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The Center for Policy & Research

Low-Income & Minority Beneficiaries in Medicare Advantage Plans, 2011

New data from the Medicare Current Beneficiary Survey (MCBS) show that Medicare Advantage plans, Medicare’s private comprehensive health plans, continue to be a vital source of coverage for low-income and minority beneficiaries in 2011.
 

Innovations in Medicaid Managed Care: Highlights of Health Plans’ Programs to Improve the Health and Well-Being of Medicaid Beneficiaries

In this report—an update to AHIP’s 2005 Innovations in Medicaid Managed Care book—we provide details about 17 health plan initiatives dedicated to improving the health and well-being of Medicaid beneficiaries.

Low-income & Rural Beneficiaries with Medigap Coverage, 2011

Medigap supplemental coverage has long helped Medicare beneficiaries fill gaps in their benefits. Recently released data from the 2011 Medicare Current Beneficiary Survey

Survey of Charges Billed by Out-of-Network Providers: A Hidden Threat to Affordability

To make health care coverage more affordable, the nation must address the soaring cost of medical care that continues to rise at an unsustainable rate. Research shows that higher health care spending is a result of higher health care prices.

Health Plans’ Estimated Costs of Compliance with Expanded Federal Rate Review and with Data Collection for Risk Adjustment and Reinsurance

In December 2012, AHIP conducted two surveys of member health plans regarding new regulatory guidelines released by the Department of Health & Human Services (HHS) for implementation of the Affordable Care Act. Plans were asked to submit responses to surveys concerning: 1) the proposed expansion of the federal rate review and data submission process, and 2) the proposed risk adjustment and reinsurance data collection process.

Medicare Advantage Chronic Special Needs Plan Boosted Primary Care, Reduced Hospital Use Among Diabetes Patients

AHIP’s Center for Policy and Research conducts and publishes original research and provides analysis and commentary on the research of others. It seeks to demonstrate the value proposition of private health insurance plans, and educate the policy community and news media about key products and market segments that are of interest to policymakers.

Health Savings Accounts and Account-Based Health Plans: An Overview of Research

This brief report highlights research and statistics on the market for account-based health plans.

Innovations Report Series

In the last several years, AHIP has produced a series of reports highlighting health plans’ innovative programs and tools to drive improvements in patient care.

Studies on Hospital Readmissions, Featuring Health Plan Innovations and Comparisons of Medicare Advantage (MA) and Medicare’s Traditional FFS Program

Studies on Hospital Readmissions, Featuring Health Plan Innovations and Comparisons of Medicare Advantage (MA) and Medicare’s Traditional FFS Program.

Virtual Seminar Series

The Affordable Care Act identified the goal of reducing preventable hospital readmissions as an important national priority. Health insurance plans have been addressing the root causes of readmissions for many years, through patient-centered programs.

The Value of Provider Networks And the Role of Out-of-Network Charges In Rising Health Care Costs

This report provides a snapshot, state-by-state, of exorbitant charges billed by out-of-network physicians in the 30 largest states by population.