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Budget (Item)
  • levels of uncertainty in estimating future costs (see page 3 and Appendix A). A question behind the question of "How much how fast?" is "What is the capacity of the health insurance/health plan industry to adapt to the new market and contain insurance
  • —that our economic Latin America will quickly erode. future depends increasingly on finding new markets for competitive U.S. suppliers. Since The Administration needs to embrace 1986, U.S. exports to Mexico have more than NAFTA fully as part of its economic
  • price controls, rejected the ability of the Medicare program to use a formulary, phased out the Medicaid prescription drug rebate program, provided a huge new market by requiring that every American have drug coverage, created new incentives
  • A). A question behind the question of "How much how fast?" is "What is the capacity of the health insurance/health plan industry to adapt to the new market and contain insurance premium increases?" A key determinant will be whether health plans can estimate
  • offersfreecradle-to-grave medical care to all Britons, andfinancesit through general taxation. Each person enrolls with a general practitioner, who determines when to send the patient to a specialist A new market of private hospitals and commercial insurers has
Workforce [1] (Item)
  • adoption of revised (technologically neutral) RBRVS by other payors. d. Provide accurate information about the enhanced opportunities for generalists under the new market conditions of managed competition. e. Expand National Health Service Corps
  • s by entering new markets with new exports; that we can r e t r a i n and re-employ those who lose their jobs for any reason i n the years ahead; and that we w i l l ultimately make both countries — both countries — more prosperous and secure. 2
  • U.S. markets Decreased product/service line Opened new stores or branches within current markets Decreased productivity Expanded into new markets abroad Closed stores or branches 10 SURVEY RESULTS OF SMALL AND MIDDLE MARKET BUSINESSES 15 20 Percent
  • , g e n e r a l l y , l e t anyone buy i n s u r a n c e a t any t i m e . They s t i l l impose p r e - e x i s t i n g c o n d i t i o n s on new market e n t r a n t s , r e d u c i n g t h e r e a d i n e s s o f people t o drop o u t and j u s t
  • : • I t i s g o i n g t o be v e r y d i f f i c u l t t o s e t t h e base f o r t h e budget. With new b e n e f i t s packages, new p o p u l a t i o n s covered by t h e system, and new market s t r u c t u r e s , t h e r e are no data a v a i l a b
  • of these alternatives was originally conceived, designed, or regulated to care specifically for dementia patients. In an ajttempt to respond to this new market, some SNF's have segregated AD patients into "special care units." It is often difficult to know what
  • rules would also apply to c a r r i e r s that have agreements to exit the market as of 1/1/94. Supplemental Market A. New market 1. Continuous open enrollment requirement i n the Subcommittee b i l l would be replaced by an annual 30-day open
  • managed competition work. There i s reason to think that introducing thesi new market incentives will lower the rate of growth of health Care costs. The most effective means of oost control known to economists is to let producers compete and consumers
  • SUMMARY I. GUARANTEED COMPREHENSIVE BENEFITS III. n . . ^ UNIVERSAL COVERAGE B. / THE NEW MARKET FOR HEALTH CARE FEDERAL RESPONSIBILITIES STATE RESPONSIBILITIES HEALTH ALLIANCES CORPORATE ALLIANCES COMPETING HEALTH PLANS IV. FINANCING
  • of overdesigned and undernecessary medical gadgets. EIectron i cs and mechanics geniuses are a1I too eager to translate inspirations of MDs and medical PhDs into new marketable, indispensable tools. Journalists help to keep medical cash registers ringing with free
  • contributing to number of uninsured Delay in obtaining health care by the uninsured is costing the system more Source: Kirchner, R. 'New Markets for Health Insurance,' American Demographics; December 1990. BCBS, 1990 ^roject W April 25, 1991 Federal Funding
  • to predict exactly where t h i s w i l l lead, but w i t h an eye on p r o f i t a b i l i t y driving the system, t h e r e may w e l l be new means of excluding undesirable r i s k s and new marketing s t r a t e g i e s . This s t r u c t u r e could
  • provide some shelter from cyclicality—as well as higher margins. They do so either by creating new markets, from super-strong adhesives to cavity-fighting toothpaste adCHE1VIICALS ditives, or by Shore a< total helping manufac- produdipo turers to save
  • alliances will assume two key responsibilities in order to secure affordable health oare for a l l Americans. First, health alliances will be the forum in S N BYJXerox Telecopier 7021 i 10-20-93 ; 8:55AH ; ET -» 202 395 6H8;#10 which the new market
  • ; applying new technologies; introducing new products; and serving new markets. This contribution is especially true of the small businesses and small disadvantaged businesses that participate in the acquisition programs at HHS. The significant contributions
  • . Among the publicly traded company's most popular products are . Anacin, Dristan, Advil, Chap Stick and Chef Boyardee food products. As for AHP's new market presence in laparoscopic medical devices, the global market is estimated at anywhere from $ 750
Cap Options (Item)
  • evolution, of competitive markets. Insurers face s i g n i f i c a n t uncertainty as they bid i n the new market, which w i l l include large numbers of previously uninsured individuals. Their incentive w i l l be to bid high, both because of uncertainty
  • as a company has not been one of simply increasing membership. In 1986, after six successful years of steady growth in Western New York, Independent Health was ready to take on the challenge of a new market place. Expanding its service area into the Hudson
  • to their workers in the form of lower wages. After the transition period, wages throughout the job market will have adjusted downward to reflect the passback of health care costs onto workers. In this new market, firms starting up can provide insurance, pay
  • UNIVERSAL COVERAGE D. GUARANTEED COMPREHENSIVE BENEFITS HI. THE NEW MARKET FOR HEALTH CARE FEDERAL RESPONSIBILmES STATE RESPONSIBILrnES HEALTH ALLIANCES CORPORATE ALLIANCES COMPETING HEALTH PLANS IV. FINANCING AND CONTROLLING COSTS PREMIUM-BASED
  • %. and stock placements up to 2.8% from .5%. • International trade is becoming more common among small and mid-sized businesses. In the last year, 8% indicated they expanded into new markets abroad up from 4% in 1992. 20% are involved in exporting up from 11
  • provisions on the market shares of HMOs and fee-for-service plans are uncertain. In both of the situations just described, competitive forces would drive thpse plans that could not survive out of the market but the transition to a new market structure could
  • . The plan (often described as managed competinoo with global budgets), woold proride a new market structure wiftin which competition could woric to e&snre effirir.nt cut defifay and coosol costs. • Insurance refonni (standard bcaefia, no medicalraderwdtin
  • T FOR 7 NEW MARKET ENTRANTS.—A 8 refuse to enroll such an individual who is not 9 enrolled in an insured health benefit plan of- 10 11 12 carrier may not fered in the community-rated market sector. (C) PERMITTING CHANGE IN PLAN.— (i
  • m e n t p e r i o d ( o t h e r than f o r new market e n t r a n t s ) . The i n d i v i d u a l would be r e q u i r e d t o g i v e dO-days n o t i c e b e f o r e t h e e f f e c t i v e date o f t h e change i n h e a l t h p l a n s c o u l d t
Madden, Cindy (Item)
  • Improvement Plan; by the newly appointed Health Services Commission; by MAA as it pushes managed care statewide; and by providers as they compete in the new market place. " think it's a real concern," notes state Office of Rural Health manager 1 Veme Gibbs "I
  • company, National Intergroup, The UHC agreement represents another vehicle for FoxMeyer to try to broaden its geographic base. "It will give us a base business to penetrate new markets we otherwise would not service," Anderson explained. At a similar
  • insurance rcfonn that the pi emiums of children-only policies will be lower than Medicaid spending for children. They will likely be higher, since this is a fairly new market segment, where therisksare not thoroughly known. Additionally, the administrative
  • of lower wages. After the transition period, wages throughout the job market will have adjusted downward to reflect the passback of health care costs onto workers. In this new market, firms starting up can provide insurance, pay the prevailing wage rate
  • administrators will continue to play an important role under our health reform plan. Business alliances will offer opportunities for third party administrators to play a creative role in developing a new market. Providers who join together to form plans
  • refusal over new markets, the idea is that it must show it can do a better job than franchisees would. And your lesson today IKEA's contortions should frighten all would-be globalists. They show how even an adaptable system based on what Mr Moberg calls
  • agreements to exit the market as of 1/1/94. Supplemental Market A. New market 1. Continuous open enrollment requirement i n the Subcommittee b i l l would be replaced by an annual 30-day open enrollment requirement. 2. Community rating requirements
  • consumers, p r o v i d e r s , and o t h e r p a r t i c i p a n t s i n t h e system acquiesce t o t h e s a c r i f i c e s t h a t may be e x a c t e d from them as t h e new market s t r u c t u r e becomes e s t a b l i s h e d . Zelman suggests t h a t
  • l adapt t o t h e new market f o r c e s c o u l d be by a c q u i r i n g d i s t a n t p r i m a r y care s i t e s as f e e d e r s f o r t h e i r t e r t i a r y care h o s p i t a l s w h i l e p r o v i d i n g ambulatory c a r e t r a i n i n
Financing (Item)
  • i o n , i t w i l l provide insurers and providers w i t h i n c e n t i v e s t o be e f f i c i e n t w h i l e meeting the needs of t h e i r customers and p a t i e n t s . Introducing these new market incentives should lower the rate
  • because i t approached the standing order arrangement purely as a new marketing program. The competitor had f a i l e d to recognize that i t s fundamental relationship with customers had changed and that any arrangement that involved deliveries without e
Senate (2) (Item)
  • generators of new jobs; applying new technologies; introducing new products; and serving new markets. This contribution is especially true of tbe small businesses and small disadvantaged businesses that participate in the acquisition programs at HHS
  • to health insurance coverage and establishes a framework for cost containment by implementing new market rules for insurers and providers. I am enclosing a copy of the bill as passed by the Maryland House of Delegates. The Senate is considering
  • n Washington about how t h e new markets w i l l be o r g a n i z e d . A l OBSTACLE TO INSURANCE PLAN New York S t a t e i s t h r e a t e n i n g t o b l o c k a p l a n t h a t would r e s o l v e t h e f a i l u r e o f Mutual B e n e f i t L i f
  • Asia would open huge new markets to American goods and the GATT global trade pact was a c r u c i a l f i r s t step i n reaching t h a t goal. ^The most important t h i n g we can do i s get the Congress to go home and pass the GATT agreement,'' C l i
  • , that even supporters Democratic Senator, Emest F. HolBut the opposition cast history dif- of the accord have only the vaguest rose to attack Mr. Clinton's premise lings of South Carolina, blocked pasthat, by opening new markets, free sage of the accord
  • to a spedalist A new market of private hospitals and commerdal insurers has sprung up for people seeking care outside the NHS; these compete on price and quality and advertise prices for various procedures. HEALTH CARE TALKING POINTS THE STATUS QUO • American
  • have positioned itself to become "the single largest beneficiary of health reform," John R. Runningen, senior health care analyst at the Robinson-Humphrey Co. in Atlanta, told MHW. Charter Medical Corp. also i s poised t o enter new markets f o r
  • care for all Americans. His objective (often described as "managed competition with global budgets") would provide a new market structure within which competition could work to ensure efficient health care delivery and controlled costs: • Insurance
  • , Ohio, West V i r g i n i a and V i r g i n i a . Some w i l l be pumps a t r e g u l a r gas s t a t i o n s ; others w i l l be a t companies buying n a t u r a l gas f l e e t s . -0C a d i l l a c has revealed a new marketing s t r a t e g y : i t
  • Commission regulations that will help open new markets for communications companies to offer cellular telephone services, but it refused to explicitly approve a proposal by the Agriculture Department to impose stricter requirements for inspecting meat
  • a i l s t h e new market approach o f h e a l t h care r e f o r m as a c o s t c o n t r o l mechanism. 1 Report A - i s the AMA s new b a s i c b e n e f i t s package p r i c e d a t $2700. Report C - d e t a i l s the advantages o f an employer
  • there," agreement with the Clinton Adminis- blockade serves us as a political yhe said, grinning through the tration to stop the exodus. At the instrument to keep the people unit- peasant markets we had," he said. Noting that the new markets are beard. "We