Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Managed care operations and plan design.

L J Havlin1

  • 1Hewitt Associates, Lincolnshire, IL, USA.

Benefits Quarterly
|December 9, 1994
PubMed
Summary
This summary is machine-generated.

Employee health plan design has evolved beyond basic cost-sharing. Modern plan design requires integrating systems capabilities, strategic fit, and provider needs for effective payment decisions.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Delivering health care benefits: staying focused on real solutions.

Employee benefits journal·2000
Same author

Access to services: what are the real needs?

Benefits quarterly·1994
Same journal

How ACA Is Forcing a Technology Revolution.

Benefits quarterly·2018
Same journal

How Employers Are Looking at Specialty Pharmacy Today.

Benefits quarterly·2018
Same journal

Pharmacy Benefit Integration: A Connected Approach to Total Medical Cost Savings.

Benefits quarterly·2018
Same journal

Attention Turns to Specialty Pharmacy.

Benefits quarterly·2018
Same journal

Managing Pharmacy Trend Rates.

Benefits quarterly·2018
Same journal

Challenges Facing U.S. Long-Term Care Financing: Future Needs, Key Issues and Current Solutions.

Benefits quarterly·2018
See all related articles

Area of Science:

  • Health Insurance
  • Employee Benefits
  • Healthcare Management

Background:

  • Traditional health plan design focused on deductibles, coinsurance, and out-of-pocket maximums.
  • Employee perception and competitive practice were key considerations in older plan designs.
  • The complexity of plan design has significantly increased over time.

Purpose of the Study:

  • To highlight the evolution of health plan design.
  • To emphasize the new critical factors in contemporary plan design.
  • To underscore the shift from basic financial metrics to systemic and strategic considerations.

Main Methods:

  • Analysis of historical trends in employee health benefits.
  • Review of current best practices in health plan administration.

Related Experiment Videos

  • Comparative study of traditional versus modern plan design elements.

    • Main Results:

    • Modern health plan design necessitates a multi-faceted approach.
    • Systems capabilities are now a primary driver in plan structuring.
    • Strategic alignment with organizational goals and provider networks is crucial.

    Conclusions:

    • Health plan design has transitioned to a more complex, integrated process.
    • Effective plan design now requires balancing financial, operational, and strategic elements.
    • Consideration of systems, provider needs, and strategic fit is essential for successful modern health plans.