© 2002 Kaiser Foundation Health Plan of Washington. All Rights Reserved. Back to Top Kaiser Foundation Health Plan of Washington Clinical Review Criteria Home INR Monitoring NOTICE: Kaiser Foundation Health Plan of Washington and Kaiser Foundation Health Plan of Washington Options, Inc., provide these Clinical Review Criteria for internal use by their members and health care providers. The Clin...

Background One of the objectives of the health transformation plan (HTP) in Iran is to reduce out-of-pocket (OOP) payments for inpatient services and eradicate informal payments. The HTP has three phases: the first phase (launched in May 5, 2014) is focused on reducing OOP payments for inpatient services; the second phase (launched in May 22, 2014) is focused on primary healthcare (PHC) and the...

In this brief, we describe the breadth of physician provider networks offered on the health insurance marketplaces in 2016, and present differences by plan type, physician specialty, and state. We also compare networks in 2016 to those in 2014. We find little change in overall prevalence of narrow networks, but we find important geographic shifts and a trend towards x-small networks among plans...

Older adults have long been encouraged to maintain their autonomy by expressing their wishes for health care before they become too ill to meaningfully participate in decision making. This study explored the manner in which community-dwelling adults aged 55 and older plan for serious illness. An online survey was conducted within the province of Saskatchewan, Canada, with 283 adults ranging in ...

In this article, we describe what we expect will be a substantive transformation in health sciences education: Health Sciences Online (www.hso.info). HSO is the first website that delivers authoritative, comprehensive, free, and ad-free health sciences knowledge. It is a portal to the best health sciences knowledge, and the foundation of what we expect to be the most accessible, high-quality he...

A data stream management system executes a large number of continuous queries in parallel. As stream characteristics and query workload change over time, the plan initially installed for a continuous query may become inefficient. As a consequence, the query optimizer will re-optimize this plan based on the current statistics. The replacement of the running plan with a more efficient but semanti...

Disclosure of private medical information allows insurance companies to better predict medical expenditures. The premiums the companies charge the insured employees reflect these expenditures. This paper studies incentives of employees to disclose their medical information. I find that healthier employees prefer to disclose medical information that results in a disclosure plan having a lower pr...

Medical savings accounts (MSAs) belong to a larger class of incentive-based health care plans. Using a model that allows the consumer to invest in healthy activities, we examine the efficiency properties of incentive plans and compare them to traditional full-coverage and deductible plans, under both experience rating and community rating. The model also is extended to include utilization of pr...