Risk Adjustment Risk Sharing And Premium Regulation In Health Insurance Markets

Risk Adjustment Risk Sharing And Premium Regulation In Health Insurance Markets Book PDF
✏Book Title : Risk Adjustment Risk Sharing and Premium Regulation in Health Insurance Markets
✏Author : Thomas G. McGuire
✏Publisher : Academic Press
✏Release Date : 2018-08-06
✏Pages : 648
✏ISBN : 9780128113264
✏Available Language : English, Spanish, And French

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✏Risk Adjustment Risk Sharing and Premium Regulation in Health Insurance Markets Book Summary : Risk Adjustment, Risk Sharing and Premium Regulation in Health Insurance Markets: Theory and Practice describes the goals, design and evaluation of health plan payment systems. Part I contains 5 chapters discussing the role of health plan payment in regulated health insurance markets, key aspects of payment design (i.e. risk adjustment, risk sharing and premium regulation), and evaluation methods using administrative data on medical spending. Part II contains 14 chapters describing the health plan payment system in 14 countries and sectors around the world, including Australia, Belgium, Chile, China, Columbia, Germany, Ireland, Israel, the Netherlands, Russia, Switzerland and the United States. Authors discuss the evolution of these payment schemes, along with ongoing reforms and key lessons on the design of health plan payment. Provides a conceptual toolkit that describes the goals, design and evaluation of health plan payment systems in the context of policy paradigms, such as efficiency, affordability, fairness and avoidance of risk selection Brings together international experience from many different countries that apply regulated competition in different ways Delivers a practical toolkit for the evaluation of health plan payment modalities from the standpoint of efficiency and fairness

Epidemics And The Health Of African Nations Book PDF
✏Book Title : Epidemics and the Health of African Nations
✏Author : MISTRA
✏Publisher : The Mapungubwe Institute for Strategic Reflection (MISTRA)
✏Release Date : 2019-07-25
✏Pages : 440
✏ISBN : 9780639995595
✏Available Language : English, Spanish, And French

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✏Epidemics and the Health of African Nations Book Summary : News footage of disease in Africa is a familiar sight. Yet these outbreaks are often presented out of context, with no reference to the conditions that have triggered them. MISTRA’s new book, Epidemics and the Health of African Nations, aims to redress that. Researchers and practitioners from within the continent explore why Africa is so vulnerable to disease, and show how this vulnerability is closely linked to political and economic factors. They demonstrate how these same factors determine the way epidemics are treated. Authors extract lessons from case studies in different parts of Africa; challenge conventional frameworks about disease to argue for a ‘syndemics’ approach that takes into account the interrelationship between disease and political and socio-economic contexts; explore challenges of Africa’s future. They argue that a well-functioning health system is at the core of a country’s capacity to counter an epidemic. This volume brings African experts together to probe possible solutions to the continent’s heavy burden of disease. The insights offered will be helpful in devising policy for the control of disease and the combatting of epidemics in Africa.

State Health Insurance Market Reform Book PDF
✏Book Title : State Health Insurance Market Reform
✏Author : Joel C. Cantor
✏Publisher : Routledge
✏Release Date : 2012-09-25
✏Pages : 192
✏ISBN : 9780415651950
✏Available Language : English, Spanish, And French

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✏State Health Insurance Market Reform Book Summary : In this volume, leading American health economists provide a critical assessment of the current state of knowledge of insurance market reform that is accessible to both policy-makers and researchers.

How Adverse Selection Affects The Health Insurance Market Book PDF
✏Book Title : How Adverse Selection Affects the Health Insurance Market
✏Author : Paolo Belli
✏Publisher : World Bank Publications
✏Release Date :
✏Pages : 31
✏ISBN :
✏Available Language : English, Spanish, And French

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✏How Adverse Selection Affects the Health Insurance Market Book Summary : There may be a price to pay (in terms of inefficient coverage) if competition among health insurers is encouraged as a way to give patients greater choice and to achieve better control over insurance providers.

Health Insurance Market Reform Book PDF
✏Book Title : Health Insurance Market Reform
✏Author : United States
✏Publisher :
✏Release Date : 1994
✏Pages : 138
✏ISBN : PSU:000023404939
✏Available Language : English, Spanish, And French

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✏Health Insurance Market Reform Book Summary :

Private Health Insurance Premiums And Rate Reviews Book PDF
✏Book Title : Private Health Insurance Premiums and Rate Reviews
✏Author : Mark Newsom
✏Publisher : DIANE Publishing
✏Release Date : 2011-04-01
✏Pages : 24
✏ISBN : 9781437980844
✏Available Language : English, Spanish, And French

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✏Private Health Insurance Premiums and Rate Reviews Book Summary : Health insur. premiums (HIP) have been trending up, while the value of coverage has trended down. Both admin. and medical costs continue to rise, but the rate of growth in these expenses slowed between 2008 and 2009. The rise in medical costs is primarily attributable to the price of services, not increased utilization. This report provides an overview of the concepts, regulation, and public data regarding private HIP. Contents of this report: (1) Intro.; (2) Drivers of HIP Increases: Health Benefits Exp.; Unit Prices; Health Service Utilization; Admin. Costs; Health Insur. Co. Profits; The Underwriting Cycle; (3) Review of Health Insur. Rates: State Rate Filing and Reviews; Fed. Reforms Affecting HIP. Charts and tables. A print on demand report.

Regulated Competition In Health Insurance Markets Book PDF
✏Book Title : Regulated Competition in Health Insurance Markets
✏Author : Rudy C. Douven
✏Publisher :
✏Release Date : 2000
✏Pages : 32
✏ISBN : STANFORD:36105114663243
✏Available Language : English, Spanish, And French

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✏Regulated Competition in Health Insurance Markets Book Summary :

Patient Protection And Affordable Care Act Standards Related To Reinsurance Risk Corridors And Risk Adjustment Us Department Of Health And Human Services Regulation Hhs 2018 Edition  Book PDF
✏Book Title : Patient Protection and Affordable Care ACT Standards Related to Reinsurance Risk Corridors and Risk Adjustment Us Department of Health and Human Services Regulation Hhs 2018 Edition
✏Author : The Law The Law Library
✏Publisher : Createspace Independent Publishing Platform
✏Release Date : 2018-11-10
✏Pages : 76
✏ISBN : 1729722776
✏Available Language : English, Spanish, And French

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✏Patient Protection and Affordable Care ACT Standards Related to Reinsurance Risk Corridors and Risk Adjustment Us Department of Health and Human Services Regulation Hhs 2018 Edition Book Summary : Patient Protection and Affordable Care Act - Standards Related to Reinsurance, Risk Corridors and Risk Adjustment (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) The Law Library presents the complete text of the Patient Protection and Affordable Care Act - Standards Related to Reinsurance, Risk Corridors and Risk Adjustment (US Department of Health and Human Services Regulation) (HHS) (2018 Edition). Updated as of May 29, 2018 This final rule implements standards for States related to reinsurance and risk adjustment, and for health insurance issuers related to reinsurance, risk corridors, and risk adjustment consistent with title I of the Patient Protection and Affordable Care Act as amended by the Health Care and Education Reconciliation Act of 2010, referred to collectively as the Affordable Care Act. These programs will mitigate the impact of potential adverse selection and stabilize premiums in the individual and small group markets as insurance reforms and the Affordable Insurance Exchanges ("Exchanges") are implemented, starting in 2014. The transitional State-based reinsurance program serves to reduce uncertainty by sharing risk in the individual market through making payments for high claims costs for enrollees. The temporary Federally administered risk corridors program serves to protect against uncertainty in rate setting by qualified health plans sharing risk in losses and gains with the Federal government. The permanent State-based risk adjustment program provides payments to health insurance issuers that disproportionately attract high-risk populations (such as individuals with chronic conditions). This book contains: - The complete text of the Patient Protection and Affordable Care Act - Standards Related to Reinsurance, Risk Corridors and Risk Adjustment (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) - A table of contents with the page number of each section

Annual Report To Congress Book PDF
✏Book Title : Annual Report to Congress
✏Author :
✏Publisher :
✏Release Date : 1995
✏Pages :
✏ISBN : UOM:39015033314371
✏Available Language : English, Spanish, And French

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✏Annual Report to Congress Book Summary :

Annual Report To Congress Physician Payment Review Commission Book PDF
✏Book Title : Annual Report to Congress Physician Payment Review Commission
✏Author : Physician Payment Review Commission
✏Publisher :
✏Release Date : 1995
✏Pages :
✏ISBN : STANFORD:24502169724
✏Available Language : English, Spanish, And French

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✏Annual Report to Congress Physician Payment Review Commission Book Summary :

Connecticut Insurance Law Journal Book PDF
✏Book Title : Connecticut Insurance Law Journal
✏Author :
✏Publisher :
✏Release Date : 2008
✏Pages : 390
✏ISBN : STANFORD:36105063758358
✏Available Language : English, Spanish, And French

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✏Connecticut Insurance Law Journal Book Summary :

📒Physician Payment Review Commission ✍ annyal repost to congress

Physician Payment Review Commission Book PDF
✏Book Title : physician payment review commission
✏Author : annyal repost to congress
✏Publisher :
✏Release Date : 1994
✏Pages :
✏ISBN : STANFORD:24502112701
✏Available Language : English, Spanish, And French

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✏physician payment review commission Book Summary :

Financial Market Trends Book PDF
✏Book Title : Financial Market Trends
✏Author :
✏Publisher :
✏Release Date : 2004
✏Pages :
✏ISBN : STANFORD:36105121681337
✏Available Language : English, Spanish, And French

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✏Financial Market Trends Book Summary :

📒The Reform Of Health Care ✍ Organisation de coopération et de développement économiques

The Reform Of Health Care Book PDF
✏Book Title : The Reform of Health Care
✏Author : Organisation de coopération et de développement économiques
✏Publisher : Paris, France : Organisation for Economic Co-operation and Development
✏Release Date : 1992
✏Pages : 152
✏ISBN : UOM:39015032581327
✏Available Language : English, Spanish, And French

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✏The Reform of Health Care Book Summary : Comparative investigation of health care reforms introduced during the 1980s in seven OECD countries: Belgium, France, Germany, Ireland, the Netherlands, Spain, and the United Kingdom.

📒Health Policy Issues ✍ Paul J. Feldstein

Health Policy Issues Book PDF
✏Book Title : Health Policy Issues
✏Author : Paul J. Feldstein
✏Publisher :
✏Release Date : 2007
✏Pages : 561
✏ISBN : NWU:35558005617556
✏Available Language : English, Spanish, And French

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✏Health Policy Issues Book Summary :

Kentucky Administrative Regulations Service Book PDF
✏Book Title : Kentucky Administrative Regulations Service
✏Author :
✏Publisher :
✏Release Date : 2001
✏Pages :
✏ISBN : HARVARD:32044060544822
✏Available Language : English, Spanish, And French

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✏Kentucky Administrative Regulations Service Book Summary :

📒U C Davis Law Review ✍ University of California, Davis. School of Law

U C Davis Law Review Book PDF
✏Book Title : U C Davis Law Review
✏Author : University of California, Davis. School of Law
✏Publisher :
✏Release Date : 1997
✏Pages :
✏ISBN : UCAL:B4808012
✏Available Language : English, Spanish, And French

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✏U C Davis Law Review Book Summary :

Report To The Governor And Legislature On Investments Activities And Contributions In New York State Book PDF
✏Book Title : Report to the Governor and Legislature on Investments Activities and Contributions in New York State
✏Author : New York (State). Insurance Dept
✏Publisher :
✏Release Date : 2003
✏Pages :
✏ISBN : CORNELL:31924094758921
✏Available Language : English, Spanish, And French

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✏Report to the Governor and Legislature on Investments Activities and Contributions in New York State Book Summary :

Voluntary Health Insurance In The European Union Book PDF
✏Book Title : Voluntary Health Insurance in the European Union
✏Author : Elias Mossialos
✏Publisher :
✏Release Date : 2004
✏Pages : 206
✏ISBN : STANFORD:36105114012441
✏Available Language : English, Spanish, And French

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✏Voluntary Health Insurance in the European Union Book Summary :

Navigating Health Care Reform Book PDF
✏Book Title : Navigating Health Care Reform
✏Author :
✏Publisher :
✏Release Date : 2010
✏Pages : 758
✏ISBN : STANFORD:36105134518468
✏Available Language : English, Spanish, And French

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✏Navigating Health Care Reform Book Summary :

📒Medicare And Medicaid Guide ✍ Commerce Clearing House

Medicare And Medicaid Guide Book PDF
✏Book Title : Medicare and Medicaid Guide
✏Author : Commerce Clearing House
✏Publisher :
✏Release Date : 1969
✏Pages :
✏ISBN : STANFORD:36105062344069
✏Available Language : English, Spanish, And French

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✏Medicare and Medicaid Guide Book Summary :

📒Congressional Record ✍ United States. Congress

Congressional Record Book PDF
✏Book Title : Congressional Record
✏Author : United States. Congress
✏Publisher :
✏Release Date : 2003
✏Pages :
✏ISBN : OSU:32437122448935
✏Available Language : English, Spanish, And French

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✏Congressional Record Book Summary : The Congressional Record is the official record of the proceedings and debates of the United States Congress. It is published daily when Congress is in session. The Congressional Record began publication in 1873. Debates for sessions prior to 1873 are recorded in The Debates and Proceedings in the Congress of the United States (1789-1824), the Register of Debates in Congress (1824-1837), and the Congressional Globe (1833-1873)

Comprehensive Health Insurance Legislation Including H R 3205 The Health Insurance Coverage And Cost Containment Act Of 1991  Book PDF
✏Book Title : Comprehensive Health Insurance Legislation Including H R 3205 the Health Insurance Coverage and Cost Containment Act of 1991
✏Author :
✏Publisher :
✏Release Date : 1992
✏Pages :
✏ISBN : PURD:32754078650599
✏Available Language : English, Spanish, And French

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✏Comprehensive Health Insurance Legislation Including H R 3205 the Health Insurance Coverage and Cost Containment Act of 1991 Book Summary :

Journal Of The House Of The Representatives Session Of The Legislature State Of Minnesota Book PDF
✏Book Title : Journal of the House of the Representatives Session of the Legislature State of Minnesota
✏Author : Minnesota. Legislature. House of Representatives
✏Publisher :
✏Release Date : 1996
✏Pages :
✏ISBN : MINN:31951D01402752Y
✏Available Language : English, Spanish, And French

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✏Journal of the House of the Representatives Session of the Legislature State of Minnesota Book Summary :

📒Social Reinsurance ✍ Alexander S. Preker

Social Reinsurance Book PDF
✏Book Title : Social Reinsurance
✏Author : Alexander S. Preker
✏Publisher : World Bank Publications
✏Release Date : 2002
✏Pages : 518
✏ISBN : UCSD:31822031988777
✏Available Language : English, Spanish, And French

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✏Social Reinsurance Book Summary : Annotation This volume views community-based microinsurance as an incremental first step to improved financial protection and better access to health services for the poor. While community-based financing can be structured in various ways, this volume focuses on reinsurance as a mechanism for improving micro-level health insurance units. It outlines strategies and policies that can be applied by countries and donors to improve access to health care services.

📒Health Care Costs And Lack Of Access To Health Insurance ✍ United States. Congress. Senate. Committee on Finance

Health Care Costs And Lack Of Access To Health Insurance Book PDF
✏Book Title : Health care costs and lack of access to health insurance
✏Author : United States. Congress. Senate. Committee on Finance
✏Publisher :
✏Release Date : 1991
✏Pages :
✏ISBN : PURD:32754076146533
✏Available Language : English, Spanish, And French

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✏Health care costs and lack of access to health insurance Book Summary :

Wisconsin Administrative Register Book PDF
✏Book Title : Wisconsin Administrative Register
✏Author :
✏Publisher :
✏Release Date : 2001
✏Pages :
✏ISBN : WISC:89077164663
✏Available Language : English, Spanish, And French

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✏Wisconsin Administrative Register Book Summary : Contents: New material (consists of updates for Wisconsin administrative code) -- Instructions for inserting New material -- Notice section.

Understanding Healthcare Financial Management Book PDF
✏Book Title : Understanding Healthcare Financial Management
✏Author : Louis C. Gapenski
✏Publisher : Health Administration Press
✏Release Date : 2003
✏Pages : 653
✏ISBN : UOM:49015002814573
✏Available Language : English, Spanish, And French

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✏Understanding Healthcare Financial Management Book Summary : Shows the reader how to apply concepts to the kinds of real-world situations encountered in a variety of provider settings. It includes: online spreadsheet models that illustrate calculations; updated references and examples that include recent reimbursement changes; and new insights on the financial challenges facing small businesses, including medical practices.

Health Care Reform Special Alert Introduction To The Patient Protection And Affordable Care Act And The Reconciliation Act Of 2010 Book PDF
✏Book Title : Health Care Reform Special Alert Introduction to the Patient Protection and Affordable Care Act and the Reconciliation Act of 2010
✏Author :
✏Publisher :
✏Release Date : 2010
✏Pages :
✏ISBN : UOM:39076002883986
✏Available Language : English, Spanish, And French

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✏Health Care Reform Special Alert Introduction to the Patient Protection and Affordable Care Act and the Reconciliation Act of 2010 Book Summary :

Health Insurance Portability And Accountability Act Book PDF
✏Book Title : Health Insurance Portability and Accountability Act
✏Author :
✏Publisher :
✏Release Date : 1997
✏Pages : 294
✏ISBN : STANFORD:36105061907601
✏Available Language : English, Spanish, And French

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✏Health Insurance Portability and Accountability Act Book Summary :