scholarly journals The effects of increased private health insurance: a review of the evidence

2004 ◽  
Vol 28 (1) ◽  
pp. 119 ◽  
Author(s):  
Don Hindle ◽  
Ian McAuley
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Private Health Insurance ◽  
Private Hospital ◽  
Government Interventions ◽  
Vested Interests ◽  
Main Factors ◽  
The Government ◽  
Hospital Utilisation ◽  
Made In

Private health insurance membership declined steadily between 1984 and 1997, after which major government interventions caused it to increase. We review some of the literature and conclude that the increases in membership were probably associated with a loss of equity and costeffectiveness for the health care system as a whole. We attempt to explain why the government made the changes and conclude that the main factors were vested interests of those who have benefited and a confusion of objectives. The changes may have resulted in a more balanced use of available resources (such as the balance between government and private hospital utilisation) but these and other desirable objectives might have been better achieved in other ways. We advocate that a more serious effort be made in future to ensure that policy takes more account of evidence, logic, and system-wide design and coherence.

scholarly journals Inappropriate requests for tumor markers in patients aged 50 years and older: lessons not learned

2021 ◽  
Vol 15 ◽  
Author(s):  
Valter Paz Nascimento-Júnior ◽  
Einstein Francisco Camargos
Keyword(s):  
Internal Medicine ◽  
Health Care ◽  
Health Insurance ◽  
Medical Records ◽  
Private Health Insurance ◽  
Medical Specialty ◽  
Health Care Managers ◽  
Inappropriate Use ◽  
Care Managers ◽  
Previous Diagnosis

OBJECTIVE: To investigate, within a private health insurance, the ordering frequency and the costs related to inappropriate TM test orders. METHODS: This study analyzed data regarding TM requests within a private health insurance between 2010 and 2017. Patients included in this analysis were ≥ 50 years old, had available medical records, and had at least 1 TM tested within the study period. Tests were considered inappropriate when TMs were used in screening for neoplasms, ie, when there was no previous diagnosis. We evaluated data regarding age, sex, the ordering physician’s medical specialty, and test costs. RESULTS: Between 2010 and 2017, 1,112 TM tests were performed and increased from 52 to 262 per year. Our sample consisted mostly of women (69.50%) with a mean age of 59.40 (SD, 8.20) years. Most orders were inappropriate (87.80%) and represented 79.40% of all expenses with TM tests. Cardiology professionals were the medical specialty that requested the most TM tests (23.90%), followed by internal medicine specialists (22.70%) and gynecologists (19.20%). CONCLUSIONS: We observed a high percentage of inappropriate test orders in the study period, resulting in elevated costs. Studies of this nature deserve the attention of health care managers, and interventions should be performed in order to reduce the inappropriate use of TM tests in clinical practice.

scholarly journals Utilization of public health care by people with private health insurance: a systematic review and meta-analysis

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Congcong Zhang ◽  
Chenwei Fu ◽  
Yimin Song ◽  
Rong Feng ◽  
Xinjuan Wu ◽  
...  
Keyword(s):  
Public Health ◽  
Systematic Review ◽  
Health Care ◽  
Health Insurance ◽  
Private Health Insurance ◽  
Meta Analysis ◽  
Public Health Care

The Scheme of National Health Insurance considered in relation to the Valuations of Approved Societies as at 31 December 1918

1923 ◽  
Vol 54 (2) ◽  
pp. 150-203
Author(s):  
P. N. Harvey
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Financial Structure ◽  
General Interest ◽  
Main Theme ◽  
Main Subject ◽  
The Government ◽  
Technical Features ◽  
Made In

The scheme of National Health Insurance, apart from its general interest to the student of social questions, presents many technical features of special interest to the actuary, and it has been suggested that the completion of the first valuations of approved societies, i.e., the societies administering the monetary benefits of the system, affords an opportunity for discussion of the scientific problems to which these features give rise. With the Government Actuary's consent, I therefore submit in the following paper an examination of some of the more important points of actuarial interest which have emerged in the course of the valuation work. Before approaching the main theme of the paper, however, I have described briefly certain factors, such as the principal alterations made in the financial structure of the scheme by the Act of 1918, a knowledge of which is essential to an understanding of the later part of the paper. These preliminary remarks are placed in Part I, the main subject being dealt with in Part II.

scholarly journals Private health insurance and the Pharmaceutical Benefits Scheme: how effective has recent government policy been?

2004 ◽  
Vol 28 (1) ◽  
pp. 34 ◽  
Author(s):  
Jeff R J Richardson ◽  
Leonie Segal
Keyword(s):  
Health Insurance ◽  
Private Health Insurance ◽  
Public Hospitals ◽  
Common Element ◽  
Cost Shifting ◽  
The Public ◽  
Pharmaceutical Expenditures ◽  
The Government ◽  
The Cost ◽  
Pharmaceutical Benefits Scheme

The cost to government of the Pharmaceutical Benefits Scheme (PBS) is rising at over 10 percent per annum. The government subsidy to Private Health Insurance (PHI) is about $2.4 billion and rising. Despite this, the queues facing public patients ? which were the primary justification for the assistance to PHI ? do not appear to be shortening. Against this backdrop, we seek to evaluate recent policies. It is shown that the reason commonly given for the support of PHI ? the need to preserve the market share of private hospitals and relieve pressure upon public hospitals ? is based upon a factually incorrect analysis of the hospital sector in the last decade. It is similarly true that the ?problem? of rising pharmaceutical expenditures has been exaggerated. The common element in both sets of policies is that they result in cost shifting from the public to the private purse and have little to do with the quality or quantity of health services.

The Growth of Corporate Private Hospitals in Malaysia: Policy Contradictions in Health System Pluralism

1997 ◽  
Vol 27 (4) ◽  
pp. 643-659 ◽  
Author(s):  
Simon Barraclough
Keyword(s):  
Health Care ◽  
Health System ◽  
Rapid Growth ◽  
Urban Areas ◽  
Private Hospital ◽  
Corporate Investment ◽  
Private Hospitals ◽  
Hospital System ◽  
Hospital Sector ◽  
The Government

The rapid growth of corporate investment in the Malaysian private hospital sector has had a considerable impact on the health care system. Sustained economic growth, the development of new urban areas, an enlarged middle class, and the inclusion of hospital insurance in salary packages have all contributed to a financially lucrative investment environment for hospital entrepreneurs. Many of Malaysia's most technologically advanced hospitals employing leading specialists are owned and operated as corporate business ventures. Corporate hospital investment has been actively encouraged by the government, which regards an expanded private sector as a vital complement to the public hospital system. Yet this rapid growth of corporately owned private hospitals has posed serious contradictions for health care policy in terms of issues such as equity, cost and quality, the effect on the wider health system, and the very role of the state in health care provision. This article describes the growth of corporate investment in Malaysia's private hospital sector and explores some of the attendant policy contradictions.

scholarly journals To The Covid-19 Pandemic Experience: A View from Russia

2021 ◽  
Vol 9 (SPE3) ◽  
Author(s):  
Maksim Maksimov ◽  
Natalia Prodanova ◽  
Anatoliy Kolesnikov ◽  
Aleksandr Melnikov ◽  
Ona Grazyna Rakauskiene ◽  
...  
Keyword(s):  
Health Care ◽  
Performance Indicators ◽  
Health Care Organization ◽  
Care Organization ◽  
Recent Past ◽  
Russian Economy ◽  
The Government ◽  
Restrictive Measures ◽  
The Impact ◽  
Made In

In the presented work, an attempt to assess the correlation between the performance indicators of several sectors of the Russian economy and a set of restrictive measures taken by the Government of our country against the backdrop of the fight against the COVID-19 pandemic is made. In addition, a comparative analysis of the impact of this pandemic on the neighboring countries of Russia, which, in the recent past, were part of the USSR and, therefore, have similar health care organization structures, is carried out.

Sign in / Sign up

Export Citation Format

Share Document