Employee medical benefits (51 - 60 of 119 items)
Health Insurance for Children: Declines in Employment-Based Coverage Leave Millions Uninsured; State and Private Programs Offer New Approaches
T-HEHS-97-105: Published: Apr 8, 1997. Publicly Released: Apr 8, 1997.
GAO discussed recent changes in health insurance coverage and the effect of these changes on children, focusing on: (1) recent trends in children's health insurance coverage, particularly in employment-based coverage; (2) the increasing role of Medicaid in insuring children and possible interactions with private insurance; and (3) some small-scale but innovative state and private efforts to provid...
Employment-Based Health Insurance: Costs Increase and Family Coverage Decreases
HEHS-97-35: Published: Feb 24, 1997. Publicly Released: Mar 21, 1997.
Pursuant to a congressional request, GAO provided information on the decline in employment-based health insurance, focusing on: (1) recent trends in employment-based private health insurance, particularly for family coverage; (2) any corresponding changes in the number of adults and children with private insurance coverage as dependents; and (3) the potential effect of these changes, if any, on pu...
Defense Health Care: Dental Contractor Overcame Obstacles, but More Proactive Oversight Needed
HEHS-97-58: Published: Feb 28, 1997. Publicly Released: Feb 28, 1997.
Pursuant to a legislative requirement and a congressional request, GAO reviewed several issues regarding the Department of Defense's (DOD) TRICARE Active Duty Family Member Dental Plan (FMDP), focusing on whether: (1) the contractor's, United Concordia Companies, Inc., fee allowances for participating and nonparticipating dentists are appropriate; (2) Concordia has established an adequate network...
Health Financing and Systems Issue Area--Active Assignments
AA-97-15(1): Published: Jan 2, 1997. Publicly Released: Jan 2, 1997.
GAO provided information on its active assignments in the Health Financing and Systems issue area as of January 2, 1997...
Private Health Insurance: Millions Relying on Individual Market Face Cost and Coverage Trade-Offs
HEHS-97-8: Published: Nov 25, 1996. Publicly Released: Nov 25, 1996.
Pursuant to a congressional request, GAO provided information on the private individual health insurance market, focusing on the: (1) size of the market and characteristics of its participants; (2) structure of the market, including how individuals access the market, the prices, other characteristics of health plans offered, and the number of individual carriers offering plans; and (3) insurance r...
Health Insurance Regulation: Varying State Requirements Affect Cost of Insurance
HEHS-96-161: Published: Aug 19, 1996. Publicly Released: Sep 23, 1996.
Pursuant to a congressional request, GAO provided information on the costs of state health insurance requirements, focusing on: (1) premium taxes on insured health plans; (2) mandated health benefits; (3) financial solvency standards; and (4) state health insurance reforms affecting small employers.GAO found that: (1) state health insurance regulation imposes requirements and costs on third-party...
Medigap Insurance: Alternatives for Medicare Beneficiaries to Avoid Medical Underwriting
HEHS-96-180: Published: Sep 10, 1996. Publicly Released: Sep 10, 1996.
Pursuant to a legislative requirement, GAO reviewed Medigap policies, focusing on: (1) the extent to which Medicare beneficiaries are subject to medical underwriting when they change Medigap policies; and (2) options for modifying federal Medigap requirements to ensure that medical underwriting is not a problem in such cases.GAO found that: (1) 11 of the 25 largest Medigap insurers use medical und...
State Mandated Benefits
HEHS-96-125R: Published: Apr 15, 1996. Publicly Released: Apr 15, 1996.
Pursuant to a congressional request, GAO provided information on state regulation of health plans, particularly mandated health insurance benefit laws. GAO noted that: (1) the number and type of mandated benefits vary by state, but they range from 6 to 39 and average 18 per state; (2) states most frequently mandate the coverage of preventive care and some states mandate coverage of services by non...
Employer Association Health Plans
HEHS-96-59R: Published: Dec 6, 1995. Publicly Released: Dec 6, 1995.
Pursuant to a congressional request, GAO reviewed employer association health care plans and state regulation of these plans. GAO noted that: (1) identifying association health plans is difficult because there is no common industry or statutory definition of them; (2) association health plans and similar purchasing alliances account for about 17 percent of the national small employer insurance mar...
Pharmacy Benefit Managers: Early Results on Ventures With Drug Manufacturers
HEHS-96-45: Published: Nov 9, 1995. Publicly Released: Nov 9, 1995.
Pursuant to a congressional request, GAO reviewed mergers between pharmacy benefit managers (PBM) and pharmaceutical manufacturers, focusing on: (1) PBM role in the health care industry; (2) the mergers' objectives and effect on competition; and (3) the extent to which PBM have given preference to their manufacturer partners' drugs.GAO found that: (1) drug manufacturers have allied with PBM to hel...