Based on experiences in university mental health delivery systems, conclusions are drawn about ways universities can develop a health maintenance organization (HMO). (JD)

The employee medical reimbursement plan offers a new dimension in fringe benefits. This article discusses the purposes of such plans to determine who should adopt them, to guide draftsmen in their preparation, and to aid administrators and fiduciaries in their management. (LBH)

Contingent workers generally earn less income and are less likely to receive health insurance and pension benefits through their employers than are noncontingent workers. However, many earn higher wages than those in traditional arrangements and have access to health insurance from other sources. (Author)

Describes how, through a shared plan, the Health Insurance Initiative of the Independent Colleges and Universities in Florida (ICUF) is saving participating institutions millions in costs associated with providing employee health care. (EV)

Politicians are increasingly pressuring school districts to improve instruction while holding down costs. To achieve this aim, western New York school districts are experimenting with mutual gains bargaining, an alternative negotiation process based on Roger Fisher and William Ury's 1991 book "Getting to Yes." Instead of bargaining from…

Questions the communications between two discourse communities, medical practices and health insurance companies. Finds that much of the communication between the medical activity systems and the business insurance systems resulted in contradictions of genres objectives, and agency, and these contradictions were eventually negotiated through…

Study focuses on the importance that work holds in the lives of people living with HIV disease and AIDS. Four categories were identified: providing access to affordable insurance and health care; providing a distraction from the disease; allowing one to be a contributing member of society; and serving as a measure of health. Implications for…

Notes that, lacking objective, comprehensive information about health care coverage options, Medicare beneficiaries rarely understand consequences of alternative purchasing decisions. Describes Illness Episode Approach, method providing information on Medicare, Medigap policies, and Health Maintenance Organizations. Method described presents…

Ideas for expanding vision-related rehabilitation services, possibly through the health care system, are addressed. Need areas include gaining support nationally and within states, professionalizing the vision-related rehabilitation field, using innovative health care practices, acquiring funding, and improving accountability. (SW)

Systematic billing of handicapped students' health insurance policies to supplement special education revenues is routine practice in several states. Article identifies key issues for school districts and state education agencies contemplating third party billing plans through examining a case study of one such plan. Insurance billing violates…

Self-funding means that the client has accepted a portion of the risk and funded for that portion of the risk in a separate account designated exclusively for the payment of claims. Focuses on the financial advantages to self-funding the medical-insurance program. Presents pluses and minuses and defines a list of insurance terms. (MLF)

In negotiating a superintendent's contract, caution and expert legal counsel are as important for the school board as for the superintendent. Offering a well-rounded package providing both annuities and insurance policies can help boards attract the best superintendent candidates. The most serious negotiation issue for superintendents involves…

Notes consumer dissatisfaction with Health Maintenance Organizations (HMOs). Highlights legislative efforts aimed at a patients' bill of rights, including the political partisanship involved. (HTH)

Describes the process behind health-plan selection for school district employees and offers suggestions on how managers might enhance their current healthcare plan purchasing process. Areas of health-plan review and critique are listed as are tips for measuring plan performance and advice on acquiring backup data on plan quality. (GR)

Describes predictors of expenditures for dental services using data on 975 elderly persons. Forty-four percent of elderly persons reported using some dental services within a year. Persons with separate dental insurance, younger and better educated persons, and those with greater financial resources were more likely to use dental services. (JBJ)