 319–334.
Published: 01 June 1977
... commissioner; the anticipated passage of national health insurance; and the increased competition from commercial insurance carriers, specialty health care data and management firms and state governments. In concluding, the question is raised whether society should invest further in the future of Blue Cross...
Journal Article
J Health Polit Policy Law (2014) 39 (5): 1089–1098.
Published: 01 October 2014
... profile of Arkansas's health insurance marketplace, the private option will also encourage entry of and competition among private carriers. If it succeeds in keeping insurance premiums below the level they would otherwise be in the marketplace, Arkansas's private option could reduce subsidy costs...
View articletitled, Arkansas's Alternative to Medicaid Expansion Raises Important Questions about How HHS Will Implement New ACA Waiver Authority in 2017
View
PDF
for article titled, Arkansas's Alternative to Medicaid Expansion Raises Important Questions about How HHS Will Implement New ACA Waiver Authority in 2017
Journal Article
J Health Polit Policy Law (2015) 40 (1): 227–232.
Published: 01 February 2015
... churn in any given year is significant, and they often are significant utilizers of health care services. They could experience disruption in care in several ways: (1) changing carrier; (2) changing provider because of network differences; (3) a disruption in ongoing services, even when the benefit...
Journal Article
J Health Polit Policy Law (1994) 19 (4): 705–727.
Published: 01 August 1994
...William A. Glaser Insuring a population and managing its money require a comprehensive health care financing system. Many issues must be resolved, particularly the roles of the medical profession and its relationship with organizations of laymen in insurance carriers and in government. The spread...
Journal Article
J Health Polit Policy Law (2000) 25 (1): 45–70.
Published: 01 February 2000
... of individuals.
Currently, most state individual health insurance markets are charac-
terized by many carriers (indemnity companies and managed care orga-
nizations) selling policies. However, these carriers often limit competi-
tion by each developing...
Journal Article
J Health Polit Policy Law (2016) 41 (4): 781–801.
Published: 01 August 2016
... such plans, and evidence of favorable selection practices by insurers in the nongroup market. With the nearly full implementation of the ACA, the role of the individual insurance market has obtained new prominence. First, the ACA's health insurance marketplaces rely on participation by insurance carriers...
FIGURES
Journal Article
J Health Polit Policy Law (1984) 9 (2): 261–267.
Published: 01 April 1984
... is related to the burden of payment.
Presently, the burden of allowing hospitals unfettered discretion in establishing
prices is assumed by business and consumers. The direct costs of this process are
borne by self-pay patients and by the customers of those insurance carriers who
pay in full...
Journal Article
J Health Polit Policy Law (2014) 39 (6): 1277–1288.
Published: 01 December 2014
... health risks and disease burden relative to other states, placing heavy demand on stressed delivery system networks. In addition, the private insurance market was dominated by a single carrier and a minimally regulated marketplace, resulting in risk segmentation for both the individual and small group...
Journal Article
J Health Polit Policy Law (2000) 25 (1): 197–204.
Published: 01 February 2000
....
The New Hampshire Experience
Prior to the enactment of the New Hampshire nongroup market reforms,
there were approximately a dozen carriers participating in the market.
However, Blue Cross Blue Shield of New Hampshire (BCBSNH) and
Golden Rule Insurance Company each...
Journal Article
J Health Polit Policy Law (1982) 7 (2): 366–379.
Published: 01 April 1982
...
and disincentives regarding access to care and cost of care that are created
by employer-based health insurance.
This paper will focus primarily on the administration of employer-based
health insurance plans (e.g., type of carrier, financial arrangements be-
tween employer and carrier, method of claims...
Journal Article
J Health Polit Policy Law (2002) 27 (1): 37–48.
Published: 01 February 2002
... of plan. FEHBP and CalPERS,
for example, are exchanges.)
Third, the goal is the reorganization of the delivery system. It is not
merely carriers competing. Ten carriers each offering practically all the
providers in an area is not “competition” in this sense. The competition
that is being sought...
Journal Article
J Health Polit Policy Law (2022) 47 (3): 319–349.
Published: 01 June 2022
... a priority for policy makers (Haeder, Weimer, and Mukamel 2019b ), they have emerged as a focal point for scholars concerned about access to care, with studies repeatedly unearthing inaccuracies in the provider directories provided to consumers by carriers as well as challenges in accessing timely care...
FIGURES
| View All (10)
View articletitled, Potemkin Protections: Assessing Provider Directory Accuracy and Timely Access for Four Specialties in California
View
PDF
for article titled, Potemkin Protections: Assessing Provider Directory Accuracy and Timely Access for Four Specialties in California
Includes: Supplementary data
Journal Article
J Health Polit Policy Law (2002) 27 (5): 885–888.
Published: 01 October 2002
..., 2100; (B.1) sales
through dealers and carriers, street vendors and counter sales, 0; (B.2)
paid mail subscriptions, 1571; (C) total paid circulation, 1571; (D) sam-
ples, complimentary, and other free copies, 102; (E) free distribution out-
side the mail (carriers or other means), 94; (F) total...
Journal Article
J Health Polit Policy Law (1989) 14 (4): 691–705.
Published: 01 August 1989
... and upheld an award of $8.3 million to an infant
judged to have been negligently harmed by an obstetrician, one of the principal
carriers in Virginia, the Pennsylvania Hospital Insurance Company (PHICO) ,
withdrew from the market. The other two carriers writing obstetrical malpractice
insurance...
1
