Suchergebnisse

Principles of health insurance -- Public and private coverage in the United States -- The uninsured -- The Affordable Care Act -- Covered benefits -- Consumer financial responsibility for health care -- Consumer protections -- Payment mechanisms -- Claims and reimbursement for providers -- People with disabilities -- Long-term care -- Retiree benefits -- A global comparison of U.S. health insurance

Intro -- Brief Contents -- Detailed Contents -- Preface -- Chapter 1: History of Health Insurance in the United States -- Chapter 2: A Summary of Insurance Coverage -- Chapter 3: The Patient Protection and Affordable Care Act -- Chapter 4: The Demand for Health Insurance -- Chapter 5: Adverse Selection -- Chapter 6: Underwriting and Rate Making -- Chapter 7: Risk Adjustment -- Chapter 8: Moral Hazard and Prices -- Chapter 9: Utilization Management -- Chapter 10: Selective Contracting -- Chapter 11: Managed Care Backlash, Provider Consolidation, and Monopsony Power -- Chapter 12: Insurance Market Structure, Conduct, and Performance -- Chapter 13: Premium Sensitivity for Health Insurance -- Chapter 14: Compensating Differentials -- Chapter 15: Taxes and Employer-Sponsored Health Insurance -- Chapter 16: Employers as Agents -- Chapter 17: Health Savings Accounts and Consumer-Directed Health Plans -- Chapter 18: The Small-Group Market -- Chapter 19: The Individual Insurance Market -- Chapter 20: Health Insurance Regulation -- Chapter 21: High-Risk Pools -- Chapter 22: Health Insurance Exchanges -- Chapter 23: An Overview of Medicare -- Chapter 24: Retiree Coverage -- Chapter 25: Medicaid, Crowd-Out, and Long-Term Care Insurance -- Epilogue -- References -- Name Index -- Subject Index -- About the Author.

There have been increasing rates of uninsured patients in the United States over the past few decades. Despite this growing problem, little progress has been made to decrease the rate of growth of uninsured patients or to provide affordable insurance coverage to those who are unable to maintain insurance coverage throughout the year. The legislature in the Commonwealth of Massachusetts has enacted legislation that requires health insurance for all in the same manner that automobile insurance is required in many states. This bold comprehensive legislation augments current Medicaid and state child health insurance program coverage and expands coverage options for part-time workers, those employed by small companies or those employed at lower-income jobs.

Cover -- Half Title -- Series Page -- Title Page -- Copyright Page -- Table of Contents -- Research team members -- Preface -- Foreword -- Acknowledgments -- Chapter 1: Main Report: Research project on China's commercial health insurance -- 1.1 Research background and significance -- 1.2 Achievements made to date in promoting the development of commercial health insurance in China -- 1.3 Major challenges faced by China's commercial health insurance sector -- 1.3.1 Insufficient effective supply, limited variety of product offerings, insufficient health security provisions, lack of healthcare services, and the need to upgrade professional management skills -- 1.3.2 The massive amount of potential demand in China has not yet been realized, and policies that are guided by demand are not yet strong enough -- 1.3.3 The commercial health insurance industry has not yet played its proper role in furthering reform of China's medical, pharmaceutical, and healthcare system -- 1.3.4 Outdated regulatory system that does not meet the demands of changing times, insufficient focus, and a lack of supporting policies -- 1.4 Future directions and key areas of development of commercial health insurance -- 1.4.1 Promote innovation and push forward structural reform of the supply side -- 1.4.2 Raise awareness of health insurance among the population, strengthen supportive policies, and continue to push for transforming potential demand into effective demand -- 1.4.3 Deepen China's Medical Reform and promote the development of commercial health insurance -- 1.4.4 Create an effective regulatory system that governs commercial health insurance -- Notes -- Chapter 2: Research Topic 1: Research on the supply of commercial health insurance in China -- 2.1 Overview of supply of commercial health insurance -- 2.1.1 Definition of 'the supply of commercial health insurance'.

Intro -- Title Page -- Copyright -- Dedication -- Brief Contents -- Detailed Contents -- Preface -- Part I Introduction -- Chapter 1. History of Health Insurance in the United States -- Prehistory: Workers' Compensation and Sickness Funds -- Early Growth of Health Insurance: The 1940s and 1950s -- The 1960s and 1970s -- The 1980s, 1990s, 2000s, and 2010s: Managed Care and Selective Contracting -- The Legislative History of the Affordable Care Act -- Summary -- Discussion Questions -- For the Interested Reader -- References -- Chapter 2. The Affordable Care Act -- The Uninsured -- The Individual Mandate -- Qualifying Coverage -- Benefit Tiers -- Penalties -- Subsidies -- Cost-Sharing Subsidies -- Allowable Underwriting -- Exchanges: The Healthcare Marketplaces -- Exchange Enrollment -- Employer Mandate -- Medicaid Expansion -- Low-Income People in States That Do Not Expand -- Affordable Care Act Spending and Revenue Projections -- Summary -- Discussion Questions -- For the Interested Reader -- References -- Chapter 3. A Summary of Insurance Coverage -- The Extent of Coverage -- Employer-Sponsored Health Insurance -- Directly Purchased Coverage -- Medicare -- Medicaid and the Children's Health Insurance Program -- Military Coverage -- Coverage by Citizenship -- Health Insurance and the Great Recession of 2007-2009 -- Summary -- Discussion Questions -- For the Interested Reader -- References -- Chapter 4. The Demand for Health Insurance -- The Theory of Insurance -- Hypothesis I: The Degree of Risk Aversion -- Hypothesis II: The Size of the Potential Loss -- Hypothesis III: The Probability of Loss -- Hypothesis IV: The Wealth Effect -- Taxes and Employer-Sponsored Health Insurance -- Summary -- Discussion Questions -- For the Interested Reader -- References -- Part II Issues of Adverse Selection -- Chapter 5. Adverse Selection.