insurance carriers

Summary

Summary: Organizations which assume the financial responsibility for the risks of policyholders.

Top Publications

  1. ncbi Health insurers' medical necessity determinations for bariatric surgery
    Mark A Hall
    Department of Public Health Sciences, Wake Forest University School of Medicine, Winston Salem, North Carolina 27157 1063, USA
    Surg Obes Relat Dis 1:86-90. 2005
  2. ncbi Safe, but not sound: limiting safe harbor immunity for health and disability insurers and self-insured employers under the Americans with Disabilities Act
    Rachel Schneller Ziegler
    Mich Law Rev 101:840-83. 2002
  3. ncbi Pitching plans to the uninsured. Insurers increasingly see viable market in growing pool of middle-class workers who don't have health insurance
    Laura B Benko
    Mod Healthc 33:8-9, 16. 2003
  4. ncbi Mental health and substance abuse insurance parity for federal employees: how did health plans respond?
    Colleen L Barry
    Department of Epidemiology and Public Health, Division of Health Policy and Administration, Yale University School of Medicine, USA
    J Policy Anal Manage 27:155-70. 2008
  5. ncbi Advisory boards create company-plan cooperation
    MargaretAnn Cross
    Manag Care 11:39-40. 2002
  6. ncbi Making the leap. When hospitals look to insurers for executive talent
    Melanie Evans
    Mod Healthc 34:12. 2004
  7. ncbi Antitrust enforcers cast a wary eye on health care--AMA admonition: pay attention to health plans!
    Jeanine Freeman
    Iowa Med 92:26-7. 2002
  8. ncbi The perfect prescription for Iowa's health insurance market: competition
    Lucinda L Stephenson
    Iowa Med 92:18-20. 2002
  9. ncbi Tough times. Cigna takes 4th-quarter hit, slashes earnings projections
    Laura B Benko
    Mod Healthc 32:10, 12. 2002
  10. ncbi Brokers, insurers welcome sales automation
    Louise Kertesz
    AHIP Cover 45:30-5. 2004

Detail Information

Publications173 found, 100 shown here

  1. ncbi Health insurers' medical necessity determinations for bariatric surgery
    Mark A Hall
    Department of Public Health Sciences, Wake Forest University School of Medicine, Winston Salem, North Carolina 27157 1063, USA
    Surg Obes Relat Dis 1:86-90. 2005
    ..This study explored how state managed-care patient protection laws affect health insurers' criteria for medical necessity, using bariatric surgery for weight reduction as a case in point...
  2. ncbi Safe, but not sound: limiting safe harbor immunity for health and disability insurers and self-insured employers under the Americans with Disabilities Act
    Rachel Schneller Ziegler
    Mich Law Rev 101:840-83. 2002
  3. ncbi Pitching plans to the uninsured. Insurers increasingly see viable market in growing pool of middle-class workers who don't have health insurance
    Laura B Benko
    Mod Healthc 33:8-9, 16. 2003
    ..quot;Things are really heating up," says Merrill Matthews Jr., left, director of the Council for Affordable Health Insurance...
  4. ncbi Mental health and substance abuse insurance parity for federal employees: how did health plans respond?
    Colleen L Barry
    Department of Epidemiology and Public Health, Division of Health Policy and Administration, Yale University School of Medicine, USA
    J Policy Anal Manage 27:155-70. 2008
    ..This finding helps to explain the absence of an effect of the FEHB Program directive on total spending, and is relevant to the policy debate in Congress over federal parity...
  5. ncbi Advisory boards create company-plan cooperation
    MargaretAnn Cross
    Manag Care 11:39-40. 2002
  6. ncbi Making the leap. When hospitals look to insurers for executive talent
    Melanie Evans
    Mod Healthc 34:12. 2004
  7. ncbi Antitrust enforcers cast a wary eye on health care--AMA admonition: pay attention to health plans!
    Jeanine Freeman
    Iowa Med 92:26-7. 2002
  8. ncbi The perfect prescription for Iowa's health insurance market: competition
    Lucinda L Stephenson
    Iowa Med 92:18-20. 2002
  9. ncbi Tough times. Cigna takes 4th-quarter hit, slashes earnings projections
    Laura B Benko
    Mod Healthc 32:10, 12. 2002
  10. ncbi Brokers, insurers welcome sales automation
    Louise Kertesz
    AHIP Cover 45:30-5. 2004
  11. ncbi Supreme Court to review Kentucky 'any-willing-provider' law
    Peter M Sfikas
    Loyola University of Chicago School of Law, Ill 60611, USA
    J Am Dent Assoc 133:1281-2. 2002
  12. ncbi Health plans strain to contain rapidly rising cost of imaging
    Maureen Glabman
    Manag Care 14:22-4, 26, 28; passim. 2005
  13. ncbi The cost of building an information highway. Was $18 billion too much? Too little?
    Sandy Lutz
    Healthplan 43:78-80. 2002
  14. ncbi Stealth law: HIPAA's back-door regulation of "business associates"
    James M Jacobson
    Holland and Knight, Boston, MA, USA
    Manag Care Q 11:37-9. 2003
    ....
  15. ncbi A rewarding relationship. Hospitals and docs are seeing more of their pay tied to performance based on quality measures and other contractual objectives
    Laura B Benko
    Mod Healthc 33:28-30, 34-5. 2003
  16. ncbi Too big? Caremark, AdvancePCS getting close look from feds
    Cinda Becker
    Mod Healthc 34:14, 16. 2004
  17. ncbi Consolidation of MCOs will force IDN mergers
    Donald E Johnson
    Health Care Strateg Manage 21:2-3. 2003
  18. ncbi HSAs make a splash
    Jay Greene
    Healthplan 45:20-4. 2004
  19. ncbi The impact and enforcement of prudent layperson laws
    Mark A Hall
    Department of Public Health Sciences, Wake Forest University School of Medicine, Winston Salem, NC 27157 1063, USA
    Ann Emerg Med 43:558-66. 2004
    ..Almost every state has enacted a "prudent layperson" standard for determining insurance coverage for emergency department (ED) services. This study evaluates whether these laws are achieving their goals or causing unintended side effects...
  20. ncbi Making it click. Providers are hanging up the phones and heading for the Internet to communicate with health plans. Web-based tools are saving time and money on both ends
    Mary Chris Jaklevic
    Mod Healthc 33:24-5, 34. 2003
  21. ncbi Everybody's doing it. Pending Anthem deal opens door for more mergers
    Laura B Benko
    Mod Healthc 34:18-9. 2004
  22. ncbi Fraud patrol. N.Y. joins push to track down insurance swindlers
    Laura B Benko
    Mod Healthc 33:14. 2003
  23. ncbi Going for the green. As higher premiums and stable medical costs fuel health plans' profits, providers say time is right to win bigger reimbursement
    Laura B Benko
    Mod Healthc 33:6-7, 14-5, 1. 2003
    ..Hospitals plan to escalate their push for higher reimbursement while the iron is hot. Yet Oxford Health Plans President and CEO Charles Berg, left, says big profits don't paint the whole picture...
  24. ncbi Force to be reckoned with UnitedHealth-Oxford could dominate northeast
    Laura B Benko
    Mod Healthc 34:12. 2004
  25. ncbi Insurance for $30 a month. New just-in-case policies aren't perfect, but they'll do in a pinch
    Kathleen Kingsbury
    Time 172:55. 2008
  26. ncbi Law, medicine, and trust
    Mark A Hall
    Wake Forest University, USA
    J Nurs Law 9:33-84. 2003
  27. ncbi Mixed reaction. Molina's IPO goes well, but not all observers cheer
    Laura B Benko
    Mod Healthc 33:14-5. 2003
  28. ncbi Health plans mobilize national bioterrorism response
    Bob Rehm
    Healthplan 43:38-42. 2002
  29. ncbi A review of data on the U.S. health sector: fall 2004
    Ida Hellander
    Int J Health Serv 35:265-89. 2005
    ..The article concludes with some useful sources of information on single-payer, universal health care...
  30. ncbi Sky's the limit. Insurance industry reports increased profit margins
    Laura B Benko
    Mod Healthc 34:8-9. 2004
  31. ncbi Presidential politics and the resurgence of health care reform
    Jonathan Oberlander
    University of North Carolina, Chapel Hill, USA
    N Engl J Med 357:2101-4. 2007
  32. ncbi Consumer-directed health care
    M Gregg Bloche
    Georgetown University, Washington, DC, USA
    N Engl J Med 355:1756-9. 2006
  33. ncbi The concept of underinsurance: a general typology
    Andrew Ward
    University of Minnesota, Minneapolis, Minnesota 55455, USA
    J Med Philos 31:499-531. 2006
    ..In this article, I examine the various dimensions of underinsurance, and propose a typology incorporating those dimensions...
  34. ncbi Employment-based health benefits and public-sector coverage: opportunity for leadership
    Helen Darling
    National Business Group on Health in Washington, DC, USA
    Health Aff (Millwood) 25:1487-9. 2006
    ..The similar needs of public and private employers and payers provide an opportunity for leadership, accelerating innovation and using value-added services to improve safety, quality, and efficiency of health care for all...
  35. ncbi Commercial health insurance: smart or simply lucky?
    Marsha Gold
    Mathematica Policy Research in Washington, DC, USA
    Health Aff (Millwood) 25:1490-3. 2006
    ..Unfortunately, unless the drivers of health care cost are tamed, the main benefits that people seek from insurance-stable coverage and financial protection--will erode further...
  36. ncbi Real health plans manage care
    Robert Hurley
    Department of Health Administration, Virginia Commonwealth University, Richmond, USA
    Health Aff (Millwood) 25:1494-6. 2006
    ..State Medicaid purchasers in particular have found alternative sources for care management and have sound reasons to question whether industry-leading commercial insurers will be responsive to their needs...
  37. ncbi Insurers reign
    Dave Carpenter
    Hosp Health Netw 77:34-8, 40, 2. 2003
    ....
  38. ncbi Improving tomorrow's health care with today's tools: a conversation with Larry C. Glasscock. Interview by John K. Iglehart
    Larry C Glasscock
    WellPoint Inc, USA
    Health Aff (Millwood) 26:w13-21. 2007
    ....
  39. ncbi Consolidation confrontation. AHA, lawmakers dubious of Vegas, Philly mergers
    Laura B Benko
    Mod Healthc 37:8-9. 2007
  40. ncbi Taking consumer-driven health to the bank
    Joseph Goedert
    Health Data Manag 15:40, 42, 44 passim. 2007
  41. ncbi The accuracy of reported insurance status in the MEPS
    Steven C Hill
    Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, 540 Gaither Road, Rockville, MD 20850, USA
    Inquiry 44:443-68. 2007
    ..Regression analysis is used to assess the extent to which factors are associated with disagreements in reported insurance status across sources...
  42. ncbi Finance. Banking on HSAs
    Richard Haugh
    Hosp Health Netw 80:17-8. 2006
  43. ncbi Lying to insurance companies: the desire to deceive among physicians and the public
    Rachel M Werner
    University of Pennsylvania, USA
    Am J Bioeth 4:53-9. 2004
    ..48 to 4.64 after controlling for differences in time perception. These findings highlight the ethical challenge facing physicians and patients in balancing patient advocacy with honesty in the setting of limited societal resources...
  44. ncbi Patients as consumers: courts, contracts, and the new medical marketplace
    Mark A Hall
    Wake Forest University, USA
    Mich Law Rev 106:643-89. 2008
    ..This Article proposes legal solutions to the plight of the patient-as-consumer and asks what that plight tells us about market solutions to the health-care quandary...
  45. ncbi Steely competition. In the Pittsburgh market, it's behemoth healthcare system vs. dominant insurer. And the battles have become fiery indeed
    Cinda Becker
    Mod Healthc 32:28-31. 2002
  46. ncbi Quality as a passion
    Robin Blair
    Health Manag Technol 26:40-1. 2005
    ..Allen Schaffer, M.D., describes how a national health plan combines IT and human resources, and embraces national evidence-based standards, to influence the individual health status of millions of members...
  47. ncbi Health insurer monopsony power: the all-or-none model
    Jill Boylston Herndon
    Department of Economics, University of Florida, Gainesville 32611 7140, USA
    J Health Econ 21:197-206. 2002
    ..The welfare effects of the all-or-none model of monopsony are compared to those implied by the traditional model...
  48. ncbi Makeover at Aetna lags. A leaner Aetna focuses on profitability as it slips to No. 2 among health insurers. But aggressive downsizing has yet to buoy its sagging bottom line
    Laura B Benko
    Mod Healthc 32:38-40. 2002
  49. ncbi Building business intelligence applications for a strong payer-provider collaboration
    Scott Wanless
    Greenbrier and Russels Business Intelligence Practice, USA
    AHIP Cover 46:45-6, 48. 2005
  50. ncbi The commercial health insurance industry in an era of eroding employer coverage
    James C Robinson
    School of Public Health, University of California, Berkeley, USA
    Health Aff (Millwood) 25:1475-86. 2006
    ..The profitability of the commercial health insurance industry, exceptionally strong over the past five years, will henceforth be linked to the budgetary cycles and political fluctuations of state and federal governments...
  51. ncbi Physician deception of insurance companies: hyperbole or cause for concern?
    Clarence H Braddock
    Am J Bioeth 4:W32-4. 2004
  52. ncbi Devastating injuries in healthcare workers: description of the crisis and legislative solution to the epidemic of back injury from patient lifting
    Richard F Edlich
    Plastic Surgery and Biomedical Engineering, University of Virginia Health System, Virginia, USA
    J Long Term Eff Med Implants 15:225-41. 2005
    ..injury to patients, and tremendous waste of financial resources to employers and workers' compensation insurance carriers. Healthcare workers consistently rank among top occupations with disabling back injuries, primarily from ..
  53. ncbi [Bioethical principles: planning and advance directives in Puerto Rico]
    José Ramírez Rivera
    Universidad Central del Caribe, Bayamon, PR
    Bol Asoc Med P R 101:54-8. 2009
    ..We suggest that it may be economically advantageous to health insurance carriers to compensate physicians who help their patients in the execution of a valid document...
  54. ncbi [Incidence and social medicine significance of chronic obstructive respiratory tract diseases in West Germany 1986]
    B Lauber
    Klinik Bad Reichenhall der LVA Niederbayern-Oberpfalz
    Pneumologie 44:519-21. 1990
    On the basis of the statistics provided by health insurance organisations and pension insurance carriers, the incidence, socio-medical significance and cost to the general economy of chronic obstructive airways diseases in the Federal ..
  55. ncbi Firearm counseling by physicians: coverage under medical liability insurance policies
    Frederick A Paola
    Division of Medical Ethics and Humanities, Department of Internal Medicine, University of South Florida College of Medicine, Tampa, FL 33612 4799, USA
    South Med J 96:647-51. 2003
    Physicians who offer firearms counseling may increase their legal liability, depending on the attitudes of their medical malpractice insurance carriers.
  56. ncbi Effects of reduction mammaplasty on pulmonary function and symptoms of macromastia
    Rajiv Sood
    Department of Surgery, Section of Plastic Surgery, Indiana University School of Medicine, Indiana University Purdue University, Indianapolis, USA
    Plast Reconstr Surg 111:688-94. 2003
    ..All of these patients had their surgical procedures preauthorized as medically necessary by their insurance carriers. All subjective parameters examined were statistically significantly improved following breast reduction (p &..
  57. pmc The adequacy of household survey data for evaluating the nongroup health insurance market
    Joel C Cantor
    Center for State Health Policy, Rutgers University, 55 Commercial Avenue, 3rd Floor, New Brunswick, NJ 08901, USA
    Health Serv Res 42:1739-57. 2007
    ..To evaluate the accuracy of household survey estimates of the size and composition of the nonelderly population covered by nongroup health insurance...
  58. ncbi The malpractice liability crisis
    R James Brenner
    Eisenberg Keefer Breast Center, John Wayne Cancer Institute, Tower Saint Johns Imaging, Saint Johns Health Center, Santa Monica, CA 90404, USA
    J Am Coll Radiol 1:18-22. 2004
    ..consequent rising malpractice premiums, and the threatened economic insolvency of medical liability insurance carriers as a result of the broader economic downturn. The result is a serious public health dilemma...
  59. doi Community trial of home-based exercise therapy for intermittent claudication
    Matthew J Mouser
    Gundersen Lutheran Health System, Department of Internal Medicine, La Crosse, WI 54601, USA
    Vasc Med 14:103-7. 2009
    ..therapy has been demonstrated to be an effective treatment for IC in a supervised setting; however, most insurance carriers do not reimburse for exercise therapy...
  60. ncbi External validation of compliance to perfusion quality indicators
    Timothy Dickinson
    Perfusion Quality and Research, Fresenius Medical Care Extracorporeal Alliance, San Diego, CA, USA
    Perfusion 19:295-9. 2004
    ..Medical information technology companies like Solucient and insurance carriers such as Blue Cross of California have identified and published a list of hospitals that demonstrate superior ..
  61. ncbi Error reduction and risk management in cytopathology
    William J Frable
    Department of Pathology, Virginia Commonwealth University Medical Center, Richmond, VA 23298 0662, USA
    Semin Diagn Pathol 24:77-88. 2007
    ..They should be reviewed and approved by risk managers or insurance carriers, and documented in such a manner that one obtains maximal protection from legal discovery...
  62. doi Hippocratic ideal, Faustian bargain and Damocles' sword: erosion of patient autonomy in obstetrics
    E A Rybak
    Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology and Women s Health, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY 10461, USA
    J Perinatol 29:721-5. 2009
    ..allegation of negligence that follows a labor-associated adversity, obstetricians-and their liability insurance carriers-have recalibrated obstetric practice in alignment with the increasingly risk-averse preferences of most ..
  63. ncbi Burnout, vicarious traumatization and its prevention
    Christian Pross
    Behandlungszentrum für Folteropfer, GSZ Moabit, Berlin, Germany
    Torture 16:1-9. 2006
    ..Therefore politicians and social insurance carriers should be urged to integrate facilities for traumatized refugees into the general health care system and ..
  64. ncbi Reduction mammaplasty: a significant improvement at any size
    Jason A Spector
    Division of Plastic Surgery, Weill Cornell College of Medicine, Cornell University, NY, USA
    Plast Reconstr Surg 120:845-50. 2007
    ..However, most insurance carriers will not reimburse for mammaplasties involving less than 1000 g of total tissue resected...
  65. doi Effect of saphenous vein diameter on closure rate with ClosureFAST radiofrequency catheter
    David Calcagno
    Calcagno and Rossi Vein Treatment Center, Mechanicsburg, Pennsylvania 17050, USA
    Vasc Endovascular Surg 43:567-70. 2009
    ..Veins >12 mm were excluded in the initial study. Many insurance carriers used >12 mm size as reason to not approve the procedure...
  66. ncbi CPT coding and reimbursement issues in dermatology
    James A Zalla
    Dermatology Associates of Northern Kentucky, P S C, Florence, KY 41042 1815, USA
    Semin Cutan Med Surg 24:117-23. 2005
    ..The successes of the American Academy of Dermatology Association advocacy efforts with insurance carriers are summarized, with an update on the current status of these issues...
  67. ncbi Cost effectiveness of 24-hour ambulatory blood pressure monitoring in evaluation and treatment of essential hypertension
    S A Yarows
    Chelsea Internal Medicine Consultants, MI 48118
    Am J Hypertens 7:464-8. 1994
    ..As such, third-party insurance carriers should consider reimbursement for ABPM in hypertension to decrease pharmaceutical cost and its attendant ..
  68. ncbi Universal healthcare: a bold proposal
    K J Lee
    Yale University School of Medicine, USA
    Conn Med 64:485-91. 2000
    ..Another problem is the lack of trust between payors, insurance carriers, regulators, employers, employees, providers, and patients...
  69. ncbi Utilization management: issues, effects, and future prospects
    Thomas M Wickizer
    Department of Health Services, School of Public Health and Community Medicine, University of Washington, Seattle, Washington 98195 7660, USA
    Annu Rev Public Health 23:233-54. 2002
    ..b>Insurance carriers, managed care plans, and third-party payers have defended the use of utilization management as an imperfect-..
  70. ncbi Pharmaceutical industry research and cost savings in community-acquired pneumonia
    Lori A Kessler
    Physicians Research Network, Methodist Le Bonheur Healthcare Foundation, Memphis, Tenn 38104, USA
    Am J Manag Care 8:798-800. 2002
    To provide financial justification for continuing pharmaceutical research in an environment that has met with increasing resistance from insurance carriers to paying for the care of patients enrolled in research studies.
  71. ncbi Anticipating and controlling rising malpractice insurance costs
    Paul A Greve
    GE Medical Protective, Fort Wayne, Indiana, USA
    Healthc Financ Manage 56:50-5. 2002
    ..As a result, most major malpractice insurance carriers have experienced a deterioration of their loss ratios...
  72. ncbi [Economic aspects of allergies: status and prospects for Austria]
    Viktoria Stein
    Institut für Sozialmedizin, Centre for Public Health, Medizinische Universität Wien, Wien, Osterreich
    Wien Med Wochenschr 157:248-54. 2007
    ..Direct costs of allergies in general are in part available from health insurance carriers. Between 1998 and 2005 the number of nasal preparations and antiobstructive therapies prescribed rose by 15% ..
  73. ncbi New roles for the certified medical assistant to enhance quality and effectiveness of care
    Donald A Balasa
    American Association of Medical Assistants, 20 N Wake Drive, Suite 1575, Chicago, IL 60606, USA
    J Med Pract Manage 23:276-8. 2008
    ..In an effort to reduce potential malpractice liability, insurance carriers are recommending that practices employ culturally competent "patient advocate"professionals such as the CMA (..
  74. doi [Prevention and law. The legal regulation of prevention in health care]
    Adem Koyuncu
    Rechtsanwaltskanzlei MAYER BROWN LLP, Koln
    Med Klin (Munich) 104:704-9. 2009
    ..Two attempts to enact a Prevention Act have failed. Therefore, this study analyzes how prevention is currently regulated in Germany...
  75. pmc Toward an ethically responsible approach to vaginal birth after cesarean
    Anne Drapkin Lyerly
    Trent Center for Bioethics, Humanities and History of Medicine and Department of Obstetrics and Gynecology, Duke University, Durham, NC, USA
    Semin Perinatol 34:337-44. 2010
    ..and repeat cesarean should be regarded as reasonable options; women, rather than policymakers, providers, insurance carriers, or hospitals, should determine delivery approach...
  76. ncbi Effects of use of alternative therapies on quality of life and healthcare spending
    James X Zhang
    Department of Medicine, Section of General Internal Medicine, The University of Chicago, Chcago, IL 60637, USA
    Am J Chin Med 35:183-93. 2007
    ..Alternative therapies were used extensively by OA patients in Hong Kong. Clinicians, health policy makers, and insurance carriers should be aware of the potential health and economic effects in practice and policy formulation.
  77. ncbi Legal issues impacting women's access to care in the United States-the malpractice insurance crisis
    R W Hale
    The American College of Obstetricians and Gynecologists, Washington DC, USA
    Int J Gynaecol Obstet 94:382-5. 2006
    ..Even where ob-gyns are available, hospitals and insurance carriers are limiting their ability to practice the wide range of procedures for which they were trained...
  78. doi [Analysis and assurance of quality in cardiac rehabilitation]
    R Marx
    Klinik fur Kardiologie, MediClin Fachklinik Rhein Ruhr, Essen Kettwig, Essen
    Dtsch Med Wochenschr 134:S228-9. 2009
    ..Health insurance carriers provide a comparable quality assurance program...
  79. ncbi [New therapeutic options in obesity]
    A E Heufelder
    MMW Fortschr Med 145:35-9. 2003
    ..Health insurance carriers should, in future, selectively support evaluated and approved medication-based and non-medication-based ..
  80. ncbi Therapeutic uses of double-balloon enteroscopy
    Simon K Lo
    Digestive Disease Center, Cedar Sinai Medical Center, 8700 Beverly Boulevard, Room 7511, Los Angeles, CA 90048, USA
    Gastrointest Endosc Clin N Am 16:363-76. 2006
    ..Gastroenterologists and their patients will have to work together to convince insurance carriers that this isa valuable and cost-effective technology worthy of appropriate reimbursement.
  81. ncbi Patient opinion of urologists' reimbursement
    Mark B Fisher
    Department of Urology, Wayne State University, Detroit, Michigan 48201, USA
    Urology 67:250-3. 2006
    ..Healthcare policy and physician reimbursement has been discussed in political and economic forums; however, few studies exist that reflect a patient's perspective of reimbursement issues...
  82. ncbi Exploratory evidence on the market for effective depression care in Pittsburgh
    Michael Schoenbaum
    RAND, Arlington, Virginia 22202, USA
    Psychiatr Serv 55:392-5. 2004
    ..The authors assessed opportunities for increasing the rate of effective depression treatment by investigating the market for such treatment in the Pittsburgh area...
  83. doi Combination of rituximab and intravenous immunoglobulin for recalcitrant ocular cicatricial pemphigoid: a preliminary report
    C Stephen Foster
    Massachusetts Eye Research and Surgery Institution, Cambridge, Massachusetts 02142, USA
    Ophthalmology 117:861-9. 2010
    ..To compare the effectiveness and safety of the combination therapy of rituximab (RTX) and intravenous immunoglobulin (IVIg) to other immunosuppressive regimens in the treatment of ocular cicatricial pemphigoid (OCP)...
  84. doi Evaluation of preoperative risk factors and complication rates in cosmetic breast surgery
    Michael S Hanemann
    Division of Plastic and Reconstructive Surgery, Louisiana State University Health Sciences Center, New Orleans, LA, USA
    Ann Plast Surg 64:537-40. 2010
    ..coverage for treatment of significant complications, which might not be reimbursed by patients' health insurance carriers. Complication rates of cosmetic breast operations were reviewed from 13,475 consecutive patients between ..
  85. ncbi [Self-help groups--helping others is helping oneself]
    C Straka
    Interne Klinik Dr Argirov, Kempfenhausen am Starnberger See
    MMW Fortschr Med 148:38-40. 2006
    ..Despite the proven positive effect for patients participating in such self-help groups, their financial support with public funds or social insurance carriers is not forthcoming.
  86. pmc Effectiveness of a prebariatric surgery insurance-required weight loss regimen and relation to postsurgical weight loss
    Christopher N Ochner
    New York Obesity Research Center, St Luke s Roosevelt Hospital, Columbia University College of Physicians and Surgeons, New York, New York, USA
    Obesity (Silver Spring) 18:287-92. 2010
    ..Findings suggest that the common weight loss regimen requirements of US insurance carriers were ineffective in producing presurgical weight loss in this sample...
  87. ncbi The WOC nurse in home care
    C P Baker
    Health Care, Home Hinsdale Hospital, Hinsdale, Illinois, USA
    J Wound Ostomy Continence Nurs 28:270-3. 2001
    ..Financial constraints imposed by the government and insurance carriers have accelerated the need for efficiency and excellence in communication, coordination of care, and ..
  88. ncbi Problems of transition from tax-based system of health care finance to mandatory health insurance model in Russia
    S Shishkin
    Institute for Economy in Transition, Moscow, Russia
    Croat Med J 40:195-201. 1999
    ..systems; and (c) lack in evidence of actual positive changes effected by the new players: mandatory health insurance carriers and funds...
  89. pmc A discrete choice model of drug abuse treatment location
    A C Goodman
    Department of Economics, Wayne State University, Detroit, MI 48202, USA
    Health Serv Res 33:125-45. 1998
    ..To identify short-term drug abuse treatment location risk factors for ten large, self-insured firms starting January 1, 1989 and ending December 31, 1991...
  90. ncbi Nonurgent pediatric emergency department visits: Care-seeking behavior and parental knowledge of insurance
    Kathleen A Doobinin
    Department of Pediatrics, Division of Pediatric Emergency Medicine, Children s Hospital of the King s Daughters, Norfolk, Virginia, USA
    Pediatr Emerg Care 19:10-4. 2003
    ..001). Only 38.7% stated that they were educated as to what problems are considered emergencies by their insurance carriers. PED referrals for nonurgent complaints are required by the insurance carrier for 74...
  91. ncbi Health services research
    H L Bailit
    Health Policy and Primary and Primary Care Research Center, School of Medicine, University of Connecticut, 263 Farmington Avenue, Farmington, CT 06030, USA
    Adv Dent Res 17:82-5. 2003
    ..code only services delivered and not diagnoses, and it is difficult to obtain and merge claims from multiple insurance carriers. In a national demonstration project on the impact of community-based dental education programs on the care ..
  92. ncbi The case for treating tobacco dependence as a chronic disease
    Michael B Steinberg
    Robert Wood Johnson Medical School and School of Public Health, University of Medicine and Dentistry of New Jersey, New Brunswick, New Jersey 08901, USA
    Ann Intern Med 148:554-6. 2008
    ..For smokers using long-term cessation medications, health care providers should encourage treatment and insurance carriers should cover it...
  93. ncbi Perinatal stroke in baby, prothrombotic gene in mom: does this affect maternal health insurance?
    Meredith R Golomb
    Division of Pediatric Neurology, Department of Neurology, Indiana University School of Medicine, Indianapolis, IN 46202, USA
    Neurology 65:13-6. 2005
    ..Maternal prothrombotic disorders may contribute to stroke in the fetus before and during birth. Many of the mothers of children with perinatal stroke have no previous history of pathologic thrombosis...
  94. ncbi Eliminating barriers for patients with limited English proficiency
    Joshua S Coren
    Department of Family Medicine, University of Medicine and Dentistry of New Jersey School of Osteopathic Medicine, Stratford, USA
    J Am Osteopath Assoc 109:634-40. 2009
    ..the United States is an important issue for patients, physicians, federal and state government agencies, and insurance carriers. Physicians can actively address this healthcare barrier by becoming familiar with established state and ..
  95. ncbi The impact of policy standardization on the Medigap market
    T Rice
    Department of Health Services, School of Public Health, University of California, Los Angeles 90095 1772, USA
    Inquiry 34:106-16. 1997
    ..Prior to 1992, insurance carriers could sell any benefits they chose, so long as minimum benefit requirements were met...
  96. ncbi Major lower extremity amputation in an academic vascular center
    Ahmed M Abou-Zamzam
    Department of Surgery, Division of Vascular Surgery, Loma Linda University Medical Center, Loma Linda, CA 92354, USA
    Ann Vasc Surg 17:86-90. 2003
    ..Patient demographics, comorbidities, insurance carriers, and indications for operative intervention were analyzed...
  97. ncbi Teaching professionalism within a community context: perspectives from a national demonstration project
    THOMAS P O'TOOLE
    Georgetown University School of Medicine, NE 113 Medical Dental Building, 3900 Reservoir Rd, NW, Washington, DC 20057, USA
    Acad Med 80:339-43. 2005
    ..and influences affecting professional behavior, with many specifically citing pharmaceutical companies and insurance carriers (46.3%); (2) the role and importance of physician advocacy on behalf of their patients (37...
  98. ncbi Does open enrollment control premiums? A case study from the "Medigap" market
    Thomas Rice
    Department of Health Services, School of Public Health, University of California, Los Angeles 90095 1772, USA
    Inquiry 41:291-300. 2004
    ..We found little evidence that the policy change affected premiums charged by insurance carriers in Missouri, but conclude that other desirable aspects of the change make it potentially attractive for ..
  99. ncbi Enforcing prompt-payment regulations: the Texas approach
    Jim E McCoy
    Ernst and Young, LLP, Dallas, Texas, USA
    Healthc Financ Manage 56:32-4. 2002
    To ensure that insurance carriers pay providers in a timely manner, Texas has adopted strict payment regulations. Enforcement of the regulations has led to restitution payments for many providers...
  100. ncbi [New stipulations for rehabilitation of mentally ill. Will return to normal life be facilitated?]
    M Zaudig
    Psychosomatischen Klinik Windach
    MMW Fortschr Med 145:32-5. 2003
    ..mental disorders of more than 6 months' duration may be classified by the medical services of the health insurance carriers as being in need of rehabilitation...
  101. ncbi Blunting the negative impact of healthcare reform
    Venson Wallin
    Ernst and Young LLP, Richmond, VA, USA
    Healthc Financ Manage 64:62-6. 2010
    ..Plan for lower Medicare payments by negotiating with commercial insurance carriers for contract renewals and implementing cost containment measures...

Research Grants72

  1. CONVENTIONAL INFERTILITY THERAPY VS FAST TRACK TO IVF
    Richard Reindollar; Fiscal Year: 2004
    ..infertility have extremely variable protocols, success rates, patient access, and costs to both patients and insurance carriers. For most infertility treatments, success rates are lower than natural rates in fertile couples, and for ..
  2. Insurance Financing of Integrative Medicine
    William Lafferty; Fiscal Year: 2003
    ..The health insurance carriers included in the study cover over 75% of the commercially insured lives in the state and sell products that ..
  3. Length of Postpartum Hospital Stays and the Health of Mothers and Their Newborns
    William Evans; Fiscal Year: 2007
    Between 1995 and 1997, 32 states passed laws requiring insurance carriers to provide minimum postpartum length of stays and a similar federal law went into effect on January 1, 1998...
  4. Technology Enhanced Depression Intervention (TEDI)
    KELLY CARPENTER; Fiscal Year: 2002
    ..will likely involve partnership with a company already active in our target markets such as disease management companies, large insurance carriers, or pharmaceutical companies that make anti-depressant medication.
  5. Xylitol Adult Caries Trial (X-ACT)--Study Chair application
    James Bader; Fiscal Year: 2007
    ..Little research has been done on methods to prevent tooth decay in adults. This study would test how well a lozenge to be taken several times a day works to prevent tooth decay in adults who are prone to tooth decay. ..
  6. A Multi-State Study of Cancer Treatment and Outcomes Among American Indians
    Scott Ramsey; Fiscal Year: 2007
    ..and the Indian Health Council Inc. ..
  7. Hospital Integration and Medicare Reimbursement Policy
    Daniel Kessler; Fiscal Year: 2007
    ....
  8. Planning Grant for Xylitol Trial in Caries-Active Adults
    James Bader; Fiscal Year: 2005
    ....
  9. GLOBAL ANALYSIS OF TECHNOLOGICAL CHANGE IN HEALTH CARE
    Daniel Kessler; Fiscal Year: 2002
    ..abstract_text> ..
  10. ABC: Antidepressants and Breast Cancer Pharmacoepidemiology
    Reina Haque; Fiscal Year: 2010
    ..If an association is not found, this would provide reassurance to continue prescribing certain antidepressant medications to women diagnosed with breast cancer. ..
  11. Washington Circle Performance Measures and Criminal Justice Outcomes
    Deborah W Garnick; Fiscal Year: 2010
    ..In planning quality improvement activities, it is vitally important for states and providers to understand whether initiation, engagement and continuity of treatment are linked to key outcomes. ..
  12. HEALTH LITERACY SKILLS AMONG TRANSITIONING YOUNG ADULTS
    Laura Shone; Fiscal Year: 2007
    ....
  13. Ethics and Safeguards in Psychiatric Research
    Laura W Roberts; Fiscal Year: 2010
    ..Our proposed endeavor will generate new knowledge for wide dissemination and publication that can inform future evidence-based PGR ethics guidelines and generate further empirical ethics research on PGR. ..
  14. New Evidence on the Persistence of High Health Spending
    Richard Hirth; Fiscal Year: 2009
    ..We will provide an example of how such estimates can inform the evaluation of risk-adjustment and reinsurance as mechanisms to improve the functioning of small group health insurance markets. ..
  15. Ethics and Safeguards in Psychiatric Research
    Laura Roberts; Fiscal Year: 2009
    ..Our proposed endeavor will generate new knowledge for wide dissemination and publication that can inform future evidence-based PGR ethics guidelines and generate further empirical ethics research on PGR. ..
  16. Ethics and Safeguards in Psychiatric Research
    Laura Roberts; Fiscal Year: 2009
    ..Our proposed endeavor will generate new knowledge for wide dissemination and publication that can inform future evidence-based PGR ethics guidelines and generate further empirical ethics research on PGR. ..
  17. UNDERSTANDING NEIGHBORHOOD IMPACTS OF HEALTH
    Nicole Lurie; Fiscal Year: 2007
    ..An administrative core will support the entire project. A data and methods core provides data and computing support, and serves as a focus for intellectual activity around measurement and statistical issues. ..
  18. Ethics and Safeguards in Psychiatric Research
    Laura Roberts; Fiscal Year: 2007
    ..Our proposed endeavor will generate new knowledge for wide dissemination and publication that can inform future evidence-based PGR ethics guidelines and generate further empirical ethics research on PGR. ..
  19. Linking Performance Measures to Treatment Outcomes
    Deborah Garnick; Fiscal Year: 2004
    ..Our goal is to develop a data set rich enough to support testing the WCG performance measures and their relationship to outcomes in states that represent larger and more diverse populations. ..
  20. PSYCHIATRIC RESEARCH ETHICS: SCIENCE AND SAFEGUARDS
    Laura Roberts; Fiscal Year: 2002
    ..Through the plan for development of my research career, I hope to contribute to the advancement of vital, ethically sound research involving mentally ill people and members of other special and potentially vulnerable, populations. ..
  21. Myelodysplastic Syndromes: Previous Exposures, Survival, and Quality of Life
    Xiaomei Ma; Fiscal Year: 2007
    ..In addition, the award will provide a promising junior investigator a unique opportunity for career development in cancer research. ..
  22. Outcomes of Perinatal Stroke
    Meredith Golomb; Fiscal Year: 2007
    ..During the last year of the study, she plans to apply for an R01 grant to set up a pilot clinical trial. ..
  23. Preschool Vision Screening in Primary Care Settings
    Alex Kemper; Fiscal Year: 2007
    ....
  24. AHRQ Multi-Disciplinary Doctoral Training Program
    STANLEY WALLACK; Fiscal Year: 2007
    ....
  25. Adoption of Buphenorphine in Office Practice
    STANLEY WALLACK; Fiscal Year: 2006
    ..abstract_text> ..
  26. HEALTH SERVICES RESEARCH TRAINING
    Richard Hirth; Fiscal Year: 2007
    ....
  27. Technology Exchange for Cancer Health Network (TECH-Net)
    Teresa Waters; Fiscal Year: 2006
    ..Evaluation will examine qualitative and quantitative data to measure the success of TECH-Net's implementation and to determine the impact on patient safety, cost, access to care and overall patient outcomes. ..
  28. A Policy-Oriented History of Newborn Screening for PKU
    Diane Paul; Fiscal Year: 2006
    ....