Insurance premiums (31 - 40 of 104 items)
Private Health Insurance: Continued Erosion of Coverage Linked to Cost Pressures
HEHS-97-122: Published: Jul 24, 1997. Publicly Released: Jul 24, 1997.
Pursuant to a congressional request, GAO reviewed major trends in the private health insurance market, during the 1980s and 1990s, focusing on: (1) the decline in private health insurance coverage and factors contributing to this decline; (2) trends in health insurance premiums and reasons for these trends; and (3) employer's efforts to control health benefits costs.GAO noted that: (1) private hea...
Medicare HMOs: Setting Payment Rates Through Competitive Bidding
HEHS-97-154R: Published: Jun 12, 1997. Publicly Released: Jun 12, 1997.
GAO reviewed the Health Care Financing Administration's (HCFA) proposed use of competitive bidding as an alternative method for setting Medicare health maintenance organization (HMO) payment rates, focusing on: (1) the potential advantages of competitive bidding in the Medicare HMO program; (2) the main features of HCFA's planned competitive bidding demonstration in Denver; and (3) HMO's key objec...
Medicare Managed Care: HMO Rates, Other Factors Create Uneven Availability of Benefits
T-HEHS-97-133: Published: May 19, 1997. Publicly Released: May 19, 1997.
GAO discussed aspects of Medicare managed care, including greater choice and equity across the program, focusing on: (1) the link between counties' capitation rates and Medicare's spending on fee-for-service care; (2) factors affecting the availability of plans in a given area, the level of premiums charged, and the benefit packages offered; and (3) modifications to Medicare's current payment meth...
Health Insurance: Management Strategies Used by Large Employers to Control Costs
HEHS-97-71: Published: May 6, 1997. Publicly Released: May 14, 1997.
Pursuant to a congressional request, GAO reviewed the strategies of large, innovative purchasers who have attempted to stem the rapid escalation in health insurance costs while maintaining or enhancing the quality of care for their employees.GAO noted that: (1) several dominant themes emerged from GAO's examination of 25 large purchasers' health benefit purchasing strategies: (a) emphasis on the d...
Medicare HMO Enrollment: Area Differences Affected by Factors Other Than Payment Rates
HEHS-97-37: Published: May 2, 1997. Publicly Released: May 2, 1997.
Pursuant to a congressional request, GAO reviewed the factors affecting Medicare risk health maintenance organization (HMO) enrollment, focusing on: (1) the patterns in HMO enrollment and Medicare payment rates; (2) selected geographical areas with higher enrollment, lower payment rates and areas with lower enrollment, higher payment rates; and (3) how the presence or absence of certain factors co...
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...
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...
Blue Cross and Blue Shield: Change in Pharmacy Benefits Affects Federal Enrollees
T-HEHS-96-206: Published: Sep 5, 1996. Publicly Released: Sep 5, 1996.
GAO discussed the Blue Cross and Blue Shield Association's change in prescription drug benefits covered under its federal employee health plan. GAO noted that: (1) the Association's payments for prescription drugs increased about 21 percent between 1988 and 1995; (2) to manage costs, the Association contracted with two pharmacy benefit managers (PBM) to provide retail prescription and mail order d...
Health Financing and Systems Issue Area: Active Assignments
AA-96-15(4): Published: Sep 3, 1996. Publicly Released: Sep 3, 1996.
GAO provided information on its active assignments in the Health Financing and Systems issue area as of September 3, 1996...
AARP Medigap Premium Increases, 1996
HEHS-96-119R: Published: Apr 19, 1996. Publicly Released: Apr 19, 1996.
Pursuant to a congressional request, GAO examined why Medigap premiums offered through the American Association of Retired Persons (AARP) were increasing. GAO noted that: (1) premiums for more than 3 million AARP Medigap policyholders increased an average of 26 percent; (2) the increases varied by state and ranged between 0 to 40 percent for both standardized and prestandardized policies; (3) in 1...