Health Care Delivery & Financing eJournal最新文献_第2页

Adverse Selection in ACA Exchange Markets: Evidence from Colorado ACA交易市场的逆向选择:来自科罗拉多州的证据

Health Care Delivery & Financing eJournal Pub Date : 2017-02-17 DOI: 10.2139/ssrn.2920049

Matthew T. Panhans

引用次数: 28

Ideology, Party and Opinion: Explaining Individual Legislator ACA Implementation Votes in the States 意识形态、政党与舆论:解释各州立法委员对ACA实施的投票

Health Care Delivery & Financing eJournal Pub Date : 2017-02-10 DOI: 10.2139/ssrn.2271783

Boris Shor

引用次数: 1

Global Fight Against Informal Payments for Health Services 全球打击卫生服务非正规支付

Health Care Delivery & Financing eJournal Pub Date : 2016-10-26 DOI: 10.2139/SSRN.2859372

A. Petroia, E. Zubcova

引用次数: 0

The Interconnected Relationships of Health Insurance, Health, and Labor Market Outcomes 健康保险、健康和劳动力市场结果的相互关联关系

Health Care Delivery & Financing eJournal Pub Date : 2016-07-01 DOI: 10.2139/ssrn.2812211

Matthew S. Rutledge

引用次数: 5

A Public Health Framework for Screening Mammography: Evidence-Based versus Politically Mandated Care 筛查乳房x光检查的公共卫生框架:循证与政治强制护理

Health Care Delivery & Financing eJournal Pub Date : 2016-01-14 DOI: 10.1001/jama.2016.0322

L. Gostin, K. Lin

{"title":"A Public Health Framework for Screening Mammography: Evidence-Based versus Politically Mandated Care","authors":"L. Gostin, K. Lin","doi":"10.1001/jama.2016.0322","DOIUrl":"https://doi.org/10.1001/jama.2016.0322","url":null,"abstract":"This Viewpoint highlights the societal risks of politically motivated mandates relating to public health guidelines. Although the Affordable Care Act mandated insurance coverage for U.S. Preventive Services Task Force (USPSTF)-recommended preventive services, it went further for mammography screening. Instead of relying on the most recent USPSTF guidelines, Congress amended the ACA to require the Department of Health and Human Services (DHHS) to use its 2002 guidelines, which recommended screening every 1-2 years starting at age 40. The FY 2016 Consolidated Appropriations Act instructs DHHS to interpret any reference to “current” USPSTF breast cancer screening recommendations to mean those issued “before 2009” — in other words, its 2002 recommendations. Essentially, Congress is requiring health insurers to ignore modern scientific assessments, and instead use 14-year-old guidance. The ACA improved the public’s health by guaranteeing that insurers provide uniform, cost-free access to preventive services based on modern evidence of effectiveness. The public’s health is best served when women’s personal decisions about screening are informed by evidence rather than political considerations. The Congress’s paternalistic response to USPSTF mammography-screening recommendations vividly illuminate the social costs of politically mandated care. Rather than benefiting women, political interference with science can discourage shared decision-making, increase harms from screening, and sow public doubt about the value and integrity of science.","PeriodicalId":177602,"journal":{"name":"Health Care Delivery & Financing eJournal","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129313911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Health Sector Reform in Greece Since 2010: Facts, Policies and Implementation 2010年以来希腊卫生部门改革:事实、政策和实施

Health Care Delivery & Financing eJournal Pub Date : 2016-01-10 DOI: 10.2139/ssrn.2843720

Niki Kalavrezou

{"title":"Health Sector Reform in Greece Since 2010: Facts, Policies and Implementation","authors":"Niki Kalavrezou","doi":"10.2139/ssrn.2843720","DOIUrl":"https://doi.org/10.2139/ssrn.2843720","url":null,"abstract":"This paper provides an overview of the Greek healthcare system and assesses the reform initiatives undertaken since 2010. The latter have received widespread criticism as being mainly driven by expenditure containment considerations while at the same time having detrimental effects in terms of adequate healthcare provision and population health. However, this critique rarely focuses on the long-standing pathologies of the healthcare system in Greece both prior and during the crisis. As a conclusion, it is probably that some of the reform measures have exacerbated the issue of hindered access to healthcare especially in combination with reductions in disposable income and healthcare insurance coverage. Some others have been successful in bringing necessary restructuring, modernization and monitoring in the existing system. In this sense, it is very hard to characterize interventions pursued as “totally bad�? or “totally good�?. Health sector policies that will be pursued in the immediate future need to focus on mitigating the adverse effects of the crisis but they also need to focus on safeguarding necessary reforms that took a lot of effort and time before becoming reality.","PeriodicalId":177602,"journal":{"name":"Health Care Delivery & Financing eJournal","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130873490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Labor Supply Impacts of the Affordable Care Act 《平价医疗法案》对劳动力供应的影响

Health Care Delivery & Financing eJournal Pub Date : 2015-12-01 DOI: 10.2139/ssrn.2697782

Erin K. Kaplan, C. Kaplan, I. Graetz, T. Waters

引用次数: 0

Health Insecurity and Social Protection: Pathways, Gaps, and Their Implications on Health Outcomes and Poverty 健康不安全和社会保护:途径、差距及其对健康结果和贫困的影响

Health Care Delivery & Financing eJournal Pub Date : 2015-11-27 DOI: 10.15171/ijhpm.2015.203

Elvis Gama

引用次数: 8

The Economic Burden of Out-of-Pocket Medical Expenditures Before and after Implementation of the Medicare Prescription Drug Program 医疗保险处方药计划实施前后自费医疗支出的经济负担

Health Care Delivery & Financing eJournal Pub Date : 2015-11-01 DOI: 10.2139/ssrn.2692018

A. Akincigil, K. Zurlo

引用次数: 2

Sources of Increasing Differential Mortality Among the Aged by Socioeconomic Status 不同社会经济地位老年人死亡率差异增加的原因

Health Care Delivery & Financing eJournal Pub Date : 2015-06-01 DOI: 10.2139/ssrn.2622120

B. Bosworth, Gary T. Burtless, Kan Zhang

{"title":"Sources of Increasing Differential Mortality Among the Aged by Socioeconomic Status","authors":"B. Bosworth, Gary T. Burtless, Kan Zhang","doi":"10.2139/ssrn.2622120","DOIUrl":"https://doi.org/10.2139/ssrn.2622120","url":null,"abstract":"This paper uses data from the Health and Retirement Study (HRS) to explore the extent and causes of widening differences in life expectancy by socioeconomic status (SES) for older persons. We construct alternative measures of SES using educational attainment and average (career) earnings in the prime working ages of 41-50. We also use information on causes of death, health status and various behavioral indicators (smoking, drinking, and obesity) that are believed to be predictors of premature death in an effort to explain the causes of the growing disparities in life expectancy between people of high and low SES. The paper finds that: - There is strong statistical evidence in the HRS of a growing inequality of mortality risk by SES among more recent birth cohorts compared with cohorts born before 1930. - Both educational attainment and career earnings as constructed from Social Security records are equally useful indicators of SES, although the distinction in mortality risk by education is greatest for those with and without a college degree. - There has been a significant decline in the risk of dying from cancer or heart conditions for older Americans in the top half of the income distribution, but we find no such reduction of mortality risk in the bottom half of the distribution. - The inclusion of the behavioral variables and health status result in substantial improvement in the predictions of mortality, but they do not identify the sources of the increase in differential mortality. The policy implications of the findings are: - Indexing the retirement age to increases in average life expectancy to stabilize OASDI finances may have unintended distributional consequences, because most mortality gains have been concentrated among workers in the top half of the earnings distribution. - The fact that we cannot identify the sources of the increase in differential mortality contributes to uncertainty about the distributional effects of increases in the retirement age in future years.","PeriodicalId":177602,"journal":{"name":"Health Care Delivery & Financing eJournal","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134336888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 22