What core benefits are necessary to improve consumer health?
Policy Definition: Covered benefits are services an insurance provider is responsible to pay for (dependent on benefit design) on behalf of a beneficiary.
Underwriting and Rate Setting
How are factors – such as consumer demographic and medical information – considered to set rates that are both affordable for consumers and sustainable for the system?
Policy Definition: Underwriting and rate setting are methodologies which risk bearing entities use to determine costs associated with covered benefits to beneficiaries.
How can an insurance product be structured to encourage usage of high value care?
Policy Definition: Insurance design dictates the parameters in which a consumer can access covered benefits
How can consumers save for health-related services?
Policy Definition: Savings accounts are vehicles to accumulate of pre-tax dollars to use towards specified healthcare expenses