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Containing Health Benefit Costs

The Self-Insurance Option

  • Book
  • © 1979

Overview

Editors:
  1. Richard H. Egdahl

    1. Center for Industry and Health Care, Boston University Health Policy Institute, Boston, USA

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    You can also search for this editor in PubMed   Google Scholar

  2. Diana Chapman Walsh

    1. Center for Industry and Health Care, Boston University Health Policy Institute, Boston, USA

    View editor publications

    You can also search for this editor in PubMed   Google Scholar

Part of the book series: Springer Series on Industry and Health Care (SSIND, volume 6)

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Table of contents (15 chapters)

  1. Front Matter

    Pages i-viii
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  2. Context and Issues

    1. Front Matter

      Pages 1-1
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    2. Industry-Insurer Relationships—A Dynamic Interaction

      • Richard H. Egdahl, Diana Chapman Walsh
      Pages 2-11

    3. A Spectrum of Financing and Administrative Alternatives

      • Richard H. Egdahl, Diana Chapman Walsh
      Pages 12-18

    4. Shaving Percentage Points Off Administrative Costs

      • Richard H. Egdahl, Diana Chapman Walsh
      Pages 19-31

    5. Using Claims Data to Contain Health Care Costs

      • Richard H. Egdahl, Diana Chapman Walsh
      Pages 32-52

  3. Purchaser Perspectives: Four Corporations

    1. Front Matter

      Pages 53-53
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    2. American Telephone and Telegraph Company

      • Richard W. Stone, Michael J. Gulotta, Donald P. Harrington
      Pages 55-59

    3. Mobil Oil Corporation

      • Robert B. Peters, Jack H. Bleuler, David H. Winkworth
      Pages 60-64

    4. Deere and Company

      • Kevin Stokeld
      Pages 65-68

    5. Polaroid Corporation

      • Galt Grant
      Pages 69-72

  4. Administering the Benefit: Third-Party Views

    1. Front Matter

      Pages 73-73
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    2. Prudential Insurance Company of America

      • Lesley L. Ralson
      Pages 74-78

    3. Blue Cross-Blue Shield of Greater New York

      • Steven Sieverts
      Pages 79-88

    4. U. S. Administrators

      • Samuel X. Kaplan
      Pages 89-98

    5. United Mine Workers of America Health and Retirement Funds

      • Stephen C. Caulfield
      Pages 99-116

    6. United Storeworkers Security Plan

      • William Michelson, Eleanor J. Tilson
      Pages 117-120

  5. An Action Plan

    1. Front Matter

      Pages 121-121
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    2. Industry and Insurer Interventions to Control the Costs of Health Benefits

      • William J. Bicknell, Brant Kelch
      Pages 122-161

    3. Legal Considerations

      • John D. Blum
      Pages 163-178
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Keywords

About this book

The springboard for this sixth volume in the Industry and Health Care series was a conference sponsored by the Center for Industry and Health Care of Boston University on June 9 and 10, 1978. That conference had a gradual genesis. Over a year ago we spent some time with Kevin Stokeld of Deere and Company and heard his views on self-insurance and self-administration as one device for a corporation to achieve better management control of its health benefit. More recent discussions with representatives of American Telephone and Telegraph Company and other corporations made it increasingly clear to us that management's need for data to monitor the use of employee health benefits was emerging as a critical policy issue. Subsequent meetings with executives at John Hancock Mutual Life Insurance Company in Boston and Mobil Oil Corporation in New York, among others, convinced us that simple answers would be elusive or inadequate and that there was a need for an objective and careful look at the evolving relationships between employee health benefits, claims administration, health services utilization, and corpo­ rate health care cost containment programs. Since self-funding and particularly self-administration represent a fun­ damental change in the traditional insurance relationship, the conference was convened to explore the advantages and disadvantages of self-insurance for employee health benefits, with some attention to claims production but with special emphasis on the originating question of data for effective management of an employee health benefit.

Editors and Affiliations

  • Center for Industry and Health Care, Boston University Health Policy Institute, Boston, USA

    Richard H. Egdahl, Diana Chapman Walsh

Bibliographic Information

  • Book Title: Containing Health Benefit Costs

  • Book Subtitle: The Self-Insurance Option

  • Editors: Richard H. Egdahl, Diana Chapman Walsh

  • Series Title: Springer Series on Industry and Health Care

  • DOI: https://doi.org/10.1007/978-1-4612-9962-2

  • Publisher: Springer New York, NY

  • eBook Packages: Springer Book Archive

  • Copyright Information: Springer-Verlag New York Inc. 1979

  • Softcover ISBN: 978-0-387-90385-9Published: 02 April 1979

  • eBook ISBN: 978-1-4612-9962-2Published: 06 December 2012

  • Edition Number: 1

  • Number of Pages: VIII, 181

  • Topics: Occupational Medicine/Industrial Medicine

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