Why is the treatment of work-related injuries so costly? New evidence from California

Article Abstract:

It is a fact that workers' compensation insurers pay more than health insurers for treatment of similar injuries. A study done in Minnesota in 1987 showed that the charge differential was caused by overutilization of services and price discrimination. A study is done where the Minnesota model is applied to 1991-1993 data on health care charges and payments from California. Workers' compensation insurers were charged more than health insurers despite differences in populations and workers' compensation laws in California and Minnesota.

Direct Property and Casualty Insurance Carriers, Fire, marine, and casualty insurance, Workmen's Compensation Insurance, Health aspects, Minnesota, Workers' compensation

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Case study: the health insurance plan of California

Article Abstract:

The Health Insurance Plan of California (HIPC) is a purchasing cooperative organized and handled by California's Managed Risk Medical Insurance Board. HIPC is one of the three largest health care purchasers in the state, with nearly 150,000 members. It offers multiple incentives and above 20 health plans, including health maintenance organizations, point-of-service plans and preferred provider organizations. HIPC's practical use of risk adjustment made its membership grow from the initial 50,000 to 120,000.

Management, Case studies, Health insurance industry, Risk (Insurance), Health Insurance Plan of California

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Risky business: long-term care insurance underwriting

Article Abstract:

The underwriting of private long-term care insurance is studied based on data from the National Mortality Followback Survey. Results show that if the population applied for private long-term care insurance at age 65, about 12% to 23% of applicants will be rejected due to poor health. The number will increase to 20% to 31% for applicants aged 75. Long-term care insurance underwriting criteria also vary depending on the risks perceived by the insurers.

Medical Insurance NEC, Insurance, Long-term care of the sick, Long term care

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