Health Insurance

Contract #100-96-0011 Delivery Order No. 2 Final Report Submitted To:The Office of the Assistant Secretary for Planning and Evaluation Office of Health Policy U.S. Department of Health and Human Services

by Kimball Lewis, Marilyn Ellwood, and John L. Czajka Mathematica Policy Research Inc. for the Office of Health Policy Office of the Assistant Secretary for Planning and Evaluation U.S. Department of Health and Human Services  

EXAMINING SUBSTITUTION: STATE STRATEGIES TO LIMIT CROWD OUT IN THE ERA OF CHILDREN’S HEALTH INSURANCE EXECUTIVE SUMMARY

PrefaceThis chartbook examines demographic and other characteristics of insured and uninsured children in the U.S. It is based on data from the March 1997 Current Population Survey (CPS) and reflects children’s insurance status during calendar year 1996. For the purposes of this chartbook, the term “children” applies to all U.S. citizens and non-citizen residents under age 18.

U.S. Department of Health and Human Services

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This report describes the experience of selected state governments in regulating provider-owned health care delivery systems that accept insurance risk for the provision or arrangement of health care services. We refer to these entities as Provider-Sponsored Organizations (PSOs).

This is a limited analytic study of the role of reinsurance (and similar coverages) in three insurance markets: primary health insurance coverage offered by indemnity insurance companies; health insurance coverage offered by health maintenance organizations; and health benefits coverage offered by employer-sponsored self-insured plans.