Health Care Delivery & Financing最新文献_第3页

Performance Improvement and Performance Dysfunction: An Empirical Examination of Impacts of the Emergency Room Wait-Time Target in the English National Health Service 绩效改善与绩效障碍:英国国民健康服务急诊室等待时间目标影响的实证研究

Health Care Delivery & Financing Pub Date : 2007-08-01 DOI: 10.2139/ssrn.976553

S. Kelman, John N Friedman

引用次数: 199

State Health Insurance Mandates, Consumer Directed Health Plans and Health Savings Accounts: Are They a Panacea for Small Businesses? 国家健康保险授权、消费者导向的健康计划和健康储蓄账户:它们是小企业的灵丹妙药吗?

Health Care Delivery & Financing Pub Date : 2007-08-01 DOI: 10.2139/ssrn.1012463

Susan M. Gates, K. Kapur, P. Karaca-Mandic

引用次数: 3

The Right to Health - A Holistic Health Plan: 2008-16 健康权——全面保健计划:2008- 2016年

Health Care Delivery & Financing Pub Date : 2007-08-01 DOI: 10.2139/ssrn.1002630

B. P. Billauer

{"title":"The Right to Health - A Holistic Health Plan: 2008-16","authors":"B. P. Billauer","doi":"10.2139/ssrn.1002630","DOIUrl":"https://doi.org/10.2139/ssrn.1002630","url":null,"abstract":"While both sides of the aisle agree that minimizing costs is a critical component in any health plan, few plans provide specifics to achieve that objective. Current programs provide or extend insurance coverage to the uninsured and those for whom procurement is not feasible, divest employers of a coverage requirement and vest it, instead, in individuals. This procedure would substantially add costs - without commensurate return. At the outset, cost-savings of buying insurance in bulk - by several thousand employers - would disappear, replaced by costs of handling hundreds of millions of individual policies. One can only imagine the staff needed to handle/process applications numbering several orders of magnitude more than the current load, plus the additional bureaucratic layers to police legal requirements. This plan suggests preserving the status quo regarding insurance where it is working. It recommends the objective of maximizing care, not coverage, for the currently uninsured. It is a market driven plan, favoring incentives and practices that maximize profits to physicians who demonstrate results in terms of wellness/improvement of their patient population. The plan suggests that government assume non-medical infrastructure costs, similar to other low-profit operations that do not lend themselves to private enterprise, while protecting the practice of medicine from outside intervention. It does away with practices allowing profits to accrue to non-medical owners. Instead, it creates a \"federally run health facility\" where rental and administrative costs, supplies, laboratory services and basic diagnostic machines are assumed by the government or shared by the medical members invited to join, lowering overhead and maximizing profits. In exchange, physicians donate a portion of their increased income as medical care to the uninsured. The plan also broadens those allowed to perform routine health services and selects specified diseases, especially diseases of the aging, for focus of research and treatment.","PeriodicalId":238933,"journal":{"name":"Health Care Delivery & Financing","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121388006","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

Medicaid's Soaring Cost - Time to Step on the Brakes 医疗补助费用飙升——是时候踩刹车了

Health Care Delivery & Financing Pub Date : 2007-07-19 DOI: 10.2139/ssrn.998037

Jagadeesh Gokhale

引用次数: 7

U.S. Tax Policy and Health Insurance Demand: Can a Regressive Policy Improve Welfare? 美国税收政策与医疗保险需求:累退政策能改善福利吗?

Health Care Delivery & Financing Pub Date : 2007-07-01 DOI: 10.2139/ssrn.998568

Karsten Jeske, S. Kitao

引用次数: 56

Reproductive Health and Behavior, HIV/AIDS, and Poverty in Africa 非洲的生殖健康和行为、艾滋病毒/艾滋病和贫困

Health Care Delivery & Financing Pub Date : 2007-05-01 DOI: 10.2139/ssrn.982109

P. Glick

{"title":"Reproductive Health and Behavior, HIV/AIDS, and Poverty in Africa","authors":"P. Glick","doi":"10.2139/ssrn.982109","DOIUrl":"https://doi.org/10.2139/ssrn.982109","url":null,"abstract":"This paper examines the complex linkages of poverty, reproductive/sexual health and behavior, and HIV/AIDS in Africa. It addresses the following questions: (1) what have we learned to date about these links and what are the gaps in knowledge to be addressed by further research; (2) what is known about the effectiveness for HIV prevention of reproductive health and HIV/AIDS interventions and policies in Africa; and (3) what are the appropriate methodological approaches to research on these questions. With regard to what has been learned so far, the paper pays considerable attention in particular to the evidence regarding the impacts of a range of HIV interventions on risk behaviors and HIV incidence. Other sections review the extensive microeconomic literature on the impacts of AIDS on households and children in Africa and the effects of the epidemic on sexual risk behavior and fertility decisions. With regard to methodology, the paper assesses the approaches used in the literature to deal with, among other things, the problem of self-selection and non-randomness in the placement of HIV and reproductive health programs. Data requirements for different research questions are discussed, and an effort is made to assess what researchers can learn from existing sources such as Demographic and Health Surveys.","PeriodicalId":238933,"journal":{"name":"Health Care Delivery & Financing","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126669580","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: 14

Changes and Challenges of the New Health Care Reform in the Netherlands: What Should the Dutch Be Aware of? 荷兰新医疗改革的变化和挑战:荷兰人应该意识到什么?

Health Care Delivery & Financing Pub Date : 2006-10-01 DOI: 10.2139/ssrn.943429

I. Mosca, Philip R. De Jong

引用次数: 5

Information Policy and Drug Prices: Evidence from the Medicare Discount Drug Card Program 信息政策和药品价格:来自医疗保险折扣药品卡计划的证据

Health Care Delivery & Financing Pub Date : 2006-10-01 DOI: 10.2139/ssrn.941492

Emin M. Dinlersoz, Han Li, Rubén Hernández-Murillo, R. Sherman

{"title":"Information Policy and Drug Prices: Evidence from the Medicare Discount Drug Card Program","authors":"Emin M. Dinlersoz, Han Li, Rubén Hernández-Murillo, R. Sherman","doi":"10.2139/ssrn.941492","DOIUrl":"https://doi.org/10.2139/ssrn.941492","url":null,"abstract":"In early 2004, the U.S. Government initiated the Medicare Discount Drug Card Program, which created a market for drug cards that allowed their subscribers to obtain discounts on their prescription drug purchases. Pharmacy-level prices for several drugs were posted on the program website weekly from May 29, 2004 to December 31, 2005, as the largest undertaking in the history of government-sponsored information release aimed at promoting competition by facilitating access to prices. A large sample of pharmacy-level drug price data collected from the Medicare website for several weeks indicate that the program generated significant dispersion in prices across drug cards that persisted over time. Moreover, the time-path of prices was non-monotonic: the prices declined initially and rose later as the program matured. In contrast, contemporaneous control prices unrelated to the program that were collected from on-line drug retailers rose steadily over time, indicating that the program prices evolved in a way different from the general evolution of prices outside the program. In view of the institutional aspects of the program which prevented consumers from changing their card choices at will, the evolution of prices can be reconciled with models of dynamic price competition with consumer switching costs as in Klemperer (1987a,b). The estimates of savings under the program are also provided.","PeriodicalId":238933,"journal":{"name":"Health Care Delivery & Financing","volume":"194 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121117896","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

Predictability of Drug Expenditures: An Application Using Morbidity Data 药物支出的可预测性:使用发病率数据的应用

Health Care Delivery & Financing Pub Date : 2006-09-01 DOI: 10.2139/ssrn.1002525

M. García-Goñi, P. Ibern

引用次数: 0

Efficiency in Family Bargaining: Living Arrangements and Caregiving Decisions of Adult Children and Disabled Elderly Parents 家庭议价的效率:成年子女和残疾老年父母的生活安排和照顾决定

Health Care Delivery & Financing Pub Date : 2006-07-01 DOI: 10.1093/CESIFO/IFM004

L. Pezzin, R. Pollak, B. Schone

{"title":"Efficiency in Family Bargaining: Living Arrangements and Caregiving Decisions of Adult Children and Disabled Elderly Parents","authors":"L. Pezzin, R. Pollak, B. Schone","doi":"10.1093/CESIFO/IFM004","DOIUrl":"https://doi.org/10.1093/CESIFO/IFM004","url":null,"abstract":"In this paper, we use a two-stage bargaining model to analyze the living arrangement of a disabled elderly parent and the assistance provided to the parent by her adult children. The first stage determines the living arrangement: the parent can live in a nursing home, live alone in the community, or live with any child who has invited coresidence. The second stage determines the assistance provided by each child in the family. Working by backward induction, we first calculate the level of assistance that each child would provide to the parent in each possible living arrangement. Using these calculations, we then analyze the living arrangement that would emerge from the first stage game. A key assumption of our model is that family members cannot or will not make binding agreements at the first stage regarding transfers at the second stage. Because coresidence is likely to reduce the bargaining power of the coresident child relative to her siblings, coresidence may fail to emerge as the equilibrium living arrangement even when it is Pareto efficient. That is, the outcome of the two-stage game need not be Pareto efficient.","PeriodicalId":238933,"journal":{"name":"Health Care Delivery & Financing","volume":"42 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116641820","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: 171