Health Insurance Exchanges: Organizing Health Insurance Marketplaces to Promote Health Reform Goals

Examines whether and how the proposed health insurance exchange to organize an efficient marketplace would address problems individuals and employers face in buying insurance and thereby increase coverage. Considers lessons learned from earlier efforts

Maternity Care and Consumer-Driven Health Plans

Compares out-of-pocket costs of maternity care under consumer-driven health plans (CDHP) to a traditional health insurance plan. Explores related factors including prenatal care coverage and unpredictability of costs for delivery and hospital stays

Genetic Discrimination in Health Insurance: Current Legal Protections and Industry Practices

Most states have enacted genetic nondiscrimination laws in health insurance, and federal legislation is pending in Congress. Scientists worry fear of discrimination discourages some patients from participating in clinical trials and hampers important medical research. This paper describes a study of medical underwriting practices in the individual health insurance market related to genetic information. Underwriters from 23 companies participated in a survey that asked them to underwrite four pairs of hypothetical applicants for health insurance. One person in each pair had received a positive genetic test result indicating increased risk of a future health condition—breast cancer, hemochromatosis, or heart disease—for a total of 92 underwriting decisions on applications involving genetic information. In seven of these 92 applications, underwriters said they would deny coverage, place a surcharge on premiums, or limit covered benefits based on an applicant's genetic information