Switching to managed care in the small employer market

Article Abstract:

The health insurance market witnessed a remarkable increase in managed care products among small private business enterprises, as revealed by a telephone survey conducted on small employers between 1993 and 1995. Results suggest that the rise of consumer familiarity regarding health insurance was crucial in the growth of managed care premiums not only in large-scale business operations but also in small ventures and communities. During the period examined, it was found that the conventional insurance coverage dropped from 73% to 30%.

Usage, Marketing, Managed care plans (Medical care)

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Case study: the Minneapolis Buyers Health Care Action Group

Article Abstract:

The Buyers Health Care Action Group (BHCAG) is an employee health benefit purchasing coalition that handles legislative issues on employer-based health insurance. BHCAG, which was developed by a group of the largest employers in the Minneapolis-St Paul metropolitan area, has 28 members representing more than 250,000 people. The organization adapted a competition-style purchasing method, such as the health-based risk-adjusted payments to provider groups, known as care systems.

Health Care, Health Care and Social Assistance, HEALTH SERVICES, Management, Buyers Health Care Action Group

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Health care utilization for the "newly insured": results from the Washington Basic Health Plan

Article Abstract:

Health care utilization for new members of the Basic Health Plan (BHP) covering the period from 1989 to 1992 was low during the first 6 to 12 months. The utilization of BHP services during the first two years was relatively stable. New members who did not have insurance for more than a year have higher total expenditures compared with those who did not have insurance for less than one year or to those who had never availed of any insurance plan.

Medical care utilization, Health insurance industry, Insurance, Washington. Basic Health Plan

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