Health Insurance, Third Edition
- 11h 29m
- Michael A. Morrisey
- Health Administration Press
- 2020
Health insurance is the machinery that makes the financing of the US health system run. But what’s going on under the hood?
Health Insurance helps readers learn the underlying assumptions, facts, and variables that drive decision-making and choices on the payer side. Picking up where introductory economics courses often leave off, the book presents the foundational economic principles of health insurance to clarify insurance-related policy and management issues.
Author Michael A. Morrisey clearly explains complex concepts such as adverse selection, moral hazard, managed care, and employer-sponsored health insurance. Also addressed are risk adjustment, demand, health savings accounts, selective contracting, the diversity of health insurance markets, and the functioning of Medicare and Medicaid. The book is distinguished by its in-depth discussion of research in health insurance, both cutting edge and classic.
This third edition has been substantially revised to reflect the rapid evolution of the healthcare field stemming from the Affordable Care Act (ACA). Throughout, data used are the most recent available. New elements include:
- An all-new chapter on the ACA
- Deep revisions to chapters on insurance coverage; insurance market structure, conduct and performance; and the individual market
- New sections on the ACA’s risk adjustment and transitional adjustment mechanisms, the Oregon Medicaid experiment, wellness programs, interstate competition, and private health insurance exchanges
- Fresh data on health savings accounts and consumer-directed, high-deductible plans
- Inclusion of tax law changes in the ACA and in the 2018 tax reforms
- An explanation of modified adjusted gross income, a new approach to defining eligibility
Though health insurance has been a major player in the American healthcare system for decades, it’s hardly static. This new edition of Health Insurance keeps pace with the changes while also offering a thorough foundation on the basics.
About the Author
Michael A. Morrisey, PhD, is a professor in the Department of Health Care Organization and Policy in the School of Public Health at the University of Alabama at Birmingham (UAB), where he has taught health insurance for more than 25 years. He is the director of the UAB Lister Hill Center for Health Policy and holds appointments in several other UAB departments and centers. He is a fellow of the Employee Benefits Research Institute. Dr. Morrisey was the first recipient of the John Thompson Prize for health services research, awarded by the Association of University Programs in Health Administration, and he has served on the editorial boards of several journals, including Health Affairs and Medical Care Research and Review. He is a recipient of the UAB President’s Award for teaching and the UAB School of Public Health Distinguished Investigator Award. He holds a BA in economics from Northern State University in South Dakota and a PhD in economics from the University of Washington (Seattle).
In this Book
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Preface
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History of Health Insurance in the United States
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The Affordable Care Act
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A Summary of Insurance Coverage
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The Demand for Health Insurance
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Adverse Selection
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Underwriting and Rate Making
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Risk Adjustment
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Moral Hazard and Prices
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Utilization Management
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Selective Contracting
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Provider Consolidation, Monopsony Power, and the Managed Care Backlash
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Insurance Market Structure, Conduct, and Performance
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Premium Sensitivity for Health Insurance
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Compensating Differentials
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Taxes and Employer-Sponsored Health Insurance
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Employers as Agents
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Health Savings Accounts and Consumer-Directed Health Plans
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The Small-Group Market
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The Individual Insurance Market
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Health Insurance Regulation
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High-Risk Pools
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An Overview of Medicare
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Retiree Coverage
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Medicaid, Crowd-Out, and Long-Term Care Insurance
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Epilogue
