Private Health Insurance

Topic Outline

  • Determinants of Coverage
    • Demographic characteristics
    • Socioeconomic characteristics
    • Employment characteristics
    • Health status
  • Managed Care
    • Staff Model HMOs
    • Independent Practice Associations (IPAs)
    • Preferred Provider Organizations
  • Group Coverage
    • Employer-based Coverage
    • ERISA plans
    • Medium-size groups
    • Small group market

Links

  • National Health Insurer Report Card (American Medical Association). Since 2007, the AMA has published an annual report card of the claims revenue cycle activities of the major commercial health insurers and Medicare. The NHIRC provides metrics on the timeliness, transparency and accuracy of claims processing of these payers in an effort to educate physicians and the public, and to reveal opportunities for improvement. The findings from the 2012 National Health Insurer Report Card are based on a random sampling of approximately 1.1 million electronic claims for approximately 1.9 million medical services submitted in February and March of 2012 to Aetna, Anthem Blue Cross Blue Shield, Cigna, Health Care Service Corporation, Humana, Regence, UnitedHealthcare and Medicare.
Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s


%d bloggers like this: