Health Insurance, Medical Care, and Children's Health

PEDIATRICS ◽  
1986 ◽  
Vol 77 (1) ◽  
pp. 124-128
Author(s):  
R. BURCIAGA VALDEZ ◽  
ARLEEN LEIBOWITZ ◽  
JOHN E. WARE ◽  
NAIHUA DUAN ◽  
GEORGE A. GOLDBERG ◽  
...  
Keyword(s):  
Health Insurance ◽  
Health Status ◽  
Medical Care ◽  
Cost Sharing ◽  
Medical Services ◽  
Randomized Experiment ◽  
Opportunity To Respond ◽  
Insurance Policies ◽  
Rand Health Insurance Experiment ◽  
Use Of Medical Services

We welcome this opportunity to respond to previously published commentaries by Drs Haggerty, Starfield, and Dutton on our discussions of how cost sharing affects the use of medical services and health status.1,2 Our purpose in responding is threefold: to reiterate succinctly the major conclusions of the Rand Health Insurance Experiment, to respond to issues raised by the commentators, and to emphasize certain points of agreement with them. Our goal is to promote a better understanding of the experiment and spur further discussion about the structure of health insurance for children. WHAT DID WE SHOW? In the Rand Health Insurance Experiment, a total of 1,844 children from six areas participated in a randomized experiment on the effects of cost sharing in health insurance policies.

scholarly journals Influence of the Introduction of the Electronic Health Insurance Card on the Use of Medical Services by Asylum Seekers in Germany

2018 ◽  
Author(s):  
Kevin Claassen ◽  
Pia Jäger
Keyword(s):  
Health Insurance ◽  
Medical Care ◽  
Asylum Seekers ◽  
Influencing Factor ◽  
Medical Services ◽  
Consultation Rate ◽  
The Social ◽  
Insurance Card ◽  
Electronic Health ◽  
Use Of Medical Services

Objectives Asylum seekers in Germany represent a highly vulnerable group from a health perspective due to a variety of risk factors. At the same time their access to healthcare is restricted. While the introduction of the Electronic Health Insurance Card (EHIC) for asylum seekers instead of healthcare-vouchers is discussed controversially using politico-economic reasons, there is hardly any empirical evidence on its actual impact on the use of medical services Study design Thus, the aim of this study is to examine the influence of the possession of the EHIC on the use of medical services by asylum seekers as measured by their consultation rate of ambulant physicians (CR). For this purpose, a standardized survey was carried out to 260 asylum seekers in different municipalities of which some have introduced the EHIC for asylum seekers, while others have not. Methods Various CR were differentiated considering possible third variables as well as confounding factors. The period prevalence was compared between the groups "with EHIC" and "without EHIC" using a two-sided t-test. Multivariate analysis was done using a linear OLS regression model. Results Asylum seekers who are in possession of the EHIC are significantly more likely to seek ambulant medical care than those receiving healthcare-vouchers. Their CR, however, does not differ significantly from the age-corrected CR of the autochtonous population. Taking into account relevant covariables, the possession of the EHIC can be viewed as an independent influencing factor on the asylum seekers' use of medical care. Conclusions The results of this study suggest that having to ask for healthcare-vouchers at the social security office could be a relevant barrier for asylum seekers. Nevertheless, the ownership of the EHIC does not seem to lead to an overuse of medical services.

scholarly journals Episodes of medical care: nursing students' use of medical services.

1969 ◽  
Vol 59 (6) ◽  
pp. 936-946 ◽  
Author(s):  
J A Solon ◽  
R D Rigg ◽  
S H Jones ◽  
J J Feeney ◽  
J W Lingner ◽  
...  
Keyword(s):  
Nursing Students ◽  
Medical Care ◽  
Medical Services ◽  
Use Of Medical Services ◽  
Care Nursing

scholarly journals Health Insurance and Use of Medical Services by Men Infected with HIV

1995 ◽  
Vol 8 (1) ◽  
pp. 58???63 ◽  
Author(s):  
Mitchell H. Katz ◽  
Sophia W. Chang ◽  
Susan P. Buchbinder ◽  
Nancy A. Hessol ◽  
Paul O??Malley ◽  
...  
Keyword(s):  
Health Insurance ◽  
Medical Services ◽  
Use Of Medical Services

scholarly journals Risk-Adjusting the Doughnut Hole to Improve Efficiency and Equity

2011 ◽  
Vol 48 (4) ◽  
pp. 313-321 ◽  
Author(s):  
Richard C. van Kleef ◽  
Wynand P. M. M. van de Ven ◽  
Rene C. J. A. van Vliet
Keyword(s):  
Health Insurance ◽  
Health Status ◽  
Cost Containment ◽  
Cost Sharing ◽  
Important Goal ◽  
Medical Expenses ◽  
Improve Efficiency ◽  
Starting Point ◽  
Using Data

An important goal of consumer cost-sharing in health insurance is to increase incentives for cost containment. A relatively new cost-sharing phenomenon is the “doughnut hole”: a gap in coverage starting at a predefined level of medical expenses. An important question is where to locate the starting point to achieve the strongest incentives for cost containment. We argue that the answer depends on an individual's health status. Using data from a Dutch insurer, this paper illustrates that using a risk-adjusted starting point results in both stronger incentives for cost containment and more equity than a uniform starting point.

scholarly journals Issue of Adverse Selection in Health Insurance Market in Assam

2020 ◽  
Vol 8 (5) ◽  
pp. 1917-1920
Keyword(s):  
Health Insurance ◽  
Health Status ◽  
Asymmetric Information ◽  
Adverse Selection ◽  
Market Failure ◽  
Insurance Market ◽  
Poor People ◽  
Insurance Company ◽  
Insurance Policies ◽  
Health Insurance Market

Health insurance acts as an important support system, which protects the health as well as the wealth of people. But health insurance is hardly present in developing countries and in many countries it is totally absent. Presence of asymmetric information among the buyers and sellers makes the insurance market more complicated. Due to which insurance companies finds it is difficult to enter into the insurance market and eventually leads to market failure. To get rid of this problem insurance company increased the price of insurance policies. This has more impact on the poor people as they cannot meet their medical expenses. Adverse selection is the one of issues related to asymmetric information. This paper tries to examine the presence of adverse selection in health insurance market in Assam and about the various factors that influence on decision to buy an insurance policy. Based on primary survey this study used a probit model to analyses the presence of adverse selection in health insurance market. Findings of the study shows that adverse selection is absent in health insurance market but income is found to be an important determinant of insurance coverage. About one third of the population in Assam is living below poverty line and the cost of medical is too higher for the people. So health insurance is necessary in recent time to improve the health status of people in Assam. Therefore government should provide health insurance policies for poor people to improve their health status.

Health Care Abroad

2019 ◽  
pp. 421-434
Author(s):  
Gary W. Brunette ◽  
Jeffrey B. Nemhauser
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Medical Care ◽  
Financial Burden ◽  
Severe Illness ◽  
Insurance Plan ◽  
Medical Products ◽  
Medical Evacuation ◽  
Insurance Policies ◽  
Travel Health

Travel Insurance, Travel Health Insurance & Medical Evacuation Insurance Rhett J. Stoney Obtaining Health Care Abroad Carolina Uribe Avoiding Poorly Regulated Medicines and Medical Products During Travel Michael D. Green Travel Health Kits Calvin Patimeteeporn Severe illness or injury abroad may result in a financial burden to travelers. Travelers can substantially reduce their out-of-pocket costs for medical care received abroad by purchasing in advance specialized insurance policies for their trip, regardless of whether or not they have a domestic health insurance plan. The 3 types of policies are travel insurance, travel health insurance, and medical evacuation insurance. Each provides different types of coverage in the event of an illness or injury and may be of particular importance to travelers with preexisting medical conditions....

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