Health Insurance : A Primer Updated February 3 , 2005

Health insurance plans and immunization: assessment of practices and policies, 2005-2008.

OBJECTIVES The goals were to assess private health insurance plans' policies and practices regarding recommended immunizations in 2008 and to identify trends since the America's Health Insurance Plans (AHIP) 2005 Immunization Assessment. METHODS In May 2008, AHIP staff members e-mailed a survey containing 46 questions on immunization practices to 101 AHIP member private health insurance plans...

Health Insurance: A Primer

The Use of Statistical Sampling in Auditing Health-Care Insurance Claim Payments

This paper is a primer on the practice of designing, selecting, and making inferences on a statistical sample, where the goal is to estimate the magnitude of error in a book value total. Although the concepts and syntax are presented through the lens of an audit of health-care insurance claim payments, they generalize to other contexts. After presenting the fundamental measures of uncertainty t...

A Medicaid primer

By far the largest portion of the poor—nearly 43 percent—are covered through Medicaid. Not quite 16 percent have private coverage or are insured through the military’s program of coverage, CHAMPUS (Civilian Health and Medical Program of the Uniformed Services). Another 12.5 percent are covered through Medicare. Nearly 29 percent have no insurance coverage at all. Among the near-poor, the propor...

Patient Protection and Affordable Care Act of 2010: a primer for neurointerventionalists.

The Patient Protection and Affordable Care Act (the ACA, for short) became law on 23 March 2010. It represents the most significant transformation of the American healthcare system since Medicare and Medicaid. Essentials of ACA include: (1) a mandate for individuals and businesses requiring as a matter of law that nearly every American has an approved level of health insurance or pay a penalty;...