Health Plan Facts, Trends & Data: 2012-2013

Erin Trompeter and Susan Namovicz-Peat

Published by Atlantic Information Services, Inc. (AIS), 2012
ISBN 10: 1936230399 / ISBN 13: 9781936230396
Used / Quantity Available: 0
Available From More Booksellers
View all  copies of this book

About the Book

We're sorry; this book is no longer available. AbeBooks has millions of books. Please enter search terms below to find similar copies.


Former Library book. With CD! Shows some signs of wear, and may have some markings on the inside. Bookseller Inventory #

About this title:


Health Plan Facts, Trends & Data is a one-of-a-kind resource packed with practical information on the important trends that are re-shaping the health care industry. Health Plan Facts, Trends & Data is a convenient source of insight into the challenges of an industry in flux with reliable data, directories & other valuable resources that you can put to work today.

Table of Contents
Ch 1: Health Plan Enrollment Trends & Market Share
*Employer-Sponsored Enrollment Data
*FEHBP, TriCare & Other Federal Programs
Ch 2: Health Plan Organizational Structure & Leadership
*Executive & Board Member Compensation Trends & Developments
*Lobbying & Donations
*Leadership Changes & Appointments
Ch 3: Health Plan Growth & Consolidation
*Mergers, Acquisitions & Divestitures
*Affiliations & Partnerships
*Market Moves, Expansions & Contract Awards
*Overseas Market
*Product Launches & Coverage Expansions
*Uninsured & Underinsured Populations
*Marketing Strategies
*Retail Insurance Outlets
Ch 4: Health Plan Financial Performance
*Costs & Profitability
*2011 & 2012 Annual Results & Projections
*Q2-4 2011 & Q1 2012 Results
*Stock Market Performance
*Key Financial Data
Ch 5: Health Reform Decisions & Impact
Ch 6: MLRs
*Broker Compensation
*State Waivers
*MLRs & MLR Factors for Selected Companies for 2011
*2011 MLRs by Market for 10 Large Health Insurers
Analysis of Components of 2011 MLR Calculations
Ch 7: Rate Setting & Premiums
*Causes of Rate Increases
*Increases, Decreases, Denials & Delays
*Oversight & Regulation of Rate Increases
*Premium Trends
Ch 8: Insurance Exchanges
*Effect of Exchanges on Health Plans & Other Stakeholders
*Essential Health Benefits
*Private Insurance Exchanges
*State Exchanges
*HHS Initiatives
Ch 9: Benefit Design
*Design Strategies
*Value-Based Design
*Limited Benefits Plans/Mini-Meds
*HSAs, Debit Cards & Other Financial Products
Ch 10: Employer Strategies & Challenges
*Coverage Costs & Trends
*Benefit Design Strategies
*Defined-Contribution Plans
*Narrow Networks
Ch 11: Pharmacy Strategies for Health Plans & Employers
*PBM Market Moves
*Pharmacy Cost Concerns
*Coupons & Copay Programs
*Pricing Disputes
*Generics Use
*Genetic Testing
*Narrow Pharmacy Networks
*Outcomes-Based Research
Ch 12: Provider Network Admin, Reimbursement & Contracting Issues
*Health Information Exchanges
*Affiliations Between Health Plans & Providers
*Quality Initiatives
Ch 13: ACOs
*ACO Pilots & Programs
*Health Plan Participation
*Regulations & Legal Concerns
*Quality Initiatives
Ch 14: Health Promotion, Wellness & Disease Management Strategies & Challenges
*Health Management & Utilization
*Strategies for Specific Health Issues
*Patient-Centered Medical Homes
*Wellness Initiatives
Ch 15: Social Media Tools & Other IT Communications Strategies
*Online & Interactive Tools for Consumers
*Applications for Communications through Mobile Smartphones
Ch 16: Records Security, Coding & Data Protection Issues
*Data Management & Claims Processing
*Data Security Challenges & Breaches
*Electronic Health Records
*ICD-10 Compliance
Ch 17: Health Plan Legal Challenges
*False Claims & Fraud & Abuse Issues
*Health Plan Liability & Legal Actions
*'Most Favored Nation' Clauses
*Consumer-Related Violations
*EOB Forms
*Coverage of Same Sex Spouses
*State-Level Legislation
Ch 18: Health Plan Resources & Directories
*Federal & Regional Medicare Regulators
*Health Plan Trade Associations

"About this title" may belong to another edition of this title.

Bibliographic Details

Title: Health Plan Facts, Trends & Data: 2012-2013
Publisher: Atlantic Information Services, Inc. (AIS)
Publication Date: 2012
Book Condition: Good
Edition: 17th.

AbeBooks offers millions of new, used, rare and out-of-print books, as well as cheap textbooks from thousands of booksellers around the world. Shopping on AbeBooks is easy, safe and 100% secure - search for your book, purchase a copy via our secure checkout and the bookseller ships it straight to you.

Search thousands of booksellers selling millions of new & used books

New & Used Books

New & Used Books

New and used copies of new releases, best sellers and award winners. Save money with our huge selection.

AbeBooks Home

Rare & Out of Print Books

Rare & Out of Print Books

From scarce first editions to sought-after signatures, find an array of rare, valuable and highly collectible books.

Rare Books



Catch a break with big discounts and fantastic deals on new and used textbooks.


More Books to Discover