Employment and Health Benefits : a Connection at Risk.
Clasificación: | Libro Electrónico |
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Autor principal: | |
Otros Autores: | , |
Formato: | Electrónico eBook |
Idioma: | Inglés |
Publicado: |
Washington :
National Academies Press,
1993.
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Colección: | Online access: National Academy of Sciences National Academies Press.
Online access: NCBI NCBI Bookshelf. |
Temas: | |
Acceso en línea: | Texto completo |
Tabla de Contenidos:
- Employment and Health Benefits
- Copyright
- Preface
- Acknowledgments
- Contents
- Summary
- EMPLOYMENT-BASED HEALTH BENEFITS IN CONTEXT
- Historical Development
- Key Statistics
- International Comparisons
- Scope and Functions
- Access to Health Services
- Costs in Context
- DISTINGUISHING FEATURES OF THE CURRENT SYSTEM
- Voluntary Group Purchase
- Lack of Universal Coverage
- Risk Selection and Discrimination
- Dispersed Power and Accountability
- Diversity
- Innovation
- Discontinuity
- Barriers to Cost Management
- ComplexityStrengths and Limitations of These Features
- FUTURE DIRECTIONS
- To Improve a Voluntary System
- Reducing or Compensating for Risk Selection
- Subsidizing Coverage
- Other Regulatory Issues
- The Financing Dilemma
- Beyond Voluntary Coverage
- Research Agenda
- FINAL THOUGHTS
- 1 Background and Introduction
- EMPLOYMENT-BASED HEALTH BENEFITS IN CONTEXT
- OVERVIEW OF REPORT
- WHY THIS STUDY?
- Relation to the Debate over Health Care Reform
- Issues and Concerns
- KEY CONCEPTS AND TERMS AS USED IN THIS REPORT
- Employment-Based Health BenefitsSocial Insurance and Private Insurance
- Small and Large Groups
- Risk, Insurance, and Benefits
- Insurable Events
- Moral Hazard, Biased Selection, Risk Segmentation, and Underwriting
- CONCLUSION
- 2 Origins and Evolution of Employment-Based Health Benefits
- THE BIRTH OF INSURANCE FOR MEDICAL CARE EXPENSES
- Early Voluntary Initiatives
- Early Public Action
- THE DIVERGENT PATH OF THE UNITED STATES
- Unsuccessful Early State Initiatives
- Proposals for National Health Insurance in the Depression and Postwar Years
- Innovation in the Private SectorEmployment-Based Benefits, Federal Regulations, and Union Policies
- Growth and Change in Health Insurance Products
- Federal Government as Sponsor of Employee Health Benefits Program
- EARLY COST MANAGEMENT EFFORTS BY INSURERS AND OTHERS
- Management of the Risk Pool
- Design of the Benefit Plan
- Controls on Payments to Providers
- Constraints on Supply
- Utilization Review
- Impact of Early Cost Management Efforts
- THE LIMITS OF VOLUNTARY HEALTH BENEFITS AND MEDICARE AND MEDICAID
- Medicare
- Medicaid
- National Health Insurance RevisitedFEDERAL REGULATION AND THE EMPLOYER'S GROWING ROLE
- Federal and State Roles Before 1974
- The Employee Retirement Income Security Act of 1974
- CONCLUSION
- 3 Employment-Based Health Benefits Today
- DATA SOURCES
- WHO IS AND IS NOT COVERED BY EMPLOYMENT-BASED HEALTH BENEFITS?
- Covered Workers and Family Members
- Uninsured Workers and Family Members
- Retirees
- Sources of Variation in Employment-Based Coverage
- WHAT TYPES OF COVERAGE ARE OFFERED?
- Types of Health Plans
- Conventional Plans