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Containing Health Benefit Costs

The Self-Insurance Option

  • Richard H. Egdahl
  • Diana Chapman Walsh

Part of the Industry and Health Care book series (SSIND, volume 6)

Table of contents

  1. Front Matter
    Pages i-viii
  2. Context and Issues

    1. Front Matter
      Pages 1-1
    2. Richard H. Egdahl, Diana Chapman Walsh
      Pages 2-11
    3. Richard H. Egdahl, Diana Chapman Walsh
      Pages 12-18
    4. Richard H. Egdahl, Diana Chapman Walsh
      Pages 19-31
    5. Richard H. Egdahl, Diana Chapman Walsh
      Pages 32-52
  3. Purchaser Perspectives: Four Corporations

    1. Front Matter
      Pages 53-53
    2. Richard W. Stone, Michael J. Gulotta, Donald P. Harrington
      Pages 55-59
    3. Robert B. Peters, Jack H. Bleuler, David H. Winkworth
      Pages 60-64
    4. Kevin Stokeld
      Pages 65-68
    5. Galt Grant
      Pages 69-72
  4. Administering the Benefit: Third-Party Views

    1. Front Matter
      Pages 73-73
    2. Lesley L. Ralson
      Pages 74-78
    3. Steven Sieverts
      Pages 79-88
    4. Samuel X. Kaplan
      Pages 89-98
    5. William Michelson, Eleanor J. Tilson
      Pages 117-120
  5. An Action Plan

    1. Front Matter
      Pages 121-121
    2. John D. Blum
      Pages 163-178
  6. Back Matter
    Pages 179-181

About this book

Introduction

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.

Keywords

Finanzierung Gesundheitswesen Health Krankenversicherung Vereinigte Staaten /Finanzwirtschaft, Finanzpolitik Vereinigte Staaten /Sozialpolitik, Sozialarbeit Vereinigte Staaten /Versicherungen attention care health care health services intervention management production relationships

Editors and affiliations

  • Richard H. Egdahl
    • 1
  • Diana Chapman Walsh
    • 1
  1. 1.Center for Industry and Health CareBoston University Health Policy InstituteBostonUSA

Bibliographic information