Multistate Health Plans

Multistate Health Plans

We discuss and evaluate the Multi-State Plan (MSP) Program, a provision of the Affordable Care Act that has not been the subject of much debate as yet. The MSP Program provides the Office of Personnel Management with new authority to negotiate and implement multistate insurance plans on all health insurance exchanges within the United States. We raise the concern that the MSP Program may lead t...

Multistate Models in Health Insurance

We illustrate how multistate Markov and semi-Markov models can be used for the actuarial modeling of health insurance policies, focussing on health insurances that are pursued on a similar technical basis to that of life insurance. On the basis of the general modeling framework of Helwich (2008), we study examples of permanent health insurance, critical illness insurance, long term care insuran...

Self-insured health plans

Nationwide, 8 percent of all employment-related health plans were self-insured in 1984, which translates into more than 175,000 self-insured plans according to our latest study of independent health plans. The propensity of an organization to self-insure differs primarily by its size, with large establishments more likely to self-insure. In the overwhelming majority of cases, the self-insured b...

Multistate point-prevalence survey of health care-associated infections.

BACKGROUND Currently, no single U.S. surveillance system can provide estimates of the burden of all types of health care-associated infections across acute care patient populations. We conducted a prevalence survey in 10 geographically diverse states to determine the prevalence of health care-associated infections in acute care hospitals and generate updated estimates of the national burden of ...

Multistate Duration