Risk Adjustment, Risk Sharing and Premium Regulation in Health Insurance Markets

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Author :
Publisher : Academic Press
ISBN 13 : 012811326X
Total Pages : 648 pages
Book Rating : 4.64/5 ( download)

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Book Synopsis Risk Adjustment, Risk Sharing and Premium Regulation in Health Insurance Markets by : Thomas G. McGuire

Download or read book Risk Adjustment, Risk Sharing and Premium Regulation in Health Insurance Markets written by Thomas G. McGuire and published by Academic Press. This book was released on 2018-08-06 with total page 648 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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

Voluntary Health Insurance in Europe: Country Experience

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Publisher : World Health Organization
ISBN 13 : 9289050373
Total Pages : 163 pages
Book Rating : 4.71/5 ( download)

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Book Synopsis Voluntary Health Insurance in Europe: Country Experience by : Sagan A.

Download or read book Voluntary Health Insurance in Europe: Country Experience written by Sagan A. and published by World Health Organization. This book was released on 2016-07-20 with total page 163 pages. Available in PDF, EPUB and Kindle. Book excerpt: No two markets for voluntary health insurance (VHI) are identical. All differ in some way because they are heavily shaped by the nature and performance of publicly financed health systems and by the contexts in which they have evolved. This volume contains short structured profiles of markets for VHI in 34 countries in Europe. These are drawn from European Union member states plus Armenia Iceland Georgia Norway the Russian Federation Switzerland and Ukraine. The book is aimed at policy-makers and researchers interested in knowing more about how VHI works in practice in a wide range of contexts. Each profile written by one or more local experts identifies gaps in publicly-financed health coverage describes the role VHI plays outlines the way in which the market for VHI operates summarises public policy towards VHI including major developments over time and highlights national debates and challenges. The book is part of a study on VHI in Europe prepared jointly by the European Observatory on Health Systems and Policies and the WHO Regional Office for Europe. A companion volume provides an analytical overview of VHI markets across the 34 countries.

Health Insurance Regulation

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Author :
Publisher :
ISBN 13 :
Total Pages : 68 pages
Book Rating : 4.38/5 ( download)

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Book Synopsis Health Insurance Regulation by : United States. General Accounting Office

Download or read book Health Insurance Regulation written by United States. General Accounting Office and published by . This book was released on 1993 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Health Insurance Regulation

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Author :
Publisher :
ISBN 13 :
Total Pages : 40 pages
Book Rating : 4.72/5 ( download)

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Book Synopsis Health Insurance Regulation by : United States. General Accounting Office

Download or read book Health Insurance Regulation written by United States. General Accounting Office and published by . This book was released on 1996 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Health Benefits Coverage Under Federal Law--.

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Author :
Publisher :
ISBN 13 :
Total Pages : 108 pages
Book Rating : 4.00/5 ( download)

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Book Synopsis Health Benefits Coverage Under Federal Law--. by :

Download or read book Health Benefits Coverage Under Federal Law--. written by and published by . This book was released on 2010 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Health Insurance

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Author :
Publisher :
ISBN 13 :
Total Pages : 20 pages
Book Rating : 4.48/5 ( download)

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Book Synopsis Health Insurance by : Leslie G. Aronovitz

Download or read book Health Insurance written by Leslie G. Aronovitz and published by . This book was released on 1993 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Affordable Care Act

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Author :
Publisher : Greenhaven Publishing LLC
ISBN 13 : 0737776196
Total Pages : 130 pages
Book Rating : 4.95/5 ( download)

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Book Synopsis The Affordable Care Act by : Tamara Thompson

Download or read book The Affordable Care Act written by Tamara Thompson and published by Greenhaven Publishing LLC. This book was released on 2014-12-02 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Patient Protection and Affordable Care Act (ACA) was designed to increase health insurance quality and affordability, lower the uninsured rate by expanding insurance coverage, and reduce the costs of healthcare overall. Along with sweeping change came sweeping criticisms and issues. This book explores the pros and cons of the Affordable Care Act, and explains who benefits from the ACA. Readers will learn how the economy is affected by the ACA, and the impact of the ACA rollout.

Health Insurance Regulation

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Author :
Publisher :
ISBN 13 :
Total Pages : 38 pages
Book Rating : 4.80/5 ( download)

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Book Synopsis Health Insurance Regulation by : United States. General Accounting Office

Download or read book Health Insurance Regulation written by United States. General Accounting Office and published by . This book was released on 1995 with total page 38 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Health Care Reform: Consumer issues ... regulation of health plans ... Private insurance industry; Serial no. 103-89

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Author :
Publisher :
ISBN 13 :
Total Pages : 340 pages
Book Rating : 4.10/5 ( download)

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Book Synopsis Health Care Reform: Consumer issues ... regulation of health plans ... Private insurance industry; Serial no. 103-89 by : United States. Congress. House. Committee on Energy and Commerce

Download or read book Health Care Reform: Consumer issues ... regulation of health plans ... Private insurance industry; Serial no. 103-89 written by United States. Congress. House. Committee on Energy and Commerce and published by . This book was released on 1994 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Future of Insurance Regulation in the United States

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Publisher : Rowman & Littlefield
ISBN 13 : 0815703864
Total Pages : 244 pages
Book Rating : 4.60/5 ( download)

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Book Synopsis The Future of Insurance Regulation in the United States by : Martin F. Grace

Download or read book The Future of Insurance Regulation in the United States written by Martin F. Grace and published by Rowman & Littlefield. This book was released on 2009-12-01 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Brookings Institution Press and Georgia State University publication Important changes have buffeted the insurance industry over the past decade. The 1999 repeal of key provisions of the Glass-Steagall Act unleashed a wave of conglomeration in financial services, as bank holding companies acquired insurance and securities businesses and, to a much lesser degree, insurance companies acquired securities firms and banks. Rivalry within the sector has intensified: insurance companies have developed products that compete directly with the offerings of banks and securities firms and vice versa. In addition, the industry has become increasingly global. Against this backdrop, pressure has been building for fundamental changes to the structure of insurance regulation in the United States. Despite several court challenges over the years, insurance continues to be regulated by the states. Many insurance companies view state regulation as an increasing drag on their efficiency and competitiveness and support a federal regulatory system. However, powerful stakeholders, including state officials, state and regional insurance companies, and many insurance agents, oppose federal regulation. As a result, proposals to establish an optional federal charter (OFC) for insurance companies and agents remain mired in fierce debate. The Future of Insurance Regulation in the United States gathers some of the country's leading experts on financial regulation to assess the case for an enhanced federal role in the insurance sector. They pay particular attention to the merits of an OFC and how it might be designed. They also consider the principles that should guide insurance regulatory policies, regardless of the institutional framework, and examine the implications of financial convergence and the internationalization of insurance markets for an optimal regulatory structure. The debate over insurance regulation has only grown in complexity and intensity since the financial crisis began in the fall of 2008. This book will both inform and help to shape those critical discussions. Contributors: John A. Cooke (International Financial Services London), Robert Detlefsen (National Association of Mutual Insurance Companies), Martin F. Grace (Georgia State University), Robert W. Klein (Georgia State University), Robert E. Litan (Ewing Marion Kauffman Foundation and Brookings Institution), Phil O’Connor (PROactive Strategies), Hal S. Scott (Harvard Law School), Harold D. Skipper (Georgia State University), Peter J. Wallison (American Enterprise Institute).