Insurance premiums (41 - 50 of 104 items)
Medicare HMOs: Rapid Enrollment Growth Concentrated in Selected States
HEHS-96-63: Published: Jan 18, 1996. Publicly Released: Feb 20, 1996.
Pursuant to a congressional request, GAO provided information on the: (1) number of Medicare beneficiaries enrolling in health maintenance organizations (HMO); and (2) factors that influence beneficiaries' decisions to enroll in HMO.GAO found that: (1) about 2.8 million Medicare beneficiaries are enrolled in risk-contract HMO and another 2 percent are enrolled in cost-reimbursement HMO; (2) the nu...
Medigap Insurance: Insurers' Compliance with Federal Minimum Loss Ratio Standards, 1988-93
HEHS-95-151: Published: Aug 23, 1995. Publicly Released: Aug 30, 1995.
Pursuant to a congressional request, GAO reviewed benefit payments by Medigap policies between 1988 and 1994, focusing on trends in Medigap insurers' aggregate loss ratio performance.GAO found that: (1) the Medigap market grew from $7.3 billion to $12.1 billion between 1988 and 1993; (2) Medigap insurers' aggregate loss ratios were stable from 1988 to 1991, but these ratios decreased about 10 perc...
Employer-Based Health Plans: Issues, Trends, and Challenges Posed by ERISA
HEHS-95-167: Published: Jul 25, 1995. Publicly Released: Jul 25, 1995.
Pursuant to congressional requests, GAO provided information on the: (1) Employee Retirement Income Security Act's (ERISA) relationship to the current system of employer-based health coverage; (2) implications of the trend toward employer self-funding on the oversight of employees' health care coverage; (3) kinds of state actions preempted by ERISA; and (4) advantages of ERISA preemption to employ...
German Health Reforms: Changes Result in Lower Health Costs in 1993
HEHS-95-27: Published: Dec 16, 1994. Publicly Released: Dec 16, 1994.
GAO reviewed the German health care system, focusing on the: (1) effects of nonnegotiable budgets on health care cost and access to care; and (2) status of some of the structural changes intended to control costs over the longer term.GAO found that: (1) during 1993, the German health care sectors generally succeeded in controlling the growth of health care costs, with outlays per member falling mo...
Health Reform: Purchasing Cooperatives Have an Increasing Role in Providing Access to Insurance
T-HEHS-94-196: Published: Jun 30, 1994. Publicly Released: Jun 30, 1994.
GAO discussed health insurance purchasing cooperatives, focusing on: (1) the operation, authority, and accountability of existing cooperatives; and (2) issues that could make such cooperatives a more important part of the health care environment. GAO noted that: (1) common administrative functions among purchasing cooperatives include enrollment, premium collection, and contracting with health pla...
Access to Health Insurance: Public and Private Employers' Experience With Purchasing Cooperatives
HEHS-94-142: Published: May 31, 1994. Publicly Released: Jun 14, 1994.
Pursuant to a congressional request, GAO reviewed health insurance purchasing cooperatives, focusing on: (1) the various forms of existing cooperatives; and (2) how existing cooperatives' functions, organization, and governance relate to national reform proposals.GAO found that: (1) health insurance purchasing cooperatives are becoming an important component of state health insurance reform; (2) e...
Tax Policy: Health Insurance Tax Credit Participation Rate Was Low
GGD-94-99: Published: May 2, 1994. Publicly Released: Jun 1, 1994.
Pursuant to a congressional request, GAO provided information on the health insurance tax credit, focusing on how the tax credit affected low-income family participation rates.GAO found that: (1) although it could not accurately estimate the size of the eligible population, Census Bureau and Internal Revenue Service (IRS) survey data show that about one-quarter of those individuals eligible actual...
Health Care Alliances: Issues Relating To Geographic Boundaries
HEHS-94-139: Published: Apr 8, 1994. Publicly Released: Apr 8, 1994.
Pursuant to a congressional request, GAO reviewed the provisions of major health bills concerning the configuration of health care alliance boundaries, focusing on the: (1) features and procedures for establishing Metropolitan Statistical Areas (MSA); (2) experiences of two states that have established entities similar to alliances; and (3) potential effects of alliance boundaries on existing heal...
Medigap Loss Ratios, First 2 Years
HEHS-94-131R: Published: Apr 4, 1994. Publicly Released: Apr 4, 1994.
Pursuant to a legislative requirement, GAO reviewed Medigap policies' loss ratios, focusing on the: (1) appropriate loss ratio percentages if the refund and credit provision is extended for the first 2 years a policy is in effect; and (2) National Association of Insurance Commissioners' (NAIC) methodology for calculating refunds or credits. GAO noted that: (1) NAIC uses a cumulative loss ratio met...
Health Care in Hawaii: Implications for National Reform
T-HEHS-94-123: Published: Mar 16, 1994. Publicly Released: Mar 16, 1994.
GAO discussed health care in Hawaii. GAO noted that: (1) Hawaii has the highest rate of health insurance coverage in the nation because of its employer mandate, Medicaid, and its state-sponsored insurance programs; (2) some Hawaiian residents do not have health insurance because the employer mandate exempts several categories of employees and the unemployed and does not require coverage for employ...