메뉴 건너뛰기




Volumn 32, Issue 2, 2013, Pages 418-426

Analysis & commentary: State insurance exchanges face challenges in offering standardized choices alongside innovative value-based insurance

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CONSUMER; HEALTH CARE POLICY; HEALTH INSURANCE; HEALTH SERVICE; HUMAN; STANDARDIZATION; UNITED STATES; VALUE BASED INSURANCE;

EID: 84874781087     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: None     Document Type: Article
Times cited : (8)

References (29)
  • 1
    • 84874759704 scopus 로고    scopus 로고
    • HealthCare.gov. Washington (DC): Department of Health and Human Services; 11 [cited 2013 Jan 15] Jul
    • HealthCare.gov. Affordable insurance exchanges: questions and answers [Internet]. Washington (DC): Department of Health and Human Services; 2011 Jul 11 [cited 2013 Jan 15]. Available from: http://www.healthcare.gov/news/fact sheets/2011/07/exchanges07112011g.html
    • (2011) Affordable insurance exchanges: questions and answers [Internet]
  • 2
    • 84874776114 scopus 로고    scopus 로고
    • Dartmouth Atlas Project. Lebanon (NH): Center for the Evaluative Clinical Sciences; 15 [cited 2012 Sep 23]
    • Dartmouth Atlas Project. Preferencesensitive care [Internet]. Lebanon (NH): Center for the Evaluative Clinical Sciences; 2007 Jan 15 [cited 2012 Sep 23]. Available from: http://www.dartmouthatlas.org/downloads/reports/preference_sensitive.pdf
    • (2007) Preferencesensitive care [Internet]
  • 3
    • 33947310898 scopus 로고    scopus 로고
    • Value-based insurance design
    • DOI: 10.1377/hlthaff.26.2.w195
    • Chernew ME, Rosen AB, Fendrick AM. Value-based insurance design. Health Aff (Millwood). 2007;26(2): w195-203. DOI: 10.1377/hlthaff.26.2.w195.
    • (2007) Health Aff (Millwood) , vol.26 , Issue.2
    • Chernew, M.E.1    Rosen, A.B.2    Fendrick, A.M.3
  • 4
    • 84874785654 scopus 로고    scopus 로고
    • Agency for Healthcare Research and Quality. Rockville (MD): AHRQ; 4 [cited 2012 Sep 17]
    • Agency for Healthcare Research and Quality. Medication adherence interventions: comparative effectiveness [Internet]. Rockville (MD): AHRQ; 2012 Sep 4 [cited 2012 Sep 17]. Available from: http://effectivehealthcare.ahrq.gov/ehc/products/296/1249/Evidence Report208_CQGMedAdherence_ExecutiveSummary_20120904.pdf
    • (2012) Medication adherence interventions: comparative effectiveness [Internet]
  • 5
    • 84874782543 scopus 로고    scopus 로고
    • Center for Value-Based Insurance Design. Ann Arbor (MI): University of Michigan; [cited 2012 Dec 16]
    • Center for Value-Based Insurance Design. V-BID registry [Internet]. Ann Arbor (MI): University of Michigan; [cited 2012 Dec 16]. Available from: http://vbidregistry.org/
    • V-BID registry [Internet]
  • 6
    • 84874764693 scopus 로고    scopus 로고
    • Public Employees' Benefit Board. Salem (OR): State of Oregon; [cited 2012 Sep 28]
    • Public Employees' Benefit Board. Summary plan description for 2012 [Internet]. Salem (OR): State of Oregon; [cited 2012 Sep 28]. Available from: http://www.oregon.gov/DAS/PEBB/docs/spd/spdfull.pdf
    • Summary plan description for 2012 [Internet]
  • 7
    • 84874774625 scopus 로고    scopus 로고
    • Engaged Public. Ann Arbor (MI): University of Michigan; [cited 2012 Sep 8]
    • Engaged Public. Engaged benefit design: adding value to insurance [Internet]. Ann Arbor (MI): University of Michigan; 2011 Dec [cited 2012 Sep 8]. Available from: http://vbidregistry.org/sites/default/files/documents/IBD%20 Tool%20Draft%20In%20EP %20Template.pdf
    • (2011) Engaged benefit design: adding value to insurance [Internet]
  • 8
    • 84871770483 scopus 로고    scopus 로고
    • Introducing decision aids at Group Health was linked to sharply lower hip and knee surgery rates and costs
    • Arterburn D, Wellman R, Westbrook E, Rutter C, Ross T, McCulloch D, et al. Introducing decision aids at Group Health was linked to sharply lower hip and knee surgery rates and costs. Health Aff (Millwood). 2012; 31(9):2094-104.
    • (2012) Health Aff (Millwood) , vol.31 , Issue.9 , pp. 2094-2104
    • Arterburn, D.1    Wellman, R.2    Westbrook, E.3    Rutter, C.4    Ross, T.5    McCulloch, D.6
  • 9
    • 84874784879 scopus 로고    scopus 로고
    • (Aetna Inc., Hartford, CT). Washington (DC): Institute of Medicine; [cited 2012 Nov 13]
    • Carrara L (Aetna Inc., Hartford, CT). Tiered provider networks: impact on value-based benefit design [Internet]. Washington (DC): Institute of Medicine; 2009 Jul [cited 2012 Nov 13]. Available from: http://www.iom.edu/~/media/Files/Activity%20Files/Quality/VSRT/22-Tiered%20Provider %20Networks%20Impact%20on %20Value-Based%20Benefit %20Design.pdf
    • (2009) Tiered provider networks: impact on value-based benefit design [Internet]
    • Carrara, L.1
  • 10
    • 84874788925 scopus 로고    scopus 로고
    • Tufts Health Plan. Boston (MA): Tufts Health Plan; [cited 2012 Nov 13]
    • Tufts Health Plan. Your Choice [Internet]. Boston (MA): Tufts Health Plan; [cited 2012 Nov 13]. Available from: http://www.tuftshealthplan.com/providers/pdf/Your_Choice_Plan_Option.pdf
    • Your Choice [Internet]
  • 11
    • 84874772190 scopus 로고    scopus 로고
    • Consumers Union. Yonkers (NY): Consumers Union; [cited 2013 Jan 15]. (Health Policy Brief)
    • Consumers Union. What's behind the door: consumers' difficulties selecting health plans [Internet]. Yonkers (NY): Consumers Union; 2012 Jan [cited 2013 Jan 15]. (Health Policy Brief). Available from: http://www.consumersunion.org/pub/pdf/Consumer%20Difficulties %20Selecting%20Health%20Plans %20Jan%202012.pdf
    • (2012) What's behind the door: consumers' difficulties selecting health plans [Internet]
  • 13
    • 84871979772 scopus 로고    scopus 로고
    • The vast majority of Medicare Part D beneficiaries still don't choose the cheapest plans that meet their medication needs
    • See, for example, Zhou C, Zhang Y. The vast majority of Medicare Part D beneficiaries still don't choose the cheapest plans that meet their medication needs. Health Aff (Millwood). 2012;31(10):2259-65.
    • (2012) Health Aff (Millwood) , vol.31 , Issue.10 , pp. 2259-2265
    • Zhou, C.1    Zhang, Y.2
  • 15
    • 77955116837 scopus 로고    scopus 로고
    • Interim final rules for group health plans and health insurance issuers relating to coverage of preventive services under the Patient Protection and Affordable Care Act
    • Departments of the Treasury, Labor, and Health and Human Services, [cited 2012 Dec 28]
    • Departments of the Treasury, Labor, and Health and Human Services. Interim final rules for group health plans and health insurance issuers relating to coverage of preventive services under the Patient Protection and Affordable Care Act. Fed Regist [serial on the Internet]. 2010; 75(137):41729 [cited 2012 Dec 28]. Available from: http://www.gpo.gov/fdsys/pkg/FR-2010-07-19/pdf/2010-17242.pdf
    • (2010) Fed Regist [serial on the Internet] , vol.75 , Issue.137 , pp. 41729
  • 16
    • 84874785562 scopus 로고    scopus 로고
    • Proposed rule on Patient Protection and Affordable Care Act; standards related to essential health benefits, actuarial value, and accreditation
    • Department of Health and Human Services, 70670 [cited 2013 Jan 21]
    • Department of Health and Human Services. Proposed rule on Patient Protection and Affordable Care Act; standards related to essential health benefits, actuarial value, and accreditation. Fed Regist [serial on the Internet]. 2012;77(227):70644, 70670 [cited 2013 Jan 21]. Available from: http://www.gpo.gov/fdsys/pkg/FR-2012-11-26/pdf/2012-28333.pdf
    • (2012) Fed Regist [serial on the Internet] , vol.77 , Issue.227 , pp. 70644
  • 17
    • 84874770961 scopus 로고    scopus 로고
    • Center for Consumer Information and Insurance Oversight. Bethesda (MD): CCIIO; [cited 2012 Sep 19]
    • Center for Consumer Information and Insurance Oversight. Summary of benefits and coverage and uniform glossary [Internet]. Bethesda (MD): CCIIO; [cited 2012 Sep 19]. Available from: http://cciio.cms.gov/programs/consumer/summaryandglossary/index.html
    • Summary of benefits and coverage and uniform glossary [Internet]
  • 18
    • 84874779860 scopus 로고    scopus 로고
    • Guidance for compliance and notice of availability of templates, instructions, and related materials on summary of benefits and coverage and uniform glossary
    • Departments of the Treasury, Labor, Health and Human Services, 8708 [cited 2013 Jan 21]
    • Departments of the Treasury, Labor, Health and Human Services. Guidance for compliance and notice of availability of templates, instructions, and related materials on summary of benefits and coverage and uniform glossary. Fed Regist [serial on the Internet]. 2012; 77(30):8706, 8708 [cited 2013 Jan 21]. Available from: http://www.gpo.gov/fdsys/pkg/FR-2012-02-14/pdf/2012-3230.pdf#page=1
    • (2012) Fed Regist [serial on the Internet] , vol.77 , Issue.30 , pp. 8706
  • 19
    • 84874760899 scopus 로고    scopus 로고
    • Leavitt Partners (Salt Lake City, UT). Jackson (MS): Leavitt Partners; 27 [cited 2012 Nov 12]
    • Leavitt Partners (Salt Lake City, UT). Preparing for the Mississippi health benefit exchange: final report [Internet]. Jackson (MS): Leavitt Partners; 2011 Sep 27 [cited 2012 Nov 12]. Available from: http://www.mid.ms.gov/pdf/Health_Benefit_Exchange_Final_Report.pdf
    • (2011) Preparing for the Mississippi health benefit exchange: final report [Internet]
  • 20
    • 32744462141 scopus 로고    scopus 로고
    • How much choice is too much? Contributions to 401(k) retirement plans
    • Mitchell OS, Utkus S, editors. New York (NY): Oxford University Press
    • Seth-Iyengar S, Huberman G, Jiang W. How much choice is too much? Contributions to 401(k) retirement plans. In: Mitchell OS, Utkus S, editors. Pension design and structure: new lessons from behavioral finance. New York (NY): Oxford University Press; 2004. p. 83-95.
    • (2004) Pension design and structure: new lessons from behavioral finance , pp. 83-95
    • Seth-Iyengar, S.1    Huberman, G.2    Jiang, W.3
  • 21
    • 84988957607 scopus 로고    scopus 로고
    • Blue Cross Blue Shield Foundation of Massachusetts. Boston (MA): BCBS Foundation of Massachusetts; [cited 2012 Sep 14]
    • Blue Cross Blue Shield Foundation of Massachusetts. Determining health benefit designs to be offered on a state health insurance exchange [Internet]. Boston (MA): BCBS Foundation of Massachusetts; 2011 Nov [cited 2012 Sep 14]. Available from: http://bluecrossmafoundation.org/sites/default/files/Lessons %20for%20National%20Reform %20from%20the%20 Massachusetts%20Experience %20Benefit%20Designs %20Toolkit%20v2.pdf
    • (2011) Determining health benefit designs to be offered on a state health insurance exchange [Internet]
  • 22
    • 84874760276 scopus 로고    scopus 로고
    • Boston (MA): Massachusetts Health Connector;; 2012 Nov 8 [cited 2012 Nov 12]
    • Yang J, Kenney K, Kean K. 2014 Seal of Approval introduction (II): product strategy and employee choice [Internet]. Boston (MA): Massachusetts Health Connector; 2012 Nov 8 [cited 2012 Nov 12]. Available from: https://www.mahealthconnector.org/portal/binary/com.epicentric.content management.servlet.Content DeliveryServlet/About%2520Us/Publications%2520and %2520Reports/2012/2012-11-08/ProductandEmployeeChoice Presentation.pdf
    • (2014) Seal of Approval introduction (II): product strategy and employee choice [Internet]
    • Yang, J.1    Kenney, K.2    Kean, K.3
  • 23
    • 84874782782 scopus 로고    scopus 로고
    • Oregon Department of Consumer and Business Services, Insurance Division. Salem (OR): State of Oregon; [cited 2012 Sep 25]
    • Oregon Department of Consumer and Business Services, Insurance Division. Rulemaking summary for external advisory committee [Internet]. Salem (OR): State of Oregon; [cited 2012 Sep 25]. Available from: http://insurance.oregon.gov/rules/sb91/Rulemakingsummary.pdf
    • Rulemaking summary for external advisory committee [Internet]
  • 24
    • 84874781394 scopus 로고    scopus 로고
    • Cover Oregon. Salem (OR): Cover Oregon; 30 [cited 2012 Dec 16]
    • Cover Oregon. Oregon Health Insurance Exchange: request for application [Internet]. Salem (OR): Cover Oregon; 2012 Nov 30 [cited 2012 Dec 16]. Available from: http://coveroregon.com/pdfs/carrier_RFA/Cover_Oregon_Application.pdf
    • (2012) Oregon Health Insurance Exchange: request for application [Internet]
  • 25
    • 84874762274 scopus 로고    scopus 로고
    • Q&A: Oregon HIX wants to reform delivery system, bring accountability
    • 2012 Dec 7 [cited 2013 Jan 8]
    • Brino A. Q&A: Oregon HIX wants to reform delivery system, bring accountability. Healthcare Payer News [serial on the Internet]. 2012 Dec 7 [cited 2013 Jan 8]. Available from: http://www.healthcarepayernews.com/content/qa-oregon-hix-wantsreform-delivery-system-bringaccountability
    • Healthcare Payer News [serial on the Internet]
    • Brino, A.1
  • 26
    • 84874763264 scopus 로고    scopus 로고
    • California Health Benefit Exchange. Sacramento (CA): State of California; 23 [cited 2012 Sep 23]
    • California Health Benefit Exchange. Summary of changes to the qualified health plan recommendations for California Health Benefit Exchange [Internet]. Sacramento (CA): State of California; 2012 Aug 23 [cited 2012 Sep 23]. Available from: http://www.healthexchange.ca.gov/BoardMeetings/Documents/August_23_2012/IX_SummaryofQHPPoliciesandStrategies_8-23-12.pdf
    • (2012) Summary of changes to the qualified health plan recommendations for California Health Benefit Exchange [Internet]
  • 28
    • 84874767782 scopus 로고    scopus 로고
    • Department of Health Access. Williston (VT): State of Vermont; [cited 2012 Nov 14]
    • Department of Health Access. Vermont Health Benefit Exchange plan design recommendations [Internet].Williston (VT): State of Vermont; [cited 2012 Nov 14]. Available from: http://gmcboard.vermont.gov/sites/gmcboard/files/HB_ExcPlanDesign_Overview082112.pdf
    • Vermont Health Benefit Exchange plan design recommendations [Internet]
  • 29
    • 84874779641 scopus 로고    scopus 로고
    • Rhode Island Healthcare Reform Commission. Washington (DC): State Coverage Initiatives;[cited 2012 Sep 25]. (Issue Brief No. 2)
    • Rhode Island Healthcare Reform Commission. Should the exchange offer manageable and meaningful choices of health plans? [Internet]. Washington (DC): State Coverage Initiatives; 2011 Aug [cited 2012 Sep 25]. (Issue Brief No. 2). Available from: http://www.statecoverage.org/files/RI_issue_brief_no._2_-_standardizing_health_plans.pdf
    • (2011) Should the exchange offer manageable and meaningful choices of health plans? [Internet]


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.