LEADER 04972nam 2200637 a 450 001 9910455924803321 005 20200520144314.0 010 $a1-280-19623-8 010 $a9786610196234 010 $a0-309-58511-2 010 $a0-585-02019-1 035 $a(CKB)110986584751240 035 $a(EBL)3376110 035 $a(SSID)ssj0000146280 035 $a(PQKBManifestationID)11147788 035 $a(PQKBTitleCode)TC0000146280 035 $a(PQKBWorkID)10185527 035 $a(PQKB)11521551 035 $a(MiAaPQ)EBC3376110 035 $a(Au-PeEL)EBL3376110 035 $a(CaPaEBR)ebr10055104 035 $a(OCoLC)923261211 035 $a(EXLCZ)99110986584751240 100 $a19921221d1993 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 10$aEmployment and health benefits$b[electronic resource] $ea connection at risk /$fCommittee on Employer-Based Health Benefits, Division of Health Care Services, Institute of Medicine ; Marilyn J. Field and Harold T. Shapiro, editors 210 $aWashington, D.C. $cNational Academy Press$d1993 215 $a1 online resource (376 p.) 300 $aDescription based upon print version of record. 311 $a0-309-04827-3 320 $aIncludes bibliographical references (p. 262-284) and index. 327 $a""Employment and Health Benefits""; ""Copyright""; ""Preface""; ""Acknowledgments""; ""Contents""; ""Summary""; ""EMPLOYMENT-BASED HEALTH BENEFITS IN CONTEXT""; ""Historical Development""; ""Key Statistics""; ""International Comparisons""; ""Scope and Functions""; ""Access to Health Services""; ""Costs in Context""; ""DISTINGUISHING FEATURES OF THE CURRENT SYSTEM""; ""Voluntary Group Purchase""; ""Lack of Universal Coverage""; ""Risk Selection and Discrimination""; ""Dispersed Power and Accountability""; ""Diversity""; ""Innovation""; ""Discontinuity""; ""Barriers to Cost Management"" 327 $a""Complexity""""Strengths and Limitations of These Features""; ""FUTURE DIRECTIONS""; ""To Improve a Voluntary System""; ""Reducing or Compensating for Risk Selection""; ""Subsidizing Coverage""; ""Other Regulatory Issues""; ""The Financing Dilemma""; ""Beyond Voluntary Coverage""; ""Research Agenda""; ""FINAL THOUGHTS""; ""1 Background and Introduction""; ""EMPLOYMENT-BASED HEALTH BENEFITS IN CONTEXT""; ""OVERVIEW OF REPORT""; ""WHY THIS STUDY?""; ""Relation to the Debate over Health Care Reform""; ""Issues and Concerns""; ""KEY CONCEPTS AND TERMS AS USED IN THIS REPORT"" 327 $a""Employment-Based Health Benefits""""Social Insurance and Private Insurance""; ""Small and Large Groups""; ""Risk, Insurance, and Benefits""; ""Insurable Events""; ""Moral Hazard, Biased Selection, Risk Segmentation, and Underwriting""; ""CONCLUSION""; ""2 Origins and Evolution of Employment-Based Health Benefits""; ""THE BIRTH OF INSURANCE FOR MEDICAL CARE EXPENSES""; ""Early Voluntary Initiatives""; ""Early Public Action""; ""THE DIVERGENT PATH OF THE UNITED STATES""; ""Unsuccessful Early State Initiatives""; ""Proposals for National Health Insurance in the Depression and Postwar Years"" 327 $a""Innovation in the Private Sector""""Employment-Based Benefits, Federal Regulations, and Union Policies""; ""Growth and Change in Health Insurance Products""; ""Federal Government as Sponsor of Employee Health Benefits Program""; ""EARLY COST MANAGEMENT EFFORTS BY INSURERS AND OTHERS""; ""Management of the Risk Pool""; ""Design of the Benefit Plan""; ""Controls on Payments to Providers""; ""Constraints on Supply""; ""Utilization Review""; ""Impact of Early Cost Management Efforts""; ""THE LIMITS OF VOLUNTARY HEALTH BENEFITS AND MEDICARE AND MEDICAID""; ""Medicare""; ""Medicaid"" 327 $a""National Health Insurance Revisited""""FEDERAL REGULATION AND THE EMPLOYER'S GROWING ROLE""; ""Federal and State Roles Before 1974""; ""The Employee Retirement Income Security Act of 1974""; ""CONCLUSION""; ""3 Employment-Based Health Benefits Today""; ""DATA SOURCES""; ""WHO IS AND IS NOT COVERED BY EMPLOYMENT-BASED HEALTH BENEFITS?""; ""Covered Workers and Family Members""; ""Uninsured Workers and Family Members""; ""Retirees""; ""Sources of Variation in Employment-Based Coverage""; ""WHAT TYPES OF COVERAGE ARE OFFERED?""; ""Types of Health Plans""; ""Conventional Plans"" 327 $a""Network Plans"" 606 $aHealth insurance$zUnited States 606 $aVoluntary employees' beneficiary associations$zUnited States 608 $aElectronic books. 615 0$aHealth insurance 615 0$aVoluntary employees' beneficiary associations 676 $a331.25/5 701 $aField$b Marilyn J$g(Marilyn Jane)$0855032 701 $aShapiro$b Harold T.$f1935-$066794 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910455924803321 996 $aEmployment and health benefits$91915776 997 $aUNINA