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Ownership and average premiums for Medicare supplementary insurance policies.

This article describes private supplementary health insurance holdings and average premiums paid by Medicare enrollees. Data were collected as part of the 1992 Medicare Current Beneficiary Survey (MCBS). Data show the number of persons with insurance and average premiums paid by type of insurance held--individually purchased policies, employer-sponsored policies, or both. Distributions are shown for a variety of demographic, socioeconomic, and health status variables. Primary findings include: Seventy-eight percent of Medicare beneficiaries have private supplementary insurance; 25 percent of those with private insurance hold more than one policy. The average premium paid for private insurance in 1992 was $914.

Adolescent↗

A time for reflection: providers rethink plan ownership.

Even as recently as a year ago, the buzz in the healthcare provider community continued to be largely positive regarding the development and evolution of provider-sponsored health plans. But recent market shifts and setbacks are forcing a rethinking of the provider-sponsored plan concept. While a small number of such plans in various markets across the U.S. continue to do well, many others are floundering, being sold, or closed down outright. In this article, provider-sponsored plan executives discuss their experiences, and they and industry observers approach questions of whether miscalculations have taken place and continue to take place in this rapidly changing arena of peril and opportunity. In particular, much attention has focused on Medicare provider-sponsored organization (PSO) development under the Balanced Budget Act. But, as industry observers and executives agree, the issues around all kinds of provider-sponsored managed care are now on the table for discussion as never before.

Decision Making↗

[Joint-ownership].

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Financial Management↗