The federal legislative agenda must focus on three trends: (1) the rise in health care costs; (2) the serious decline in the personal savings rate and the effect on pensions; and (3) the lengthening period of retirement as a combination of early retirement and longer life spans. (SK)

In terms of employment, the best performer over the last decade was health services. The industry added nearly 3 million jobs, accounting for 1 of every 6 new jobs in the economy since 1980. (Author)

Planning for and implementing the Financial Accounting and Standards Board's Statement of Financial Accounting Standards for nonpension retirement benefits gives colleges and universities an opportunity to assess and revise their retiree health benefit plans. However, assessment of the current plan, objectives of changes, projected impact, and…

With health insurance costs soaring for both current employees and retirees, governing boards of institutions of higher education must contain costs. Possible strategies include shifting some expenses from employer to employee, establishing flexible-benefit or cafeteria plans, using managed care to reduce unnecessary medical procedures,…

Discussion of college faculty retirement benefits looks at trends in early and delayed retirement among faculty and the general population, public policy affecting retirement, a study of college pension plans, and a survey on retiree health benefits. Development of organizational climate where retirement is viewed as normal and attractive is…

"Managed competition," a purchasing strategy to obtain maximum value, is recommended as a method for limiting costs in college and university employees' health benefits plans. Models used at Stanford University (California) and the University of California are offered as illustrations, and considerations in implementing managed…

Examines the benefits which need to be included in a health care reform program to improve coverage for children and adolescents. Reviews three criteria (medical necessity, insurability, and cost effectiveness) that may be used to develop a benefits package and finds them of limited utility. Maintains that informed consensus is the most reliable…

In this Gerontological Society of America-sponsored Congressional Briefing Seminar, authorities from several disciplines summarize history, rationale, strengths, weaknesses, and future challenges of Medicare program. In current arena of health care reform, role of Medicare is far from certain, and it is crucial to understand and confront multitude…

Carroll County Public Schools (Maryland) implemented a computerized telephone employee health insurance enrollment program. The system provides its users with personalized enrollment information prior to the call and sends immediate confirmation letters. Telephone enrollment offers an ideal pairing of available electronic technology to the…

Increasingly, college administrators are trying to pass fringe benefits costs off onto employees to relieve financial pressures. The result is an accelerated but often unacknowledged drain on faculty incomes. Faculty in a contributory health insurance plan should seek to cap faculty contributions at a fixed dollar amount. (MSE)

Presents the perspectives of a parent and a pediatrician on managed health care for children. The parent's experience in obtaining care for her disabled child demonstrates many pitfalls in the system. The pediatrician stresses that advocacy for child health should promote child health through managed care, rather than protect children from managed…

This article discusses implications of the movement toward managed health care models for long-term health care services for people with disabilities, especially people with developmental disabilities. It notes possible advantages of managed care but raises issues concerning consumer choice, management and financial capacity of managed care…

This article addresses the lack of access to low-vision rehabilitation services by individuals needing them, due to lack of coverage by public or private health insurance. Improved insurance coverage would result in improved access as well as more direct referrals by ophthalmologists, more consumer choice, more timely rehabilitation, reduced…

In this article, the authors provide an overview of the effectiveness of managed health care systems and their impact on mental health counselors. They review ethical and legal dilemmas involving informed consent, confidentiality, client autonomy, competence, treatment plans, and termination that had not existed prior to the introduction of…

California's Healthy Families/Medi-Cal for Children (HF/MCC) program provides low- and no-cost health insurance to low-income children. In December 1999 and January 2000, 72 community-based organizations (CBOs) were contracted by California's Department of Health Services (DHS) to supply culturally appropriate HF/MCC outreach and enrollment…