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Consciousness-Based Education - Maharishi University of ...

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consciousness-based education and physiology and healthSCI is one <strong>of</strong> many health insurance groups belonging to a majorhealth insurance carrier <strong>of</strong> Iowa hereafter referred to as “MIC.” 1 MIC’stotal membership numbered from 600,000 to 700,000 during theperiod <strong>of</strong> the experiment. MIC is not an HMO, but a health insurancecarrier whose member companies, such as SCI, <strong>of</strong>fer prepaid healthinsurance plans for the usual medical, surgical, and obstetric services.Sixty percent <strong>of</strong> the health insurance policies <strong>of</strong>fered by the differentgroups with MIC have a $100 to $200 deductible, and 80% <strong>of</strong> MIC’sbusiness is with an 80/20 coinsurance plan.Semiannually the MIC actuarial services send each group in itsmembership a standard report on account-specific utilization andcharge indicators for that group compared to all other groups withMIC. The statistics reported in this article were taken from the MIC’sstandard reports sent to the SCI health insurance group from 1981to 1985. In these reports, SCI’s medical utilization rates in differentcategories were compared with the mean <strong>of</strong> all other groups. Thesenormative data for all other groups is based on MIC’s 600,000 plusmembership and is referred to as Group Business. In addition, MIC’sactuarial services provided statistics comparing the SCI group with fiveother health insurance groups specifically selected to be <strong>of</strong> similar sizeand pr<strong>of</strong>essional membership as SCI.SCI’s membership enrollments were 694, 1123, 1395, 2119, and 2011for 1981 to 1985, respectively. The terms <strong>of</strong> SCI’s insurance policy weretypical or better than the other groups represented by Group Business.For the majority <strong>of</strong> the study, SCI members had a $100 deductible witha 80/20 coinsurance level in force. The lowest deductible range <strong>of</strong>feredby MIC is $100 to $200. SCI does screen potential applicants for currentmajor illnesses, but this is also implicitly done by almost all medicalinsurance groups either through their not enrolling high health risk individualsor through a waiting period (SCI does not have a waiting period).SCI and Group Business were compared on standard medical careand charge indicators, including hospital inpatient, outpatient, inpatientprocedures (medical, surgical, and obstetric procedures performedby the physician, and x-ray and laboratory procedures), and outpatientprocedures (physician’s procedures performed at the <strong>of</strong>fice, emergency1More detailed information about the SCI health insurance group and MIC can be obtainedfrom Dick Alexander, President, SCI Insurance Group, 2nd and Broadway, Fairfield, IA 52556.328

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