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

Less Social Health Insurance - More Private Supplementary Insurance? - Empirical Evidence from Germany 减少社会医疗保险，增加私人补充保险?-来自德国的经验证据

Health Care Delivery & Financing Pub Date : 2008-05-01 DOI: 10.2139/ssrn.1135223

B. Augurzky, H. Tauchmann

引用次数: 6

The Impact of Medicare Part D on Pharmaceutical R&D 医疗保险D部分对药品研发的影响

Health Care Delivery & Financing Pub Date : 2008-03-01 DOI: 10.3386/W13857

Margaret E. Blume-Kohout, N. Sood

引用次数: 19

Delay is Not the Answer: Waiting Time in Health Care & Income Redistribution 延迟不是答案:医疗保健和收入再分配的等待时间

Health Care Delivery & Financing Pub Date : 2008-01-16 DOI: 10.2139/ssrn.1081928

A. Fossati, Rosella Levaggi

引用次数: 32

Employee Choice of Flexible Spending Account Participation and Health Plan 灵活支出帐户参与和健康计划的雇员选择

Health Care Delivery & Financing Pub Date : 2008-01-01 DOI: 10.2139/ssrn.1260842

B. Hamilton, J. Marton

{"title":"Employee Choice of Flexible Spending Account Participation and Health Plan","authors":"B. Hamilton, J. Marton","doi":"10.2139/ssrn.1260842","DOIUrl":"https://doi.org/10.2139/ssrn.1260842","url":null,"abstract":"Despite the fact that flexible spending accounts (FSAs) are becoming an increasingly popular employer-provided health benefit, there has been very little empirical study of FSA use among employees at the individual level. This study contributes to the literature on FSAs using a unique data set that provides three years of employee-level-matched benefits data. Motivated by the theoretical model of FSA choice presented in Cardon and Showalter (J. Health Econ. 2001; 20(6):935-954), we examine the determinants of FSA participation and contribution levels using cross-sectional and random-effect two-part models. FSA participation and health plan choice are also modeled jointly in each year using conditional logit models. We find that, even after controlling for a number of other demographic characteristics, non-whites are less likely to participate in the FSA program, have lower contributions conditional on participation, and have a lower probability of switching to new lower cost share, higher premium plans when they were introduced. We also find evidence that choosing health plans with more expected out-of-pocket expenses is correlated with participation in the FSA program.","PeriodicalId":238933,"journal":{"name":"Health Care Delivery & Financing","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124853496","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: 17

Why Universal Coverage Won't Make Americans Healthier: Or 'Quality, Economical & Doable Health Insurance' (QED) & Other Oxymorons of the (Insane) Political Mind 为什么全民医保不会让美国人更健康:或者“高质量、经济、可行的医疗保险”(QED)和(疯狂的)政治思维的其他矛盾说法

Health Care Delivery & Financing Pub Date : 2007-11-09 DOI: 10.2139/ssrn.1028644

B. P. Billauer

{"title":"Why Universal Coverage Won't Make Americans Healthier: Or 'Quality, Economical & Doable Health Insurance' (QED) & Other Oxymorons of the (Insane) Political Mind","authors":"B. P. Billauer","doi":"10.2139/ssrn.1028644","DOIUrl":"https://doi.org/10.2139/ssrn.1028644","url":null,"abstract":"The political solution to our health crisis appears to be an expanded health coverage program, perhaps universal and mandatory. Increased coverage is expected to result in affordable (and available) care, which will translate into earlier diagnoses and more effective treatment, which in turn will manifest in lower national health costs. Admitting that any feasible program requires lowering health costs, the premise becomes: \"early diagnosis means lower costs.\" In essence, we plan to treat the nation's poor health based on a flawed diagnosis: lack of insurance. We presume that more care means better care; that more available care means more utilized care; and that the care will prevent the root causes of whatever ails us. Rather than focusing on lowering costs - by showering everyone with generic care and screening - our initial focus should be identifying precise causes and the best cures for the nation's illnesses - and in determining whether past data are representative of the current population and will reflect future disease mortality and morbidity Further, we amalgamate private complaints with national concerns. The private patient (voter) is dissatisfied with personal care and expensive costs. The government is dissatisfied with our nation's poor health statistics and comparatively high costs compared to other developed countries. The good politician is concerned with both. Yet, the best approaches to solving these problems are not necessarily the same. This article will illustrate how the driving causes of the nation's poor health will not be addressed by more insurance or cheaper policies. Rather, I suggest that the root-cause underlying the poor health statistics is more complex than a lack of medical ministrations. Instead, it would appear our national mortality and morbidity is a manifestation of our societal, economic and psychological standing. And these must be addressed first, if we are to achieve our due place in the health hierarchy of the world.","PeriodicalId":238933,"journal":{"name":"Health Care Delivery & Financing","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128621092","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

Institutional Options for Delivering Health Microinsurance 提供小额医疗保险的制度选择

Health Care Delivery & Financing Pub Date : 2007-11-02 DOI: 10.5848/ilo.978-9-221192-54-1_23

R. Radermacher, I. Dror

{"title":"Institutional Options for Delivering Health Microinsurance","authors":"R. Radermacher, I. Dror","doi":"10.5848/ilo.978-9-221192-54-1_23","DOIUrl":"https://doi.org/10.5848/ilo.978-9-221192-54-1_23","url":null,"abstract":"Health insurance entails the transfer of health risks in return for a premium payable in advance. This succinct description suggests that the arrangement entails flows of funds and information in two directions: from the client to the insurer and from the insurer to the client. The party with the most control of these flows of funds and information can influence the business process to its advantage. This notion that one party would seek an advantage over another implies that conflicts of interest can occur between insurers and insured. But is this the case in health microinsurance provision? And if so, does the institutional option (model) for delivering health microinsurance have an influence on such conflicts of interests and efficiency in the provision of insurance? This chapter looks at these questions by offering a basic typology of the different business process options identified in health microinsurance provision. Such a typology will help identify conflicts of interest and remedy inefficiencies in the smooth bi-directional flow of funds and information. This chapter first summarizes the main types of health microinsurance providers and then analyses their relative effectiveness in meeting the needs of the low-income market over the long term.","PeriodicalId":238933,"journal":{"name":"Health Care Delivery & Financing","volume":"137 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115262684","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: 18

Mind the Gap! Consumer Perceptions and Choices of Medicare Part D Prescription Drug Plans 小心缝隙!消费者对医疗保险D部分处方药计划的看法和选择

Health Care Delivery & Financing Pub Date : 2007-11-01 DOI: 10.2139/ssrn.1444892

Florian Heiss, D. McFadden, J. Winter

引用次数: 107

Improving Health Care: Why a Dose of it May Be Just What the Doctor Ordered 改善医疗保健:为什么一剂它可能正是医生所要求的

Health Care Delivery & Financing Pub Date : 2007-10-01 DOI: 10.2139/ssrn.1105050

D. Castro

{"title":"Improving Health Care: Why a Dose of it May Be Just What the Doctor Ordered","authors":"D. Castro","doi":"10.2139/ssrn.1105050","DOIUrl":"https://doi.org/10.2139/ssrn.1105050","url":null,"abstract":"Information technology (IT) is a major driver of innovation and economic growth. Health IT promises to revolutionize health care by improving the quality and containing the costs of care. For the American health care system to benefit from advances in IT, it must adopt electronic health records (EHRs). An EHR contains the complete medical history of a patient, including a full listing of illnesses, laboratory tests, treatments, drugs administered, and allergies. Health IT is not just about merely digitizing medical records to create a paperless office, although doing this will achieve considerable savings - it is also about fundamentally transforming the health care system so that both doctors and patients have access to information and tools that allow them to better manage their care. This new IT-enabled model of health care has the potential to improve preventive health care and chronic disease management and reward medical practices with financial incentives for effective and efficient care. It has the potential to give health care researchers the data they need to identify and deliver best practice care and continuously improve the quality of health care. Finally, health IT has the potential to empower consumers to better understand and manage their own health care conditions, needs, and treatments. This paper explores the benefits of using information technology in the health care sector, such as reduced medical costs, improved medical care, and increased access to personal health information. It then reviews the obstacles that have prevented the widespread adoption of EHRs and proposes a number of policy recommendations to speed adoption. Specifically, the paper discusses the benefits of establishing independent health record data banks as a sustainable and market-based approach to implementing EHRs. ITIF also recommends other methods to leverage federal resources to speed EHR adoption.","PeriodicalId":238933,"journal":{"name":"Health Care Delivery & Financing","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121152459","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: 20

The Health Sector in the Slovak Republic: Efficiency and Reform 斯洛伐克共和国卫生部门:效率和改革

Health Care Delivery & Financing Pub Date : 2007-09-01 DOI: 10.5089/9781451867909.001

M. Verhoeven, Victoria Gunnarsson, S. Lugaresi

引用次数: 23

Prescription Drug Coverage and Elderly Medicare Spending 处方药覆盖范围和老年人医疗保险支出

Health Care Delivery & Financing Pub Date : 2007-09-01 DOI: 10.3386/W13358

Baoping Shang, D. Goldman

{"title":"Prescription Drug Coverage and Elderly Medicare Spending","authors":"Baoping Shang, D. Goldman","doi":"10.3386/W13358","DOIUrl":"https://doi.org/10.3386/W13358","url":null,"abstract":"The introduction of Medicare Part D has generated interest in the cost of providing drug coverage to the elderly. Of paramount importance -- often unaccounted for in budget estimates -- are the salutary effects that increased prescription drug use might have on other Medicare spending. This paper uses longitudinal data from the Medicare Current Beneficiary Survey (MCBS) to estimate how prescription drug benefits affect Medicare spending. We compare spending and service use for Medigap enrollees with and without drug coverage. Because of concerns about selection, we use variation in supply-side regulations of the individual insurance market -- including guaranteed issue and community rating -- as instruments for prescription drug coverage. We employ a discrete factor model to control for individual-level heterogeneity that might induce bias in the effects of drug coverage. Medigap prescription drug coverage increases drug spending by $170 or 22%, and reduces Medicare Part A spending by $350 or 13% (in 2000 dollars). Medigap prescription drug coverage reduces Medicare Part B spending, but the estimates are not statistically significant. Overall, a $1 increase in prescription drug spending is associated with a $2.06 reduction in Medicare spending. Furthermore, the substitution effect decreases as income rises, and thus provides support for the low-income assistance program of Medicare Part D.","PeriodicalId":238933,"journal":{"name":"Health Care Delivery & Financing","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128352584","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: 29