Private Markets

Regulatory Issues

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

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

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

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

Hospital Community Health Needs Assessment: An Analytic Approach to Community Benefits
Forum Session — June 28, 2013
Author: Eileen Salinsky, Consultant

Can I Get a Break? Hospital Financial Assistance, Billing, and Debt Collection
Forum Session — April 26, 2013
Author: Eileen Salinsky, Consultant

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

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

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

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

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

Rocky Mountain Highs and Lows: Efforts to Improve Health and Reduce Costs in Denver
Site Visit — May 31–June 2, 2011
Authors: Michele J. Orza, ScD & Jessamy Taylor, MPP

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

Tapping the Potential of the Health Care Workforce: Scope-of-Practice and Payment Policies for Advanced Practice Nurses and Physician Assistants
Background Paper No. 76 — July 6, 2010
Author: Robert Cunningham, Consultant

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

Not Your Father's Drug Approval Process: FDAAA and the Evolving Pharmaceutical Marketplace
Forum Session — March 12, 2010
Author: Michele J. Orza, ScD

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

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

Show Me the Money: The Implications of Schedule H
Issue Brief No. 831 — April 21, 2009
Author: Eileen Salinsky, Consultant

Schedule H: New Community Benefit Reporting Requirements for Hospitals
Background Paper No. 67 — April 21, 2009
Author: Eileen Salinsky, Consultant

Issues in Health Insurance Reform: More on Insurance Exchanges
Small-Group Session — April 15, 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

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

What Have You Done for Me Lately? Assessing Hospital Community Benefit
Issue Brief No. 821 — April 19, 2007
Author: Eileen Salinsky

Specialty Hospitals: Can General Hospitals Compete?
Issue Brief No. 804 — July 13, 2005
Author: Laura A. Dummit

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

U.S. Childhood Vaccine Availability: Legal, Regulatory, and Economic Complexities
Issue Brief No. 785 — November 15, 2002
Author: Robin J. Strongin, 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

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

Protecting the Confidentiality of Health Information
Issue Brief No. 724 — September 18, 1998
Author: Nora Super

Protecting the Confidentiality of Health Information
Forum Session — September 18, 1998
Author: Nora Super

Protecting the Confidentiality of Health Information
Background Paper — July 1998
Author: Lise Rybowski, Consultant

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

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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