Baseline Information for Evaluating the Implementation of the Health Insurance Portability and Accountability Act of 1996: Final Report

The Rand Corporation

October 1998

Prepared for the Health Care Financing Administration(now known as Centers for Medicare and Medicaid Services(CMS)) under Contract 500-95-0056, Task Order 4.
 

I. Introduction

II. Potential Effects of HIPAA: A Review of the Literature

Introduction

Background

Effects of HIPAA’s Group Market Provisions

Effects on Access

Effects on Premiums

Other Effects

Effects of Group-to-Individual Portability Provision

Effects of Guaranteed Issue

Effects of Risk Pools

Conclusions

References

Background

Databases

Population Surveys

Employer Surveys

Insurer Databases

Policy Databases

HIPAA Database Abstracts

Introduction

Scope of Evaluation Design

Limitations on Proposed Scope

Organization of Remainder of Report

Research Design

Quantitative Evaluation

Qualitative Evaluation

Specific Evaluation Topics and Design

Access to Insurance

Premiums

Benefits

Employment Effects