Effects of Generic-Only Drug Coverage in a Medicare HMO
Jennifer Christian-Herman, Matthew Emons
This Health Affairs article by Christian-Herman et al. concluded that generic-drug-only benefits in Medicare HMOs, in effect for 1.2 million Medicare beneficiaries in 2002, lead to higher out-of-pocket costs; decreased drug use; and increased hospitalizations.
Setting Priorities in Medical Care Through Benefit Design and Medical Management
CHCF and Health Affairs held a roundtable discussion with leaders from insurance, clinical, purchaser, consumer, and regulatory entities. Five articles by Robinson et al., Garber, Villagra, Ginsburg, and Yegian provide original research and commentary on benefit design and medical management in health insurance.
Emergency Department Capacity and Access in California, 1990-2001: An Economic Analysis
Glenn Melnick, Amar Nawathe, Anil Bamezai
This Health Affairs study by Melnick et al. found that patient access and capacity are keeping pace with demand at emergency departments in California. The study also said that emergency rooms are not a financial drain, but rather contribute to hospitals' profitability. Also four commentaries by Fields, Siegel, Kellermann, and Dauner.
Workers’ Perspectives on Mandated Employer Health Insurance
Claudia Schur, Marc Berk
This Health Affairs article by Schur et al. reports on an opinion poll that found overwhelming support for some form of employer-sponsored health coverage mandate in both California and in the nation.
How Different Is California? A Comparison of US Physician Organizations
Robin Gillies, James Robinson
This Health Affairs article by Gillies et al. discusses findings that show California's medical groups are more inclined to use care management processes to improve quality than physician organizations in other states.
Trends and Variability in Individual Insurance Products in California
Melinda Beeuwkes Buntin, José Escarce, Kanika Kapur
This Health Affairs article by Buntin et al. finds that despite changes in insurance products available between 1997 and 2002, the actuarial value of coverage has remained nearly constant.
Assessing the Impact of State Tax Credits for Health Insurance Coverage
Karl Polzer, Jonathan Gruber
Tax credits may help stimulate the purchase of health insurance and reduce the number of uninsured Californians. This analysis examines the impact of tax credits that would encourage individuals, employers, and employees to buy health coverage.