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Trends In The Health Care Market

Health Geom.uiuc.edu

Trends in the Health Care Market. With the consolidation of the health care market in recent years, the range of health plan choices open to University faculty and staff is expected to remain fairly limited. Three carriers currently have 85% of the Twin Cities’ health plan market share.

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Health Plan Payment Methods Introduction

Withhold Geom.uiuc.edu

Health plans withhold a certain percentage (e.g., 20%) of every physician payment to cover a deficit if health plan premiums from enrollees are lower than health plan payments to physicians. If primary care physicians' referrals to specialists and hospitals use up the withhold funds, then they receive no bonus.

Mens Health
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Health Plan Task Force Report Issues

Health Geom.uiuc.edu

Under the current program, the University makes no financial contribution to the health care of retirees. Retirees who are age 65 or greater can purchase out of their own pockets a "medigap" policy at a group rate through the State. This policy provides coverage for the difference between actual health care costs and the costs covered by Medicare.

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Comparison Of Health Insurance Purchasing Alternatives

Employers Geom.uiuc.edu

As the two dominant purchasers of health insurance in the state, SEGIP and BHCAG share similar interests and concerns about changes in the health care market. BHCAG is currently a coalition of 28 large, self-insured employers representing 425,000 employees, retirees, and dependents. 120,000 employees in these 28 employers enroll in Choice Plus.

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Health Plan Payment Methods Introduction

Physicians Geom.uiuc.edu

Health plans have several financial incentives that they can use to encourage physicians to practice high quality medicine, to provide cost-effective primary and preventive care, and to contain health care costs. The use of FFS, discounted FFS, capitation, or salary to pay physicians may influence their treatment patterns and style.

Mens Health
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Comparison Of Health Insurance Purchasing Alternatives

Health Geom.uiuc.edu

Outpatient mental health care is covered and up to $1800 per calendar year, and inpatient mental health care is covered up to 30 days or $6300, whichever is less. No dental services are insured by the HMO health plans, but the indemnity plans do offer preventive dental care for children. See Appendices 3 and 4 for more comparison information.

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HPTF Final Report

Retirees Geom.uiuc.edu

The task force is sympathetic to the plight of retirees facing ever-increasing health care costs and urges the University to find ways to help its retirees in this regard. The task force recommends that the retirees be represented on the Benefits Advisory Committee and urges the retirees to participate actively so that their issues can be


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Comparison Of Health Insurance Purchasing Alternatives

University Geom.uiuc.edu

The current health insurance purchasing strategy is being evaluated for its effectiveness in meeting the needs and goals of University faculty and staff. There are several alternatives to the current partnership that the University has with the State Employee Group …

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Health Plan Payment Methods Introduction

Health Geom.uiuc.edu

Health plans use different reimbursement policies to provide physicians an incentive to control health care costs, to increase patient use of primary and preventive care, and to practice the highest quality health care possible. Why should you care about how your health plan pays your physician?

Mens Health
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Health Plan Payment Methods Introduction

Health Geom.uiuc.edu

First Plan Select, based in Duluth, uses the same payment methods as the State Health Plan and State Health Plan Select because Blue Cross/Blue Shield of Minnesota administers all three health plans. Primary care and specialty care physicians are reimbursed on a discounted FFS basis, and mental health care is reimbursed on a capitated basis.

Mens Health
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Health Plan Task Force Report Market

Force Geom.uiuc.edu

Health Care Market. Limited time and resources did not allow for a complete market analysis. However, Mr. Maciejewski's report contains a great deal of information and allowed the Task Force to form a broad perspective of how other employers are dealing with problems similar to those facing the University.

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UNIVERSITY OF MINNESOTA

University Geom.uiuc.edu

University subsidy for health care premiums after Medicare. Long-term care insurance (LTC) Improved out-of-state retiree coverage prior to Medicare. Other 0.79. 2.22 1.71 0.66 0.62 3. 1 2 4 5 University of Minnesota. Health Plan Task Force. Retiree Health Care Interactive Voice Response (IVR) Questions. May 2000 - All Retiree Responses


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Comparison Of Health Insurance Purchasing Alternatives

Health Geom.uiuc.edu

Recent, adverse changes in 1998 health benefits are related to both the SEGIP purchasing process and health care market trends. It is unclear if the University would have greater control over health benefit changes by separating from SEGIP.

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Health Plan Task Force Report Executive Summary

Health Geom.uiuc.edu

The Task Force urges the University to accelerate the process getting University providers better positioned in the health care marketplace. In particular, the Academic Health Center administration should renew its negotiations with the Buyers Health Care Action Group, which is emerging as a substantial player in the market and is under serious

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Comparison Of Health Insurance Purchasing Alternatives

Health Geom.uiuc.edu

inclusion of the University of Minnesota Physicians (UMP) in more than one health care network, improved access and coverage of mental health services, rationalization of benefits for domestic partners and people with family coverage, and; continuity of coverage and health plans over time.

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Health Plan Task Force Report Outlook

State Geom.uiuc.edu

The State is exploring a number of alternatives for the year 2000. In particular, the State has become an associate member of the Buyer's Health Care Action Group (BHCAG), a group of large employers in the Twin Cities who have formed a buying coalition. Th BHCAG approach is described above in the section on the local health care market.

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Comparison Of Health Insurance Purchasing Alternatives

Briefly Geom.uiuc.edu

The other organizations include Macalaster College, the University of Wisconsin, Penn State University, Medtronic, Toro, and the City of St. Paul. Three member companies of the Buyers Health Care Action Group are discussed briefly. Retiree benefits for several Big Ten Universities are also discussed.

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HPTF Final Report

Health Geom.uiuc.edu

Vendor 3 offers an example of one of the latest products to be developed in the health care market, based on Medical Savings Accounts (MSAs). In this model, traditional indemnity health insurance is offered in conjunction with an MSA into which the employer contributes. The employee draws from the MSA to meet medical expenses.


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Health Plan Payment Methods Introduction

Appendix Geom.uiuc.edu

Appendix 1. Glossary of Terms. Bonus is an extra payment that the physician may receive at the end of the year for keeping the health plan's payments, particularly to specialists and hospitals, below a pre-determined budget or utilization target. Bonuses are paid to physicians if there are funds remaining in the risk pool (see below) at the end of the fiscal year.

Mens Health
6 days ago / 75 People Used See more...

Comparison Of Health Insurance Purchasing Alternatives

University Geom.uiuc.edu

Comparison of Health Insurance Purchasing Alternatives. Final Report. submitted by Matthew L. Maciejewski to the Task Force on Health Insurance, the Senate Committee on Faculty Affairs, the Faculty Consultative Committee, and the American Association of University Professors, University of Minnesota. January 14, 1998

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Comparison Of Health Insurance Purchasing Alternatives

Direct Geom.uiuc.edu

Direct Contracting - Direct contracting refers to a contract for health care services offered by a provider sponsored organization, such as a Physician-Hospital Organization (PHO), to an employer in which the PHO accepts the risk for utilization of health care services above the anticipated level. Direct contracting between an employer and a

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Health Plan Task Force Report Recommendations

University Geom.uiuc.edu

4. The University should accelerate the process getting University providers better positioned in the health care marketplace. While there is considerable optimism that University providers will be represented as a primary care option in 1999, some ambiguity remains about whether they can be in a position to take advantage of developments for 2000.

Mens Health
2 days ago / 84 People Used See more...

UNIVERSITY OF MINNESOTA

Health Geom.uiuc.edu

Weighted average of 1st, 2nd and 3rd priorities for retiree health care issues that are important to you (see questions 21-23). Answer Weight Rank 1> University subsidy for health care premiums prior to Medicare . 2> University subsidy for health care premiums after Medicare . 3> …


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Health Plan Task Force Report Background

Health Geom.uiuc.edu

The Task Force met with representative of the State Department of Employee Relations, with a representative of the Buyer's Health Care Action Group, and with representatives from the Academic Health Center and UCare. The Task Force also set up a Web site where University employees can discuss the issues and problems surrounding health benefits.

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7 days ago / 81 People Used See more...

UNIVERSITY OF MINNESOTA

Health Geom.uiuc.edu

Student Health Insurance Plan (University-sponsored SHIP) As a dependent of someone else (such as a parent, or a spouse who is not on the Graduate Assistant Health Plan or SHIP) From your employer other than the University of Minnesota. Through a State program such as …


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HPTF Survey Executive Summary

Slightly Geom.uiuc.edu

The respondent demographics compare reasonably well with the University population as a whole. The types of biases traditionally found in health care surveys are present: the respondents tend to be slightly older than the average, and there is a slightly higher proportion of female respondents.


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Health Plan Task Force Report 1/23/98

Faculty Geom.uiuc.edu

Health Plan Task Force Report. submitted to. the Faculty Consultative Committee, the Senate Committee on Faculty Affairs, and the American Association of University Professors

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Health Plan Payment Methods Introduction

State Geom.uiuc.edu

Problems that arise under the State Health Plan, State Health Plan Select, and First Plan Select must be handled in a different manner, because these plans are self-insured and are exempt from state regulations. You should first contact your physician or health plan to identify and resolve the problem. If you need to address a problem or issue

Mens Health
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FAQ geom.uiuc.edu health

What does good health mean?

good health - the state of being vigorous and free from bodily or mental disease. healthiness. physical condition, physiological condition, physiological state - the condition or state of the body or bodily functions.

What is healthy really means?

Healthy eating means eating a variety of foods that give you the nutrients you need to maintain your health, feel good, and have energy . These nutrients include protein, carbohydrates, fat, water, vitamins, and minerals. Nutrition is important for everyone. When combined with being physically active...

How do you stay healthy?

In order to stay healthy, you need to live an active and aware lifestyle. This means getting at least 30 minutes of exercise daily, eating a well balanced diet, and try and reduce stress in your lifestyle. Becoming more active will help with stress levels and eating a well balanced diet will help keep you healthy.

What is the definition of being healthy?

The definition of healthy is someone or something that has, appears to have or helps to produce good health. An example of healthy is a seventy year old man without any medical issues. An example of healthy is a newborn baby without jaundice. An example of healthy is a diet full of fruits and vegetables.

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