Private Markets

Health Insurance

Strong Providers, Big Prices: A Look at Provider Market Power in Health Care
Forum Session — February 12, 2016
Author: Sally Coberly, PhD

Show Me the Data! What's at Stake in the SCOTUS Case on Claims from Self-Insured Health Plans?
Forum Session — February 5, 2016
Author: Jennifer Jenson, MPH, MPP

Site-Neutral Payments for Post-Acute and Ambulatory Care Services: What’s at Stake?
Forum Session — June 5, 2015
Author: Sally Coberly, PhD

Shifting Sands: Health Center Finances Under Health Reform
Forum Session — March 20, 2015
Author: Eileen Salinsky, MBA, Consultant

Health Policy Essentials 2015
Briefing Book — February 6, 2015
Authors: Sally Coberly, PhD, Jennifer Jenson, MPH, MPP & Lisa Sprague, MBA

Private Exchanges: The Next Big Thing in Employer-Sponsored Insurance?
Forum Session — November 21, 2014
Author: Sally Coberly, PhD

Pediatric Dental Coverage in State and Federally Facilitated Exchanges: The 2014 Plan Year Experience
Forum Session — July 25, 2014
Authors: Jessamy Taylor, MPP & Sally Coberly, PhD

Managing Physician Self-Referral: Recent Evidence and Potential Strategies
Forum Session — July 18, 2014
Authors: William J. Scanlon, PhD, Senior Consultant & Sally Coberly, PhD

Controlling Opioid Drug Excess: Health Plan Interventions
Forum Session — June 20, 2014
Author: Lisa Sprague, MBA

Moving Toward Global Payment: Maryland’s New All-Payer Model
Forum Session — May 30, 2014
Author: Sally Coberly, PhD

Going Out of Network: Why It Happens, What It Costs, and What Can Be Done
Forum Session — December 6, 2013
Author: Sally Coberly, PhD

Transforming Behavioral Health Practice, Payment, and Policy: Too Fast, Too Slow, or Just Right?
Forum Session — September 20, 2013
Author: Jessamy Taylor, MPP

The Affordable Care Act and HIV/AIDS: Implications for Coverage, Access to Care, and Payment
Forum Session — July 19, 2013
Author: Jessamy Taylor, MPP

Rethinking Medicare's Cost Sharing and Supplemental Coverage: Options and Implications
Forum Session — April 12, 2013
Author: Kathryn Linehan

Understanding New Exchange Marketplaces for Health Insurance
Forum Session — March 1, 2013
Author: Kathryn Linehan

Health Policy Essentials: Private Health Insurance
Fundamentals Briefing — March 1, 2013
Author: Kathryn Linehan

Health Policy Essentials: Medicare and Health Care Spending
Fundamentals Briefing — February 8, 2013
Authors: Kathryn Linehan & Sally Coberly, PhD

Changes in Latitudes, Changes in Attitudes: FQHCs and Community Clinics in a Reformed Health Care Market
Issue Brief No. 848 — December 18, 2012
Author: Jessamy Taylor, MPP

Is Health Care Eating Our Lunch? The Impact of Cost Trends on Workers and Retirees
Forum Session — July 20, 2012
Author: Sally Coberly, PhD

We've Seen the Future: Insights About the Real Dynamics of Marketplace Competition
Small-Group Session — July 13, 2012
Author: Judith Miller Jones, MA

Caesar's Ghost: The Effect of the Rising Rate of C-Sections on Health Care Costs and Quality
Forum Session — March 30, 2012
Authors: Jessamy Taylor, MPP & Michele J. Orza, ScD

Employers and Today's Health Care Marketplace: Between a Rock and a Hard Place?
Small-Group Session — March 16, 2012
Authors: Sally Coberly, PhD & Judith Miller Jones, MA

Medicare Supplemental Coverage: Weighing the Consequences and Trade-Offs for Medicare Spending and Beneficiaries
Forum Session — December 9, 2011
Author: Kathryn Linehan

Mission Possible? Saving on Health Care Costs by Reducing Unnecessary Services
Forum Session — December 2, 2011
Author: Michele J. Orza, ScD

Review and Disclosure of Health Insurance Premium Changes: State and Federal Roles After PPACA
Forum Session — October 21, 2011
Author: Kathryn Linehan

Individual and Small-Group Market Health Insurance Rate Review and Disclosure: State and Federal Roles After PPACA
Issue Brief No. 844 — September 28, 2011
Author: Kathryn Linehan

Tiered Provider Networks: Steps to Cost Containment?
Forum Session — June 24, 2011
Author: Kathryn Linehan

Private Long-Term Care Insurance: Where Is the Market Heading?
Forum Session — April 15, 2011
Author: Sally Coberly, PhD

Health Policy Essentials: The Fundamentals of Private Health Insurance
Fundamentals Briefing — February 25, 2011
Author: Kathryn Linehan

Self-Insurance and the Potential Effects of Health Reform on the Small-Group Market
Issue Brief No. 840 — December 21, 2010
Author: Kathryn Linehan

The Cost of Hospital Care
Forum Session — October 8, 2010
Author: Laura A. Dummit

Focus on Reform: Employer-Sponsored Insurance
Forum Session — September 17, 2010
Author: Kathryn Linehan

Keeping Health Insurance After a Job Loss: COBRA Continuation Coverage and Subsidies
Issue Brief No. 837 — June 24, 2010
Author: Kathryn Linehan

Health Care Cost Drivers in Massachusetts: Lessons for Federal Policymakers
Forum Session — June 21, 2010
Author: Mary Ellen Stahlman

Heath Care Spending: Why Is Miami an Outlier?
Site Visit — June 2–4, 2010
Authors: Laura A. Dummit & Mary Ellen Stahlman

Focus on Reform: Private Health Insurance Provisions
Forum Session — May 14, 2010
Author: Kathryn Linehan

Health Care Provider Consolidation and Reform
Forum Session — November 13, 2009
Author: Laura A. Dummit

Encouraging Cost-Reducing Innovations in Health Care: New Technology Apps, New Business Models
Small-Group Session — July 17, 2009
Author: Lisa Sprague, MBA

Proposals to Reform the Individual Health Insurance Market
Forum Session — June 26, 2009
Author: Kathryn Linehan

A Health Insurance Exchange: Prototypes and Design Issues
Issue Brief No. 832 — June 5, 2009
Author: Mark Merlis, Consultant

Underwriting in the Non-Group Health Insurance Market: The Fundamentals
Background Paper No. 69 — June 4, 2009
Author: Kathryn Linehan

Issues in Health Insurance Reform: Federal/State Regulatory Roles, Subsidy Administration
Small-Group Session — May 8, 2009
Author: Sally Coberly, PhD

Issues in Health Insurance Reform: More on Insurance Exchanges
Small-Group Session — April 15, 2009
Author: Sally Coberly, PhD

Issues in Health Insurance Reform: Actuarial Equivalence
Small-Group Session — April 7, 2009
Author: Sally Coberly, PhD

Issues in Health Insurance Reform: Rating in the Small-Group Market, Merging the Individual and Small-Group Markets, and Risk Adjustment
Small-Group Session — March 20, 2009
Author: Sally Coberly, PhD

Issues in Health Insurance Reform: Health Insurance Exchanges
Small-Group Session — March 6, 2009
Author: Sally Coberly, PhD

Issues in Health Insurance Reform: The Nuts and Bolts of Rating Rules in the Individual Insurance Market
Small-Group Session — February 19, 2009
Author: Sally Coberly, PhD

Glossary of Health Insurance Terms
Tools — December 12, 2008
Author:

Issues in Health Insurance Reform: Underwriting, Rating, and Regulation in the Individual Market
Small-Group Session — December 3, 2008
Author: Sally Coberly, PhD

Preview of RAND Health's COMPARE (Comprehensive Assessment of Reform Efforts) Initiative
Small-Group Session — November 21, 2008
Author: Sally Coberly, PhD

Physician Income and Medical Practice Differences Across Specialties: Should Medicare Care?
Small-Group Session — May 2, 2008
Author: Laura A. Dummit

Employer Use of Medicare Private Fee-for-Service Plans as a Retiree Health Benefit
Forum Session — April 11, 2008
Author: Mary Ellen Stahlman

Competition and Collaboration, Chicago-Style
Site Visit — March 16–18, 2008
Authors: Laura A. Dummit & Lisa Sprague, MBA

Insurance 101: The Fundamentals of Private Health Insurance
Fundamentals Briefing — February 21–22, 2008
Author: Sally Coberly, PhD

Shampoo, Sunscreen, and Strep Tests: The Retail Approach to Primary Care
Forum Session — November 9, 2007
Author: Lisa Sprague, MBA

Physician Profiling: Can Medicare Paint an Accurate Picture?
Issue Brief No. 825 — September 10, 2007
Author: Laura A. Dummit

Behavioral Health in the Workplace: How are Employers Managing Mental Health and Disability?
Forum Session — July 20, 2007
Author: Christopher W. Loftis, PhD

What Can Physician Profiling Do for Medicare?
Forum Session — July 13, 2007
Author: Laura A. Dummit

The Fundamentals of Health Savings Accounts and High-Deductible Health Plans
Background Paper — April 23, 2007
Authors: Beth Fuchs, PhD & Lisa Potetz, Consultants

Health Care Price Transparency and Price Competition
Background Paper — March 28, 2007
Author: Mark Merlis, Consultant

Health Care for All in Massachusetts: Implications for a Changing Safety Net
Forum Session — June 20, 2006
Authors: Laura A. Dummit & Lisa Sprague, MBA

“Mental Health: Progress and Pitfalls,” the Health Affairs Special Issue—A Discussion of Trends in Mental Health Services
Forum Session — June 14, 2006
Author: Christopher W. Loftis, PhD

Financing Health Care in Retirement: A Day Late and a Dollar Short?
Forum Session — February 24, 2006
Author: Sally Coberly, PhD

Health Benefits in Retirement: Set for Extinction?
Background Paper — February 8, 2006
Author: Mark Merlis, Consultant

Containing Health Care Costs for Active Employees: What's New in Health Plan Design?
Forum Session — July 28, 2005
Authors: Lisa Sprague, MBA & Sally Coberly, PhD

Parity Is in the Eye of the Beholder: Evaluation of Mental Health Parity Under the FEHB Program
Forum Session — July 8, 2005
Author: Eileen Salinsky

Insurance 101: The Fundamentals of Private Health Insurance
Fundamentals Briefing — April 22 and May 6, 2005
Authors: Sally Coberly, PhD & Lisa Sprague, MBA

Health Insurance Coverage for Small Employers
Background Paper — April 19, 2005
Author: Dawn M. Gencarelli

Fundamentals of Underwriting in the Nongroup Health Insurance Market: Access to Coverage and Options for Reform
Background Paper — April 13, 2005
Author: Mark Merlis, Consultant

Health Savings Accounts: The Fundamentals
Background Paper — April 11, 2005
Authors: Beth Fuchs, PhD & Julie A. James, Consultants

Financing Long-Term Care: Will Insurance Make the Difference?
Forum Session — October 22, 2004
Author: Randy A. Desonia

The Promise and the Reality of Long-Term Care Insurance
Background Paper — July 31, 2004
Author: Randy A. Desonia

Consumer Cost Sharing in Private Health Insurance: On the Threshold of Change
Issue Brief No. 798 — May 14, 2004
Author: Veronica V. Goff, Consultant

Implementing the Health Coverage Tax Credit Program: Model for the Future?
Forum Session — May 7, 2004
Author: Sally Coberly, PhD

The Medicare Prescription Drug Proposals and Health Insurance Risk
Forum Session — September 25, 2003
Author: Dawn M. Gencarelli

The Medicare Prescription Drug Proposals and Health Insurance Risk
Issue Brief No. 793 — September 4, 2003
Author: Dawn M. Gencarelli

Depression in Primary Care: Making Good Care Good Business
Forum Session — June 6, 2003
Author: Veronica V. Goff, Consultant

Depression: A Decade of Progress, More to Do
Issue Brief No. 786 — November 22, 2002
Author: Veronica V. Goff, Consultant

Waiting for the Next Vision: Purchasing Health Care in Uncertain Times
Small-Group Session — October 11, 2002
Authors: Lisa Sprague, MBA & Sally Coberly, PhD

Medigap: Prevalence, Premiums, and Opportunities for Reform
Forum Session — October 2, 2002
Author: Nora Super

Medigap: Prevalence, Premiums, and Opportunities for Reform
Issue Brief No. 782 — September 9, 2002
Author: Nora Super

Expanding Health Coverage for the Uninsured: Fundamentals of the Tax Credit Option
Background Paper — August 28, 2002
Authors: Beth Fuchs, PhD, Mark Merlis & Julie James, Consultants

Pharmacy Benefits: New Concepts in Plan Design
Forum Session — April 26, 2002
Authors: Veronica V. Goff, Consultant & Sally Coberly, PhD

Pharmacy Benefits: New Concepts in Plan Design
Issue Brief No. 772 — March 8, 2002
Author: Veronica V. Goff, Consultant

Meeting Employees' Information Needs in an Evolving Health Care Marketplace
Background Paper — November 2001
Author: Lise Rybowski, Consultant

Pharmacy Benefit Managers: A Model for Medicare?
Issue Brief No. 765 — July 9, 2001
Author: Veronica V. Goff, Consultant

Pharmacy Benefit Managers: A Model for Medicare?
Forum Session — July 9, 2001
Author: Veronica V. Goff, Consultant

Using Arbitration to Resolve Disputes between Individuals and Health Plans: Issues for Federal Policymakers
Forum Session — December 1, 2000
Author: Karl Polzer

Emerging Issues in the Use of Binding Arbitration to Resolve Disputes between Individuals and Health Plans
Background Paper — November 2000
Author: Karl Polzer

ERISA Health Plan Liability: Examining Models for Reform
Forum Session — February 18, 2000
Author: Karl Polzer

ERISA Health Plan Liability: Issues and Options for Reform
Background Paper — January 2000
Author: Karl Polzer

The ABCs of PBMs
Issue Brief No. 749 — October 27, 1999
Author: Robin J. Strongin

The ABCs of PBMs
Forum Session — October 27, 1999
Author: Robin J. Strongin

Mental Health Coverage Parity: Separating Wheat from Chaff
Issue Brief No. 745 — July 20, 1999
Author: Karl Polzer

Mental Health Coverage Parity: Separating Wheat from Chaff
Forum Session — July 20, 1999
Author: Karl Polzer

HIPAA as a Regulatory Model — Part II: Views from Capitol Hill
Forum Session — May 3, 1999
Author: Karl Polzer

HIPAA as a Regulatory Model: Early Experiences and Future Prospects
Issue Brief No. 735 — April 5, 1999
Author: Karl Polzer

HIPAA as a Regulatory Model: Early Experiences and Future Prospects
Forum Session — April 5, 1999
Author: Karl Polzer

Examining the Links between Retirement and Health Insurance: Implications for Medicare Eligibility
Issue Brief No. 733 — March 24, 1999
Author: Nora Super

Retooling Tax Subsidies for Health Coverage: Old Ideas, New Politics
Issue Brief No. 728 — November 12, 1998
Author: Karl Polzer

Retooling Tax Subsidies for Health Coverage: Old Ideas, New Politics
Forum Session — November 12, 1998
Author: Karl Polzer

ERISA Health Plan Denials: Exploring Models for External Review
Issue Brief No. 720 — June 19, 1998
Author: Karl Polzer

ERISA Health Plan Denials: Exploring Models for External Review
Forum Session — June 19, 1998
Author: Karl Polzer

The Federal Employees Health Benefits Program: What Lessons Can It Offer Policymakers?
Issue Brief No. 715 — March 12, 1998
Author: Karl Polzer

The Federal Employees Health Benefits Program: What Lessons Can It Offer Policymakers?
Forum Session — March 12, 1998
Author: Karl Polzer

Preempting State Authority to Regulate Association Plans: Where Might It Take Us?
Forum Session — October 15, 1997
Author: Karl Polzer

Small Group Market Health Insurance Purchasing Cooperatives Revisited
Issue Brief No. 653 — July 28, 1994
Author: Karl Polzer

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