Unintended Consequences of Health Policy Programs and Policies Workshop Summary (2001) / Chapter Skim
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Appendix B: Abstracts of Commissioned Papers on Unintended Consequences
Appendix B: Abstracts of Commissioned Papers on Unintended Consequences
Pages 15-19
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97-35~. Congress's Program skyrocketed from $1.4 billion in 1990 to $19 billion in 1995, as DSH payments became a Altrnan's paper suggests that the evolution of the DSH program, rather than helping to sustain 1 1 1 · r 1 my - T T 1 1 1 1 set ot circumstances that have undertnined the abllr ~ 1 1 1 With the emergence of managed care and various efforts to control the costs of health care, the proliferation of legislated health care benefit mandates has accelerated nationwide.
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unsound federal benefit mandates add unnecessary burdens to the health care system and represent an indirect tax. Unfortunately, according to Balas, a definition of the fine line between necessary patient protection and unjustified intrusion into the practice of medicine remains elusive due to the lack of comprehensive and scientifically sound analyses focusing on the impact of legislated benefit mandates.
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From page 17... ...
to care for the uninsured. In looking at the unintended consequences of health care reform in Washington, Crittenden reports that the net results of the changes have been increased access for those who are eligible for the health insurance expansions but declining access for a Growing number of uninsured.
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~ . , ~ ~ Many consumer advocates argue that the Employee Retirement Income Security Act (ERISA)
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Since then, the shirt ot many employers away trom traditional Indemnity health Insurance products to prepaid or managed health care raises further concerns that the existing ERISA remedies are no longer adequate to guarantee provision of the health benefits within an employee benefit plan. These concerns arise largely from the restriction of health care services to control costs.
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