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PubMedDate not supplied

Genetics and the moral mission of health insurance.

Deciding whether genetic differences among individuals are morally relevant to health insurance requires us to ask, What kind of good is health care? and, What principles should govern its distribution? There are good reasons to doubt that "actuarial fairness" is an adequate description of genuine fairness in health insurance.

Actuarial Analysis↗
PubMedDate not supplied

Insurance for the insurers. The use of genetic tests.

Genetic testing raises concerns that individuals will be denied health insurance (and thus, effectively, access to health care), or that employers will screen to eliminate potentially costly workers. Although we as a society do not yet concur on the degree to which private businesses have a responsibility to promote social justice, several different policy alternatives might allow us to weigh the interests of insurers, as businesses, against the interests of citizens in a responsible manner.

Eligibility Determination↗
PubMedDate not supplied

HB 1028 author explains how 'a good bill died,' advises hospitals on upcoming tort reform battle.

State Rep. Alan Powell wants to set the record straight. Since the final day of the 2004 Georgia General Assembly in April, he's been bothered by reports blaming House Democrats for preventing the passage of tort reform legislation. He's also frustrated by the way opponents took his own bill, HB 1028 (which would have established a state-sponsored self-insurance pool for hospitals, and physicians) modified it and killed it during the session's last day. Recently, Rep. Powell (D-23rd), who has served in the Georgia General Assembly since 1990, sat down with GHA TODAY's editor to give his perspective about the tort reform battle earlier this year while giving Georgia hospitals advice about next year's continued effort to reform Georgia's broken civil justice system. Some of Rep. Powell's comments were edited for space considerations.

Georgia↗
PubMed2005

Insuring the uninsured: finding the road to success.

This article outlines various strategies that have been proposed to expand health insurance. Many have been tried in limited ways, and the article describes the experience with those attempts. The discussion is organized from the perspective of the opposing points of view: approaches that would support private coverage and largely rely on demand incentives and approaches that presuppose a more direct government role. The article reaches no conclusion about which strategy might be a wiser course of action. However, it does take measure of the likely effects of each strategy where early experience or objective analysis is available.

Commodification↗
PubMed2005

Issues related to state and employer innovations in insurance coverage.

States and employers use a number of different programs and techniques to increase rates of insurance coverage. Successful strategies--whether based on Medicaid/SCHIP expansion, strengthening employer-based coverage, or regulating the individual market--require both flexibility to tailor approaches that best serve their residents and employees and basic protections to ensure that new programs do not leave vulnerable groups behind. In addition, continued financial, regulatory, and administrative support from the federal level is crucial for states and employers to explore innovative solutions to cover the uninsured.

Child↗