government

U.S. has more than 2,000 insurance mandates

NEWS IN BRIEF — Posted April 22, 2013

Print  |   Email  |   Respond  |   Reprints  |   Like Facebook  |   Share Twitter  |   Tweet Linkedin

The number of state health insurance requirements has surpassed 2,000 nationwide, a result of two decades of steady increases in regulation, the Council for Affordable Health Insurance has determined.

Insurers operating under such mandates must offer certain types of benefits, cover certain patient populations or contract with certain health care professionals. The report stated that these requirements increase the cost of health insurance because insurers “have to pay for care consumers previously funded out of their own pockets.” About 850 mandates existed across the 50 states in 1992; now there are 2,271, an increase of 167%, said Victoria Craig Bunce, CAHI’s research and policy director. The council represents insurers, small businesses and others.

“Based on our annual analysis, mandated benefits currently increase the cost of basic health coverage from slightly less than 10% to more than 50%, depending on the state, specific legislative language, and type of health insurance policy,” Bunce said.

States with the largest numbers of mandated benefits are Maryland, Minnesota, Rhode Island and Virginia, while Idaho had the least number of mandates. Some mandates for certain types of medical benefits were more popular than others. All 50 states had mandates for mammography screening and maternity minimum stays, while only one state had a mandate for cardiovascular disease screening.

Back to top


ADVERTISEMENT

ADVERTISE HERE


Featured
Read story

Confronting bias against obese patients

Medical educators are starting to raise awareness about how weight-related stigma can impair patient-physician communication and the treatment of obesity. Read story


Read story

Goodbye

American Medical News is ceasing publication after 55 years of serving physicians by keeping them informed of their rapidly changing profession. Read story


Read story

Policing medical practice employees after work

Doctors can try to regulate staff actions outside the office, but they must watch what they try to stamp out and how they do it. Read story


Read story

Diabetes prevention: Set on a course for lifestyle change

The YMCA's evidence-based program is helping prediabetic patients eat right, get active and lose weight. Read story


Read story

Medicaid's muddled preventive care picture

The health system reform law promises no-cost coverage of a lengthy list of screenings and other prevention services, but some beneficiaries still might miss out. Read story


Read story

How to get tax breaks for your medical practice

Federal, state and local governments offer doctors incentives because practices are recognized as economic engines. But physicians must know how and where to find them. Read story


Read story

Advance pay ACOs: A down payment on Medicare's future

Accountable care organizations that pay doctors up-front bring practice improvements, but it's unclear yet if program actuaries will see a return on investment. Read story


Read story

Physician liability: Your team, your legal risk

When health care team members drop the ball, it's often doctors who end up in court. How can physicians improve such care and avoid risks? Read story