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Annotation: This policy brief examines the extent to which explanations of benefits (EOBs) have the potential to threaten confidentiality for adolescents and young adults, the benefits and limitations of various strategies, as well as other potential policy or programmatic solutions. Topics include tension between billing transparency and client confidentiality; EOB suppression (opting in versus opting out); enforcement, operations, and evaluation of policy changes; and engaging multiple stakeholders, especially the insurance industry.

Contact: University of California, San Francisco, Philip R. Lee Institute for Health Policy Studies, 513 Parnassus Avenue, San Francisco, CA 94143-0410, Telephone: (415) 476-5255 Web Site: http://healthpolicy.ucsf.edu Available from the website.

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Keywords: Adolescents, Confidentiality, Employee benefits, Health care reform, Health insuring organizations, Policy development

Annotation: This white paper is based on an October 18, 1995, meeting held in Washington, D.C., of federal and state health officials and health plan representatives. The meeting focused on the delivery of quality health services to children through the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) program as principles of Medicaid managed care are applied to them. The report describes the attributes of EPSDT and Medicaid managed care and identifies areas of concern where they overlap. Included in the report are perspectives from the U.S. Health Care Financing Administration, state governments, and health plans on the delivery of EPSDT services. The focus is on developing systems to collect data and assure the delivery of quality services.

Contact: National Institute for Health Care Management Foundation, 1225 19th Street, N.W., Suite 710, Washington, DC 20036, Telephone: (202) 296-4426 Contact Phone: (202) 296-4426 Fax: (202) 296-4319 E-mail: http://www.nihcm.org/contact Web Site: http://www.nihcm.org $15.00.

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Keywords: Child health, Children with special health care needs, EPSDT, Early intervention programs, Federal government, Health insurance, Health insuring organizations, Health services delivery, Medicaid managed care, Policy development, Private sector, Quality assurance, State government

Annotation: This statistical summary provides a broad range of data from many sources on health care systems and on those who use them, pay for them, provide services within them, or make policy relating to them. The introduction describes the organization, the purpose, and the use of the book; detailed data are provided for states and metropolitan statistical areas for a broad array of subjects. Sample topics on those using health systems include: population, race, age, family characteristics, personal income, birth rates, perinatal care, fetal mortality, low birthweight babies, vaccination, unemployment, and other health conditions. Selected topics on paying for health services are: insurance status and source; health maintenance organization data on enrollment, penetration, number of plans, competition, and participation by household. Some of the topics on providing health services are: hospital capacity, utilization, and expenses; number of beds; physician, nursing, and physician service expenditures; and expenditures for dental, home health, drug and medical nondurables, vision, and nursing home care and other institutional services. Examples of state data on the development of policy affecting health services include: insurance reform, coverage for targeted populations, Medicaid waivers, managed care related statutes, and cost containment efforts.

Keywords: Demographics, Health care systems, Health insurance, Health insuring organizations, Health maintenance organizations, Health services, Health statistics, Medicaid, Medicare, Sociocultural factors, Socioeconomic factors, State data, Statistics

Annotation: This report analyzes the plan expenses for multiemployer health welfare plans as they were reported on Form 5500 for the 1988 tax year. The data tables show average plan expenses by size categories for the significant areas of the plans' operations and allow the plan fiduciaries, service providers, and trustees to compare their plan expenses with the average expenses of plans of the same basic size. The report includes information on the use of the tables and the significance of analyzing plan expenses. Data tables are included for the following fees: accounting, actuarial, contract administrators, legal, investment advisory and management, trustees' fees, other administration, and total operations.

Contact: CCH Incorporated, 4025 West Peterson Avenue, Chicago, IL 60646-6085, Telephone: (888) 224-7377 Web Site: http://www.cch.com/ $15.00. Document Number: CCH catalog no. 5466.

Keywords: Costs, Disability benefits, Health insuring organizations, Statistics