#CHEAP Health Plan Facts, Trends and Data: 2010 - 2011

Health Plan Facts, Trends and Data: 2010 - 2011

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Health Plan Facts, Trends and Data: 2010 - 2011 Overview

Health Plan Facts, Trends & Data: 2010-2011 is a one-of-a-kind resource packed with insightful news on important trends that are re-shaping the health care industry. Functioning like a state of the industry report, this resource includes in-depth coverage of: health plan financial performance, benefit design trends, rate-setting practices, coverage rescissions & legal challenges, network contracting & reimbursement conflicts, & more.

Health Plan Facts, Trends & Data: 2010-2011 includes:
*The health reform debate everything from insurance exchanges to accountable care organizations to MLRs to the effect on brokers & sales agents plus a convenient reform implementation timeline
*Health plan financial performance
*Benefit design trends including pharmacy benefit strategies, limited-benefit plans, employer initiatives & the small group & individual markets
*Health plan company activity such as executive compensation, enrollment, costs, premiums & profitability
*Ways companies are tapping the small group & individual markets
*Provider contracting including network administration, reimbursement, never events & quality initiatives

Table of Contents
Ch 1: Health Plan Enrollment Trends & Market Share
*Membership Growth & Losses
*Enrollment Data
*Tapping the Individual Market
*Federal Employees Health Benefits Program
Ch 2: Health Plan Organizational Structure & Leadership
*Executive Compensation Trends
*Lobbying & Donations
*Leadership Changes & Appointments
Ch 3: Health Plan Growth & Consolidation
*Mergers, Acquisitions & Divestitures
*Contract Awards
*Product Launches & Coverage Expansions
*Product Development for the Uninsured & Underinsured
*Retail Insurance Stores
Ch 4: Health Plan Financial Performance
*2Q09 1Q10 Results
*Health Plan Overall Performance
*Stock Market Performance
*Key Financial Data & Medical Loss Ratios
Ch 5: Federal Health Reform
*Implementation Timeline for Key Health Reform Provisions
*Grandfather Rules
*Coverage Provisions & Expansions
*High-Risk Insurance Pools
*Medical Loss Ratios
*Insurance Exchanges
*Impact on Medicaid
*Impact on Pharmacy & Part D
*Effect on Brokers & Sales Agents
*ACOs
Ch 6: Benefit Design
*Employer Initiatives
*Small-Group & Individual Market
*Limited-Benefit Plans
*Medicare Advantage Products
*Pharmacy Benefit Strategies
Ch 7: Coverage Costs, Premiums & Rate-Setting
*Health Care Costs & Spending
*Premium Increases
*State-Specific Rate Hikes
*Effect of COBRA Subsidy on Health Plans
*High-Risk Pools
Ch 8: Provider Network Administration, Reimbursement & Contracting Issues
*Network Administration & Reimbursement
*Never-Events & Hospital Errors
*Quality Initiatives
*UCR Rates & the Ingenix Controversy
Ch 9: IT & Records Security Concerns
*Online Tools for Consumers
*Personal Health Records & Data Protection Concerns
*Green Initiatives
*Telemedicine
Ch 10: Health Promotion, Wellness & Disease Management Strategies & Challenges
*Wellness Intitiatives
*Strategies for Specific Health Issues
*Genetic Information Nondiscrimination Act
*Medical Home Models
*Strategies for Patient Prescription Adherence
Ch 11: Controversy Over Health Plan Consumer Policies
*Sales & Marketing Violations & Other Communications Issues
*Coverage Rescissions
*Coverage Denials & Rejected Claims
Ch 12: Health Plan Legal Challenges
*Fraud, Antitrust & Abuse Issues
*Health Plan Liability & Legal Actions
*HIPAA Violations
*Mental Health Parity Regulations
Ch 13: Health Plan Resources & Directories