Product Details: Employment and Health Benefits
| Author: | Institute of Medicine, Committee on Employment- Based Health Benefits Staff, Institute of Medicine, Committee to Review the Health Effects in Vietnam Veterans of Exposure to Herbicides Staff, Institute of Medicine, Committee On Empl Institute Of Medicine |
| Editor: | Harold T Shapiro |
| Edited by: | Marilyn J. Field |
| Format: | Hardcover |
| Publisher: | Natl Academy Pr (04/01/1993) |
| ISBN: | 0309048273 |
| ISBN13: | 9780309048279 |
| Reading Level: |
Publisher Notes: Employment and Health Benefits
Summary 1 1 Background and Introduction 25 Employment-Based Health Benefits in Context 27 2 Origins and Evolution of Employment-Based Health Benefits 49 The Birth of Insurance for Medical Care Expenses 51 The Divergent Path of the United States 57 Early Cost Management Efforts by Insurers and Others 73 The Limits of Voluntary Health Benefits and Medicare and Medicaid 77 Federal Regulation and the Employer's Growing Role 82 3 Employment-Based Health Benefits Today 87 Data Sources 88 Who Is and Is Not Covered by Employment-Based Health Benefits? 89 What Types of Coverage Are Offered? 98 What Do Employment-Based Health Benefits Cost? 106 Who Bears the Risk? 111 What Other Health-Related Benefits Do Employers Offer? 114 4 What Does Employer Management of Health Benefits Involve? Overview and Case Study 121 Core Case Study 128 Contrasting Cases 142 Consequences for Employees 145 Consequences for Practitioners and Providers 149 A Note on Employers' Legal Liability for Managed Care 152 5 Risk Selection, Risk Sharing, and Policy 167 Factors Contributing to Risk Selection 170 Evidence of Risk Selection 177 Policy Questions 179 Strategies for Responding to Risk Selection and Risk Segmentation 187 6 Health Care Costs: More Questions Than Answers 202 Health Care Spending: Trends and Explanations 204 Public and Private Responses to Escalating Health Care Costs 206 Functioning of the Health Care Market 220 The Question of Value 223 7 Findings and Recommendations 229 Recapitulation 231 Features, Strengths, and Limitations of the Current System 234 Future Directions 242 A Few Comments on Practical and Technical Challenges 254 Agenda for Research and Evaluation 256 Final Thoughts 260 Supplementary Statement of a Committee Member 261 References 262 App. A Opinion Surveys on Employment-Based Health Benefits and Related Issues 287 App. B Regulation of Employment-Based Health Benefits: The Intersection of State and Federal Law 293 App. C Participants in Meetings Held in Conjunction with Project 323 App. D Biographies of Committee Members 328 Glossary and Acronyms 334 Index 347
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