Rafe Forland

Rafe Forland, senior analyst, has significant experience in researching and providing technical assistance on issues related to private-sector health insurance, health delivery systems, and state and federal regulations. Most recently, Mr. Forland has developed detailed technical specifications for the development of publicly and privately financed coverage expansion programs, including designing eligibility and participation criteria, insurer and benefit plan offerings, premium rating policies, coordinated administrative functions, and outreach and distribution strategies. Mr. Forland has also researched and provided technical assistance to private and private/public employer-sponsored group purchasing initiatives. This research and consultation has involved conducting market, policy, and state/federal regulatory assessments; evaluating and designing benefit plans and participation rules; developing rating and underwriting criteria and structures; negotiating and contracting with administrators and health plans; and developing policies and materials for distribution channels. In addition, Mr. Forland has coordinated the development of a comprehensive database of state small group and individual market reforms, has researched employer and employee opinions about health insurance and related policy issues, has evaluated the potential for Taft-Hartley plans to extend coverage to uninsured workers, and prepared papers and reports on pooled purchasing and key health policy issues. Prior to his nine years at the Institute, Mr. Forland worked at the U.S. General Accounting Office where he authored a number of congressional reports and testimonies on employer-sponsored health insurance, health reform, state insurance regulation, and provider integration issues. He has a B.S.E.E. and an M.B.A. from Stanford University.

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