Employer‐Sponsored Health Insurance and Mandated Benefit Laws

State-mandated benefit review laws.

OBJECTIVE To determine which states have laws that require the review of mandated health insurance benefits and describe the various approaches states take in reviewing mandated benefits, as stated in the mandated benefit review (MBR) laws. DATA SOURCES We queried online databases of the individual state statutes and reviewed the state statutes and state legislative agendas for all 50 states ...

Mandated Health Insurance and Provider Reimbursement via Private Insurance

In 2006, Massachusetts passed a reform that required individuals to purchase health insurance and provided subsidized health insurance to low-income individuals. The US Patient Protection and Affordable Care Act (ACA) was modeled after this reform, making Massachusetts an ideal place to look at potential outcomes from the ACA. Postreform, the proportion of the health-insured population in Massa...

A comparative analysis of mandated benefit laws, 1949-2002.

OBJECTIVE To understand and compare the trends in mandated benefits laws in the United States. DATA SOURCES/STUDY SETTING Mandated benefit laws enacted in 50 states and the District of Columbia for the period 1949-2002 were compiled from multiple published compendia. STUDY DESIGN Laws that require private insurers and health plans to cover particular services, types of diseases, or care by ...

The Economic Effects of State-mandated Health Insurance Benefits

Basic Health Insurance Stewardship in Line with the Upstream Laws and Policies: Conflicts and Contradictions!!!

One of the serious challenges regarding interactions between Iran’s social security system and health system is basic health insurance stewardship. It has existed for a long time and has been given a special place concerning the related laws and policies in recent years. In this regard, it seems that approving of rules conflicting with upstream laws and policies has increased existing conflicts...