“Play-or-Pay” Insurance Reforms for Employers – Confusion and Inequity

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Access to Care Among Hispanics: Implications for Understanding Community Variation
A Comparative Analysis of Small and Large Group Health Care Utilization and Costs, 1988-1990
A Comparative Evaluation of Risk-Adjustment Methodologies for Profiling Physician Practice Efficiency
Administrative Costs Associated with Third Party Payment
Administrative Simplification Challenges and Opportunities: A Physician Organization's Perspective
Alternative Models for Ensuring Access to Primary Medical Care in Nursing Facilities
A Methodological Evaluation of Non-Response on the Physician Component of the Community
An Academic Health Center and Public Health Practice Collaboration: Disseminating Continuous Quality Improvement Capability to Local and State Public Health Agencies
Analysis of the Transfer of Risk and Clinical Management Responsibilities to Physician Organizations
An Analysis of the Effects of Medical Underwriting
An Early Portrait of Consumer-Directed Health Benefits: Design, Integration, Penetration, and Effects
An Empirical Investigation of Employee Health Plan Choice and Switching Behavior Under Managed Competition
An Evaluation of the Current and Potential Impact of Consumer Survey-Based Report Cards on the Health Care Market Place
An Evaluation of the Impact of the New York Health Care Reform Act of 1996 on Selected Clinical Outcomes, Patient Satisfaction, and Health Status
An Investigation of the Management Uses of Health-based Risk Adjustment Tools by U.S. Purchasers and Health Plans
A Randomized Controlled Trial of Collaborative Care: An Alternative Model for Organizing Health Care Delivery in Teaching Hospitals
Are Highly Concentrated Health Care Markets Bad for Health Care?
Arkansas School Health Insurance Project (ASHIP)
Assessing the Impact of a Public Report on Hospital Quality: A Controlled Experiment in the State of Wisconsin
Assessing the Impact of Hospital Mergers
Assessing the Impact of Medicaid Equalization Policies on Access to Nursing Home Care
Assessment of Quality of Care Under PPS By Examining Patient Functional Status Through Post-Hospital Period -- A Feasibility Study
Assessment of Training Needs for Public Health Financial Managers
A Systematic Study of Nebraska’s Regional Public Health Agency Model
Autologous Bone Marrow Transplantation (ABMT) and the Treatment of Breast Cancer: The U.S. Experience
Barriers to Small-Group Purchasing Coalitions
Beyond the Gatekeeper: How Managed Care Organizations Affect the Use of Technology
Broadening Access to Prenatal Care through Expansions: The Impact on Prenatal Care Use and Infant Mortality
Business Views of Strengths and Weaknesses of the Employer-Based System for Providing Health Insurance Coverage
Californians' Health Insurance Coverage: Research for Public Policy Making and Planning
Can Disease Management Control Costs?
Capped Prescription Benefits and Medicare Managed Care
Causes and Consequences of Change in Local Public Health Spending
Causes and Consequences of the HMO Underwriting Cycle
CCRCs: An Efficient Alternative for Long-Term Care Provision and Financing?
Changes in Drug Payment and Management Strategies in Physician Organization
Changes in Drug Utilization for Seniors without Prior Prescription Drug Insurance
Changes in Employer-Offered Health Insurance: Firms Decision Making & Employee Satisfaction
Changes in Hospital Configurations Between 1980 and 1995 in Urban America
Changes in Physicians’ Decisions to Treat Medicaid Patients and the Uninsured
Changing Medicaid Physician Fees: Effects on Access and Total Cost
Characteristics and Determinants of Intragovernmental Activity Within State Public Health Systems
Comparing the Cost Effectiveness of Chronic Care between Medicare Advantage and FFS Medicare Beneficiaries
Comparison of Public Health Organizational Structures Using Dynamic Network Analysis
Competition, Volume, and Outcome in Cardiovascular Care in California
Competitive Bidding in the Federal Employees Health Benefit Plan
Conditions of Practice and Quality of Care: Physicians' Perceptions
Consequences of SCHIP for Household Well-Being
Consumer Choice of Plans, Employer Contribution Policy, and Health Plan Price
Controlling Risk Segmentation under Employment-based Medical Savings Accounts
Corporate Finance and Consolidation in Health Care
Cost, Utilization, and Health Effects of Successive Changes in Cesarean Length of Stay Policy
Cost and Efficiency in Treating High-Cost Medicare Beneficiaries: The Role of Physician Practice and Health System Factors
Cost Effectiveness, Quality and the Future of Medical Technology Assessment
Costs and Benefits of Physician Practices' Interactions with Health Plans
Creating and Sharing Improved Tools for Policymakers to Assess Risk Adjustment Approaches
Defensive Medicine as a Response to Medical Malpractice Liability in the United States
Defining Affordability for the Uninsured and People with Chronic Conditions
Demonstration of the Subacute Care Alternative
Developing and Applying a Descriptive Framework for Analyzing Food Safety Resources
Developing Risk Assessment Tools for Large Employers and Testing Risk Adjustment Approaches in Health Care Purchasing
Does Hospice Save Medicare Money?
Does Managed Care Work? An Empirical Study of Corporate Healthcare Cost Containment Initiatives
Duration Limitations and Adherence to Chronic Medication
Early Implementation Experience of Companies Offering internet-based Models for Employer Health Benefits
Economic Impact of Adverse Health Events on the Uninsured Near Elderly
Effect of Decreased Emergency Department Access on Patient Outcomes
Effect of State Parity Laws on Children with Mental Health Care Needs
Effects of a Statewide Perinatal Program for the Uninsured
Effects of Competition and Rate Regulation on Access to Physician Services and Uncompensated Care
Effects of Different Mechanisms on Pharmaceutical Use and Cost
Effects of Physician Compensation Method on Physician Behavior and Satisfaction in Managed Care Organizations
Effects of Prior Authorization of New Medications among Medicaid Beneficiaries with Bipolar Disorder
Effects of the Balanced Budget Act and Market Forces on the Health Safety Net
Efficiency/Quality/Outcome Trade-offs in Medicare's Prospective Payment System
Enhancing Access to Obstetrical Care: An Evaluation of A Change in Medicaid Payment Policy
Establishing the Value of Stable Prescription Coverage for Medicare Beneficiaries
Evaluate Selective Contracting for Tertiary Services by Managed Care Organizations
Evaluating Business Initiatives in Health Care Purchasing
Evaluating Cost Efficiency of Specialist Physicians
Evaluating Florida's Medicaid Provider Service Network Demonstration Project
Evaluating the Medicaid Psychiatric Hospital Payment System in New Hampshire
Evaluating the Use of Performance-Related Information and Financial Incentives in Employer Health Care Purchasing
Evaluation of Baltimore's Mental Health Capitation Program
Evaluation of Defined Contribution Plans on Health Insurance Choice and Medical Care Use
Evaluation of Maine's Dirigo Health Reform
Evaluation of Medicare's Local Medical Review Policies for New Medical Technologies
Evaluation of Natural Experiment to Raise Medicaid Fees for Physicians
Evaluation of New York City Model to Provide Home Care Services: The Cluster Care Demonstration
Evaluation of Reforms of the Market for Individual Health Insurance Coverage in New Jersey
Evaluation of State Initiatives to Expand Health Insurance Among Small Businesses
Evaluation of State Risk Pools: The Current and Potential Experience
Evaluation of the Buyers Health Care Action Group (BHCAG) Initiative Component Three: An Assessment of the Impact of the Initiative on Health Care Delivery
Evaluation of the Buyers Health Care Action Group Initiative
Evaluation of the Effects of Utilization Review on Patterns of Care and Medical Expenses
Evaluation of the Impact of the Resource Utilization Groups II System on Long-Term Care Facilities in New York
Evaluation of the Medicare Supplementary Insurance Reform Legislation of 1990
Evaluation of the TennCare Health Reform Plan
Evolution of Physician Organization Under Managed Care
Evolution of Self-Insurance in an Era of Managed Care
Examining Effective Strategies that Local Communities Have Used to Meet Expanded Public Health Workforce Needs
Examining the Impact of Informational Messages on Seniors' Choice of Medicare Drug Plans
Excess Capacity, Hospital Costs, and the Effects of Market Structure
Exit, Voice and Frailty: Consumer Behavior Under Managed Competition
Exploration of Market-Based Risk Adjustments for Adverse Selection in Health Insurance
Extent and Impact of the Use of Observations Stays in the Medicare Program
Factors Affecting End-of-Life Care for Beneficiaries Who Are Dually Eligible for Medicare and Medicaid
Factors Associated With Health Insurance Coverage for Low-Income Children
Factors Associated with the Distribution of Physician Income: A Quantile Regression Approach
Financing American Indian Health Care: Impacts and Options for Improving Access and Quality of Care
Gender and Managed Care
Geographic Variation in Alcohol, Drug Abuse, and Mental Health Services Utilization: What is the Role of Physician Practice Patterns?
Getting Tools Used: Lessons Learned from Successful Decision Support Tools Unrelated to Health Care
Guaranteed Renewability in Individual and Group Health Insurance: Functioning and Future Prospects
Health and Economic Consequences of Medicaid Disenrollment in New York City
Health Care Services for Children Placed in Foster or Kinship Care
Health Care Utilization Among the Previously Uninsured
Health Care Utilization Among the Previously Uninsured-- A Feasibility Study
Health Insurance Purchasing Cooperatives: Analysis of Existing Data
Health Plan Choice and Utilization: The Role of Plan Attributes
Health Plan Choices and Adverse Selection in Employer Sponsored InsuranceHealth Plan Choices and Adverse Selection in Employer-Sponsored Health Insurance
Health Plan Selection for Medicare Eligible Enrollees in the Federal Employees Health Benefits Program
Health Savings Accounts, High Deductible Policies, and the Uninsured: Simulating the Effects of HSA Tax Policy
HIPC Health Risk Adjusters Project
Hospital Capital Financing in the Era of Quality and Safety: Strategies and Priorities for the Future - A Survey of CEOs
Hospital Contracting Under Managed Care
Hospital Mergers and Health Reform: Decreased Competition Versus Community Benefit
Hospital Ownership and Performance: An Integrative Research Review
Hospital Ownership Conversions
Hospital Responses to Competitive and Regulatory Pressures: The Role of Organizational Form in Changing Markets
Hospital Uncompensated Care Under Managed Care, Competition and Fiscal Pressure
How Does Fragmentation of Care Contribute to the Costs of Care?
How Do Rising Healthcare Costs Affect Worker Compensation?
How Managed Care Growth Has Affected Health Departments’ and Physicians’ Ability to Provide Indigent Care
How Valid are the Assumptions Underlying Consumer-Driven Health Plans?
Impact of Medicaid Managed Care on Access to Care and Service Use
Impact of Medicare
Impact of Medicare Payment Reductions For "Overpriced" Surgical Procedures on Utilization and Access
Impact of MMA Part D on Medicare Residents in Nursing Homes
Impact of Physician Compensation Mechanisms on the Process of Care
Impact of Private Long-term Care Insurance on Demand for Care: Setting and Intensity
Impact of Profitability on Hospital Responses to Financial Stress
Impact of State Medicaid Policy Changes on Nursing Home Hospitalization
Impact of the Medicare Home Health Prospective Payment System on Beneficiaries and Program Costs
Impact of the Washington State Diabetes Collaborative on Patient Health and Economic Outcomes
Impact of Various Health System Reform Options on the Distribution of Health Care Costs Across All Payers
Implementation and Impact of Health Based Risk Adjustment
Implementing Diagnostic Health Risk Adjustment in an Employed Population -- Phase II
Implementing Risk-Adjustment for Medicaid
Improving Access to Improve Quality: Evaluation of an Organizational Innovation
Incorporating Disparities into State Strategies to Monitor and Improve Health Status
Information Technologies and the Use of Information in Managed Care
Informing the Design of Funding Allocation Formulas in Public Health
Insurance Coverage, Use of Prenatal Care, and the Financing of Birth Outcomes in Nine States Pre and Post Welfare Reform
Investigation into Specialty Payment: Effects on Cost and Treatments
Involving Consumers in Physician Choice: Making Data into Useable Information for Chronically Ill Patients in Consumer-Directed Health Plans
Is Small-Area Variation in Healthcare Utilization Explained by Physician Financial Self-Interest?
Is the Impact of Managed Care on Hospital Prices Decreasing?
Liability Problems and Transparent Disclosure to Patients as a Solution
Local Community Strategies to Develop their Public Health Surge Capacity to Handle Emergencies Affecting Many People
Local Funding for Health Services in Rural Counties
Local Public Health Capacities to Address the Needs of Culturally and Linguistically Diverse Populations
Long-Term Care Options Planning Project
Long-Term Care Options Project (Planning Grant)
Managed Care: Contractual Arrangements with Physicians and Implications for Pediatric Health Care Use
Managed Care and Medicare Expenditures
Managed Care’s Spillover Effects on the Quality of Diabetes Care for Medicare Patients
Market-Based Reforms and the Quality of Hospital Care in New Jersey
Market Forces in Investor-Owned Health Maintenance Organizations
Measuring Managed Care Activity
Measuring the Costs and Benefits of Medicare Private Fee-for-Service
Measuring the Costs of Defensive Medicine in the United States: Phase II
Measuring the Value of Public Health Systems
Medicaid Eligibility Expansions for Pregnant Women, 1986-1990: Evaluating the Aggressiveness of States' Implementation
Medicaid Long-Term Care Programs: Simulating Rate Setting and Cross-Payer Effects
Medicaid Managed Care and Health Care Access, Use, and Quality
Medical Malpractice Reform and Implications for Health Insurance Costs
Medical Risk Distribution Among Competing Health Plans
Medical Spending and Health of the Elderly
Medicare Health Plan Decisions: Will Regional Competitive Bidding Work?
Medicare Policy and Aging in the US and Canada
Medicare Risk-Contracting: Impact on Access and Quality for Medicare HMO Enrollees and Vulnerable Populations
Medicare Spending, Disparities, and Returns to Healthy Behaviors
Meeting the Future Long-Term Care Needs of the Baby Boomers: How the Changing Structure of Families Will Affect Paid Helpers and Institutions
Methods to Present Quality Information to Assist Consumers to Make Health Plan Decisions
Monitoring and Evaluation of Massachusetts's Chapter 495
Monitoring the Early Experience with Federal Health Insurance Tax Credits
National Security and Child Health: Reexamining the Role of Medicaid and EPSDT
New Approaches to Identifying Market Power in Health Care
New York State ProNet (Prospectively Paid Health Network)
Older American's Health Insurance: Emerging Concerns
Patterns of Individual Coverage
Paying Physician Group Practices for Quality: A Regional Natural Experiment
Peer Pressure: Hospital Ownership Mix and Medical Service Provision
Physician-Organization Arrangements: Impact on Integration and Managed Care
Physician Compensation & Risk Bearing Arrangements in Medical Groups: Market Level Effects and Impacts on Physician Productivity and Risk Contracting
Physician Compensation and Risk-Bearing Arrangements in Medical Groups: Impact on Physician Productivity
Physician Responses to HMO Growth
Physician Response to Medicare Payment Reductions: Impacts on the Public and Private Sectors
Physicians' Responses to Variations in Medicare Fees for Specific Services
Pilot Study of Variations in Medicare Spending per Beneficiary
Preferences, Choices, and Managed Care Markets: Determinants of Consumer Trust and Satisfaction
Premium Variation and Insurance Demand in the Individual Insurance Market
Prescription Benefit Comprehensiveness and Costs of Care in Elderly Persons with Chronic Illness: The Medicare Enrollee Drug Study (MEDS)
Private Insurance Markets: The Missing Link-Association Health Plans and Other Pooled Purchasing Arrangements
Promoting Readiness and Interest in Self Management
Public Health Entrepreneurship
Public Health Funding and Population Health
Public Health System Organization and Performance in Rural Communities
Quality Assessment of South Carolina Medicaid Managed Care
Racial and Socioeconomic Disparities in Health Care Among the Insured
Reforming Medicare Risk Payment Through Competitive Market Forces
Reimbursement Policy and Cancer Chemotherapy Treatment and Outcomes
Research on Determinants of Hospital Contracts with HMOs
Research on Risk Selection in Employer-sponsored Health Insurance
Research on the Effect of Community Variability on Financing Strategy Effectiveness
Research on the Governance and Management of Collective Purchasing Arrangements Under Managed Competition
Research on the Impact of Physician Competition on Health Care Utilization
Research on the Relationship Between Market Characteristics and the Number and Type of Medicare Enrollees in HMOs
Resource Use and Efficiency in Episodes of Care
Second-Generation Evaluation of Buyers Health Care Action Group (BHCAG)
Single Payer Demonstration Project
Small Area Variation in Medicaid Utilization and Expenditures: Implications for Cost Containment and Quality of Care
Sources of Health Care Cost Growth
State Experience with Pharmaceutical Assistance Programs
State Health Policy and the State of American Medicine
Strategies to Reduce Health Care Providers’ Administrative Burden Related to Quality Performance Measurement and Reporting
Structural Capacities, Processes and Performance of Essential Public Health Services by Small Local Public Health Systems
Studies of the Working Uninsured, Their Dependents and Insurance Reform on Their Behalf
Study of the Effects of High-Deductible Health Plans on Families with Chronic Conditions
Study on Informed Choice of Drug Coverage for Medicare Beneficiaries
Survey to Begin Assessment of HIPC Risk Adjustment Mechanism
Surviving the Perfect Storm: Impacts of Benefit Reductions and Increased Cost Sharing in a Medicaid Program
Sustaining Individual Health Insurance Markets Under Community Rating and Open Enrollment
Testing the Value of Patient-reported Physician Quality Information for Quality Improvement and Consumer Choice
The Anatomy of ERISA Health Plans: Describing their Basic Structure and Key Areas of Variation
The Costs and Benefits of Health Information Technology: Computerized Physician Order Entry
The Dynamics of Health Insurance Coverage: 1996 to 2000
The Dynamics of Spells Without Health Insurance
The Economics of Health Information Technology in Physician Organizations
The Effect of a Physician Gatekeeper on the Cost of, Access to, and Quality of Care in an Employed Population
The Effect of Expanding Medicaid Coverage to Poor Uninsured Women on Maternal and Infant Health Outcomes
The Effect of Expanding Medicaid Coverage to Poor Uninsured Women on Maternal and Infant Health Outcomes -- Planning Grant
The Effect of Hospital Mergers on HMO Hospital Costs and Premiums, 1995-2001
The Effect of Local Hospital Networks on the Cost and Accessibility of Hospital Services
The Effect of Managed Care on Treatment Patterns and Health Outcomes Among Traditional Medicare Patients
The Effect of Price on Health Plan Choices of Retirees
The Effects of Any Willing Provider Laws
The Effects of Health Plan Concentration on Hospital Prices, Costs, Capacity, Charity Care, and Outcomes
The Effects of Managed Care on MRI Adoption and Use
The Effects of Managed Care Organizations on Government Spending and Health Care Quality: Evidence from California’s Medicaid Mandates
The Effects of PPOs on Health Care Use and Costs
The Effects of the New York Health Care Reform Act of 1996 on Health Services Accessibility and Efficiency
The Emerging Market for Pharmacogenomics and Health Care Competition
The Fishing Partnership Health Plan: A Model for Reducing the Numbers of the Working Uninsured
The Impact of Assisted Living Growth on the Market for Nursing Home Care
The Impact of Managed Behavioral Health Market Share, Public Sector Carve-Outs, and Parity Legislation on Service Utilization for Children and Adolescents: Results from NSAF and CTS
The Impact of Managed Care on the Appropriateness and Outcomes of Carotid Endarterectomy
The Impact of Medicaid Managed Care on Prenatal Use and Birth Outcomes
The Impact of Multiple Consumer Driven Health Plans Beyond Early Adoption: Here to Stay or Market Fad?
The Impact of Nonprofit Conversions on Community Benefit
The Impact of Pay for Performance on Hospitals that Care for Minorities and the Poor
The Impact of Performance Reporting on Consumer and Physician Organization Behavior
The Impact of Pharmaceutical Formularies on Prescription Drug and Health Care Costs and Utilization
The Impact of Quality Information on Consumer Plan Choices: Does Health Status Matter?
The Impact of the Prospective Payment System on Nursing Home Care
The Impacts of Undocumented Immigrants on the U.S. Health Care System
The Incidence of Financing National Health Spending
The Influence of Accreditation on Local Health Department Performance in NC
The Influence of Managed Care on Physician Scope of Practice
The Kaiser Permanente Medicare Demonstration: Policy Implications of Offering a Dual Option Benefit Package in an HMO
The Medicaid Undercount: Real or Perceived Bias in Estimates of Coverage in General Population Surveys
The Painful Prescription: Revisited
The Provision and Reporting of Community Benefits by Hospitals: Lessons from Maryland
The Relationship Between Market Forces and the Cost, Treatments and Outcomes of Medicare AMI Patients
The Rise in Employer Health Care Costs -- Phase 1
The Rise in Employer Health Costs -- Phase 2
The Role of Benefit Design in Enrollment, Use and Spending in State Prescription Drug Assistance Programs for Seniors - Lessons for Medicare
The Safety Net and Employer-Provided Health Insurance
The Transformation of Corporate Health Care Purchasing
The Treatment of Dying Medicare Managed Care Patients: The Role of Social and Economic Factors
Trauma System Structure and Performance
Trends in Medigap Insurance and the Impact of Recent Market and Regulatory Changes
Understanding and Assessing Partnership Connections in Public Health Departments
Understanding Medical Necessity Decision Making
Understanding the Resource Allocation Decisions of Public Health Officials in the U.S.
Uninsured in America: Individual and Community Factors
Uptake and Impact of Health Risk Appraisals
Use of Tiered Networks by Employer Sponsored Health Plans
Using Physician Profiling Software to Evaluate the Practice Efficiency of Physician Specialists
Utilization Review: Cost Savings and Quality of Care
Variation in Health Care Cost Growth
Waiting for Outpatient Care and Choice in Financing
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When Doctors Believe They Are Not Providing Good Care: The Sources of Professional Distress in the American Health Care System

“Play-or-Pay” Insurance Reforms for Employers – Confusion and Inequity

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Associated Grants