California Association of Health Plans

Research Reviews

A weekly summary of the latest publications, research, and data in healthcare.

2011

June 20
Children with Public Insurance Denied and Delayed Care, The Status of States Establishing Health Insurance Exchanges, SPDs Rate Managed Care Better or the Same as Fee-for-Service, Federal Report on Medicaid Managed Care and CHIP, The Cost of Medicare Fee-for-Service versus Medicare Advantage, Medical Errors As Common in Inpatient Setting as Outpatient, For-Profit and Not-for-Profit edicaid Managed Care Plans Compared

June 13
Study Reporting 30% of Employers to Drop Coverage Is Controversial, The Changing Healthcare Marketplace, AHIP Releases Analysis on The Cost of MLR Compliance

June 6
California's Health Insurance Exchange Analyzed, Those Who Privately Purchase Insurance Pay More for Cancer Care, Provider Taxes in Medicaid

May 31
51% of Americans Have a Personal Connection with Medicaid, New Report on National Health Spending, The Growth of Developmental Disabilities Among U.S. Children, Medicare Spending Impact Overall Health

May 23
Employer Cost Trends for 2012, The Cost of Developing ACOs, Rural Residents More Likely to Receive Surgeries Than Their Urban Counterparts, Emergency Departments Decrease As ED Visits Increase, 2011 Drug Trend Report (Pharmacy Benefit Management)

May 9
NAIC Draft Coverage Labels for Insurance Products, Family Physicians Lower Readmission Rates and Costs, Physicians Find ePrescibing "cumbersome and unreliable", Asthma Impact To Population and Cost

 

Archived Research Reviews

May 2
Doctors Who Have MRI Machines In-Office Prescribe More Scans and Surgeries, ACA and The Affordability of Health Insurance, Physician Willingness to Service Medicaid Patients

April 18
Defining Actuarial Values in ACA, 1 in 4 U.S. Adults Have Government Health Insurance, U.S. Adults' Views on the Health Care System, Hospital Acquired Conditions Initiative, Accountable Care Organizations

April 11
Hospital Errors, Cost of Preventable Medical Errors, Quality Measurement Practices for Physicians, The Cost of ACA in California, Increasing Cost of Prescription Drugs

March 28
Health Insurance Exchanges, Health Insurance Exchanges and Health Plans, Hidden Costs in U.S. Health Expenditures, High Deductible Health Plans/Consumer Directed Health Plans

March 21
IOM Identifies Major Health Concerns for the Decade, Most US Children and Teens Have a Medical Home, The Recession, The Insured, and The Uninsured, History of Health Insurance in California, Medicaid Primary Care Phsycian Workforce, Value in Medicaid Primary Care

March 14
Will Employers Pay or Play Because of ACA?, As Many As 20% of Patients Leave ED Without Being Seen, The Cost and Value of HIT Examined, Price Transparency in Healthcare, The Uninsured Before and After ACA

March 7
How ACA Will Affect States, ACA Out-Of-Pocket Spending Caps to Benefit Families, The Qualities of High Performing Health Plans, Drop In Hospital Acquired Central-Line Infections between 2001 and 2009

February 28
Medicaid Enrollment at an All-Time High -- 50 Million Beneficiaries, More Surgery Centers Equals More Potentially Unnecessary Surgeries, Doctors and Geography Play A Role In Elective Surgery Use, Expensive Weight Loss Surgeries Compared for Efficacy, Analyzing the possiblity of a Medicaid block grant

February 22
CHIS 2009 Release - 4.7 Uninsured Californians Will Be Eligible for Coverage Under ACA, Shorter Hospital Readmissions Could Save $227 Million, 2011 Medicare Advantage Plans' Quality Ratings, A Primer on Medicare Spending and the Future With ACA, S&P Healthcare Index On Average Per Capita Cost of Healthcare Services

February 14
California's Health Benefit Exchange Compared to ACA, State Roles in Promoting ACOs, Care Management Program Reduces Frequent ED Users, Massachusetts Reform Leaves Some Vulnerable Populations Behind

February 7
Frequent Shifting Between Medicaid and Exchanges Expected with ACA, HHS Report Finds Cost Savings for Families and Businesses Through ACA, Association Between Hospital Spending and Inpatient Mortality in California, Measures of An Effective Health System for Children

January 31
Policy Considerations for Dual Eligibles, 105 Million Americans are Diabetic or Pre-Diabetic, 40 Million Children Insured by Medicaid or CHIP, Individual Mandate in PPACA, Newly Eligible Medicaid Population And Provider Capacity To Treat, Smoking and Obesity to Blame for Life Expectancy Lag

January 24
Medicare Payments Not In Line With Evidence-Based Medicine, Cost of Health Benefits Rise for Hospitals, Medicaid Hospitalizations On The Rise, The Benefits of Health Information Technology, Assessing the Cost-Effectiveness of HIT Investments

January 18
Comparing ACA's Essential Health Benefits to California's Health Benefit Mandates, The Cost of Obesity, The Cost of Cancer, Reasons Americans Don't Have Health Insurance

January 10
National Health Expenditure Data Shows Recession Contributed to Slowest Rate of Annual Increase in Health Spending in Five Decades, Making Accountable Care Organizations Work, New CAHP Fact Sheet on Managed Care in Public Programs, Preventable Hospitalizations, Racial and Ethnic Disparities in Hospitalizations, Autism-Vaccine Link Officially Debunked

December 20
18 Million Baby Boomers With Much To Gain, New CHCF Almanac Reports on the Uninsured and Employer-Sponsored Insurance, Spending on Dual-Eligibles Nationally and by State, Differences in Spending by Gender and Age, Profile of the Uninsured Who Will Be Eligible for the Health Insurance Exchanges

December 13
Hospital Prices in California and the Cost-Shift to Private Insurance, Federal Recommendations Promote Standardized IT, 5 Million Lose Employer-Sponsored Health Insurance During Economic Downturn, Spending and Costs in Medicare versus Private Insurance, Aspirin Usage Lowers Cancer Deaths

December 6
The Moment of Truth - Fiscal Commission's Recommendations on Health Care Spending, Hospital Medical Errors Remain Common, Premiums in Employer-Sponsored Insurance 41 Percent Higher Since 2003, Insurance Rate Review Inconsistent Among States, Lack of Access to Job-Based Health Insurance for 5.7 Million Californians, Excessive Use of CT Scans in Emergency Departments

November 22
One in Seven Medicare Patients Harmed in Hospitals, Provider Market Power Evidenced By Wide Variation in Reimbursement Rates, Emergency Department Visits Increase, Health Care Needs for Children With Special Needs in California, Great Disparities in End-of-Life Care for Cancer Patients

November 15
CDC Reports: Nearly 59 Million Americans Uninsured, Businesses Likely to Continue Offering Health Insurance Coverage, Debate over Medical Loss Ratio Calculations Examined, Federal Health Care Reform Law

November 8
Medication Prescribing Patterns and Quality, Medicare Statistics and Figures, Implementation Timeline for the Accountable Care Act Implementation

November 1
Lessons from California for Accountable Care Organizations, Medicaid Expected to Increase by 16 Million Nationally by 2019, Coordination of Enrollment and Coverage For Medicaid and Insurance Exchanges, Medicare Part D and Insurers, High Deductible Health Plans

October 25
One in Three American Adults Projected to Have Diabetes by 2050, Performance Measures for ACOs Critical to Success, Hospital Prices in California, Medicaid Reimbursement Rates for Flu Vaccine

October 18
The State of Health Care Quality Report finds Fewer Children Receiving Vaccinations, California Health Care Almanac On California's Safety Net, Medicare Advantage Under the New Federal Health Care Law

October 12
MRI and CT Scans in Emergency Departments Triple Over 10 Years, Patients Benefit is Not Proven, U.S. Life Expectancy Lags Behind Other Countries, 65.5 Percent of Office-Based Physicians Do Not Use Email to Communicate with Patients, California Health Care Almanac: Health Plans and Insurers, Pre-Existing Condition Insurance Plans

October 4
LAO Provides Analysis of California's Health Benefit Exchange, Medicaid Enrollment Hits a Record High -- Highest Enrollment in California, Study Predicts an Increase in 2011 Health Care Premiums for Employers and Employees, Electronic Health Records Literature Review

September 27
Medicare Advantage Premiums and Enrollment, Mammography Efficacy, Strategies of Financially Successful Safety-Net Hospitals In California, CBO Estimates for Health Care Reform Examined

September 20
California's Seniors' Cost of Living is Double the Federal Poverty Level, The Power of Pay-for-Performance (Hospitals), The U.S. Census Bureau Reports 50.7 Million Uninsured

September 13
28 Percent of Americans Receive Acute Care at Emergency Departments, Health Care Spending Will Increase As a Result of Health Care Reform, Emergency Departments v. Urgent Care Centers v. Retail Clinics, Medical Malpractice, Uninsurance and Underinsurance Among Children, Quality Ratings for Medicare Advantage Plans Examined

September 7
Prescription Drug Use Continues to Rise, 7.3 Million Children Uninsured -- 64 Percent Eligible but Not Enrolled, More than Half of American Adults are Overweight or Obese (Diabetes Rates High), The Cost of Healthcare-Associated Infections (HAIs), How Health Care Reform Will Impact Employer-Sponsored Insurance

August 30
CHIS Projects 24% of Californians Uninsured, Electronic Health Record Adoption in U.S. Hospitals Remains Low, Data Breaches in Healthcare Much Lower Than Other Sectors, Health IT Spending To Increase by 19 Percent Over 5 Years

August 23
Financial Incentives for Physician Owned Facilities Lead to More Patient Receiving Surgeries, 80% of California Small Businesses Eligible for Tax Credits to Provide Health Insurance, Health IT Could Save Hospitals Billions, Obesity Declines for Some Adolescents but Not All, Innovation for Malpractice Cost Savings

August 16
Emergency Room Visits; Health Care Reform: Cost Containment, Medical Malpractice, Interstate Insurance Sales; Medical Errors More Costly and More Frequent; Cost-Sharing and Benefit Design for future Medicaid Beneficiaries Eligible Through Health Care Reform

August 9
Obesity Prevalent in 26.7% of Americans, Pharmaceutical Industry Funded Drug Trials, Value of Dollars Spent with the Rising Cost of Care, Quality Not Impacted When Nurse Anesthetists Work Without Doctor Supervision, Medicare Financially Stable Until 2029, Malpractice Suits Filed for 95 Percent of Doctors in Lifetime

August 2
Generic Drugs Could Save Medicaid Billions of Dollars, Challenges for Enrolling and Caring for Future Medicaid Eligible Low-Income Childless Adults, Medical Home Pilot in a County Organized Health System, The Cost of Treating Back Problems

July 26
Medicaid Overspent on Brand-Name Prescriptions in 2009 by at least $271 Million, Who Health Care Reform Will Impact and How, Physicians Not Routinely Using or Utilizing E-Prescribing, Many Medi-Cal Patients Overexposed to Acetaminophen, Medicare Part D Improves Heart Failure Medication Compliance, and Physicians' Understanding of EHR Certification

July 19
Prescription Painkiller Abuse Rises 400 Percent in 10 years, Meaningful Use Final Rules Issued, California's Physicians Examined, Journal Dedicates Issue to The Impact of Health Reform, Bill Summaries on Health Insurance Exchanges and the Medi-Cal Waiver, and Temporary Increase in Medicaid Funding To States Examined.

 

For archived copies of Research Reviews please email CAHP's Senior Policy Analyst.

 

 

SAVE THE DATE

27th Annual CAHP Annual Conference
October 15-17, 2012
Huntington Beach, CA

 

 

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