health insurance in united states
KL Hudson, KH Rothenberg, LB Andrews SCIENCE-NEW YORK 1995 JSTOR The accelerated pace of gene discovery and molecular medicine portend a future in which information about a plethora of disease genes can be readily obtained. As atrisk populations are identified, research can be done to determine effective prevention and treatment
Accuracy of diabetes diagnosis in health insurance claims data in Taiwan
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Background and Purpose: There are limited data from Taiwan about the accuracy of National Health Insurance (NHI) claims data. This study assessed the accuracy of NHI claims data for diabetes and its associated factors. Methods: Insurance claims data for
Measuring health perceptions in the health insurance experiment
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This report was written as part of Rand's Health Insurance Experiment, funded under a grant from the US Department of Health and Human Services. A related report, Conceptualization and Measurement of Health for Adults in the Health Insurance Study: Vol. V, General Health
Health insurance schemes for people outside formal sector employment
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EXECUTIVE SUMMARY Large groups among the world's rural population and many people working in the urban non-formal sector are vulnerable to the nancial costs of illness. This is because government risk sharing, via subsidy, of the costs of health care, and private or
Health insurance portability and accountability act of 1996
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To amend the Internal Revenue Code of 1986 to improve portability and continuity of health insurance coverage in the group and individual markets, to combat waste, fraud, and abuse in health insurance and health care delivery, to promote the use of medical savings
Racial and ethnic disparities in access to health insurance and health care
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Abstract: Racial and ethnic groups in the United States continue to experience major disparities in health status. Compared to the majority non-Latino white (or white, for brevity) population, racial and ethnic minorities bear a disproportionate burden of mortality and
Conceptualization and measurement of health for adults in the health insurance study: Vol. V, general health perceptions
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The Rand Health Insurance Study, funded by a grant from the US Department of Health, Education, and Welfare, is a social experiment being conducted in six sites across the United States to investigate the eifects of different health care financing arrangements
Group health insurance as a local public good
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Group health insurance is an important topic for at least two reasons. First, its quantitative importance is large and growing. Second, the management, level, and form of group insurance are increasingly a matter of concern for public policy, as are other benefits often
Health insurance coverage in the United States: 2013
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Health insurance is a means for financing a person's health care expenses. While the majority of people have private health insurance coverage, primarily through an employer, many others obtain health insurance through programs offered by the government. Other
Voluntary health insurance in the European Union
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Private health insurance1 does not play a dominant role in funding health care in the European Union, as it does in the United States, Australia and Switzerland. For largely historical reasons, governments in European Union (EU) member states have aimed to MI Harris Diabetes Care, 1999 Am Diabetes Assoc OBJECTIVE: To evaluate the extent and types of health insurance coverage in a representative sample of adults with diabetes in the US RESEARCH DESIGN AND METHODS: The Third National Health and Nutrition Examination Survey included national
Health insurance coverage in the United States: 2002
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The estimates in this report are based on data collected by the 2003 Current Population Survey (CPS) Annual Social and Economic Supplement (ASEC was formerly called the Annual Demographic Supplement or the March Supplement) conducted by the US Census
Health insurance coverage: early release of estimates from the National Health Interview Survey, January March 2014
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The Centers for Disease Control and Prevention's (CDC) National Center for Health Statistics (NCHS) is releasing selected estimates of health insurance coverage for the civilian noninstitutionalized US population based on data from the 2014 National Health
Health Insurance Coverage, 2001
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The estimates in this report are based on the 2000, 2001, and 2002 Current Population Survey Annual Demographic Supplements (CPS ADS) and provide information for calendar years 1999, 2000, and 2001, respectively. These estimates use population estimates based Objective: To compare mortality in persons with employer-provided health insurance, Medicare, Medicaid, military health benefits, other private health insurance, and no health insurance, before and after adjustment for income and employment status. Design: Cohort
Reaching universal coverage via social health insurance: key design features in the transition period
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One can appreciate that achieving universal coverage may not be an easy process. Many countries that currently have a universal coverage system often needed decades to implement it. But if the choice is to take the path of SHI, several factors may be slowing down
Measuring the impact of health insurance with a correction for selection bias a case study of Ecuador
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SUMMARY This article develops and uses methodologies to evaluate the impact of publicly- financed health insurance programmes on the use of health care. Using univariate and bivariate probit estimation techniques, the study tests and corrects for endogeneity resulting
Worker decisions to purchase health insurance
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Studying worker health insurance choices is usually limited by the absence of price data for workers who decline their employer's offer. This paper uses a new Medical Expenditure Panel Survey file which links household and employer survey respondents, supplying data OBJECTIVES We sought to understand disparities in dental insurance coverage and dental care among US children by race/ethnicity, urban/rural residence, and socioeconomic status. METHODS Linked data from the National Survey of Children's Health and Area Resource
Health insurance coverage: Early release of estimates from the National Health Interview Survey, 2014
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This report from the National Center for Health Statistics (NCHS) presents selected estimates of health insurance coverage for the civilian noninstitutionalized US population based on data from the 2015 National Health Interview Survey (NHIS), along with
Why publicly-financed health insurance schemes are ineffective in providing financial risk protection
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The Indian health sector has been the testing laboratory for launching several financially innovative schemes since 2005-06. The country has been witness to one of the most ambitious programmes in India's planned development years the flagship National Rural
District-based Health insurance in sub-Saharan Africa. Part I: From theory to practice
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When African states gained their independence, free health care was a constitutional right and public health care systems were supposed to be entirely tax-financed. This rapidly proved an illusion. Economic growth was low and decreased to a level below 1% per year in
Social health insurance: a guidebook for planning
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Health insurance is one of several methods of health care financing. This chapter is concerned with the concepts and options health financing and puts health insurance in the broader context of health-services financing. The chapter briefly outlines health financing
The impact of health insurance in Africa and Asia: a systematic review
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E Spaan, J Mathijssen, N Trompof the World Health , 2012 SciELO Public Health Health insurance is attracting more and more attention in low- and middle-income countries as a means for improving health care utilization and protecting households against impoverish- ment from out-of-pocket expenditures. The health financing mechanism was developed to counteract
Applying data mining techniques to a health insurance information system
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Abstract This paper addresses the effectiveness of two data mining techniques in analyzing and retrieving unknown behavior patterns from gigabytes of data collected in the health insurance industry. Specifically, an episode (claims) database for pathology services and a
Hispanic patients' double burden: Lack of health insurance and limited English
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Michelle McEvoy Doty, Ph. D., a senior analyst for the Health Policy, Research, and Evaluation Department at The Commonwealth Fund, conducts research examining health care access and quality among vulnerable populations and the extent to which lack of health
Community based health insurance schemes in developing countries: facts, problems and perspectives
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Scarce economic resources, low or modest economic growth, constraints on the public sector and low organisational capacity explain why the design of adequate health financing systems in developing countries, especially the low income ones 1, remains cumbersome
Social health insurance financing
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Funding access to health care through social health insurance has its origins in Germany in the nineteenth century. The earliest versions of health insurance developed without any significant government intervention. Industrialization brought with it the emergence of large
The State of Health Insurance in California: Findings from the 2005 California Health Interview Study
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Abstract: This report from the UCLA Center for Health Policy Research shows that job-based health insurance coverage--the backbone of the state's system of health insurance continues to decline. More than 6.5 million Californians under age 65 (more than one in five
Renewed emphasis on consumer cost sharing in health insurance benefit design
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Abstract: Purchasers and health plans are reemphasizing deductibles, coinsurance, and other consumer incentives in response to renewed inflation and the continuing backlasing backlash against managed care. This paper explores the partial convergence of cost sharing and
Health insurance, primary care, and preventable hospitalization of children in a large state
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Objectives: To analyze variations in the admission rate to hospitals of children with ambulatory care-sensitive (ACS) conditions and to test the relationship of ACS admission rates to insurance coverage, health maintenance organization (HMO) enrollment, availability Most systems of health care financing in EU member states currentlyinclude elements of income redistribution. The paper analyzesthe effects of shifting this kind of redistribution to the taxsystem and argues that this reform could create two types ofefficiency gains. On the Abstract This issue brief focuses on how employer-sponsored insurance (ESI) coverage has changed among employees. It begins with a brief description of major forces driving ESI: changes in the workforce and the rising costs of health insurance over the four year period.
Conceptualization and measurement of health for adults in the health insurance study: Vol. IV, Social health
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The Rand Health Insurance Study, funded by a grant from the US. Department of Health, Education, and Welfare, is a social experiment being conducted in six sites across the United States to investigate the effects of different health care nancing arrangements
Health insurance coverage
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An estimated 44.3 million people in the United States, or 16.3 percent of the population, were without health insurance coverage during the entire 1998 calendar year. This number was up about 1 million from the previous year; statistically, the proportion was not different
Chrun, Churn, Churn: How Instability of Health Insurance Shapes America's Uninsured Problem
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Anew analysis of health insurance coverage in America reveals a complex and troubling picture of insurance instability and gaps in coverage over time. Eighty-five million people, or 38 percent of the population under age 65, were uninsured at some point from 1996 through
The nongroup health insurance market: short on facts, long on opinions and policy disputes
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MV Pauly, LM Nichols HEALTH AFFAIRS-MILLWOOD VA THEN 2002 Health Affairs ABSTRACT: Individual health insurance is more administratively costly and more prone to adverse selection (especially in the presence of community rating) than group health coverage is. In this paper we show that the individual market has been shrinking over time This study describes the pattern and predictors of ambulatory care utilization among Korean Americans (KAs) living in Los Angeles. Data were gathered via a mail survey. Analysis employed a two-part model: logit model for factors affecting any health care use and
Health insurance and early retirement: evidence from the availability of continuation coverage
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The dramatic postwar decline in the labor force participation of older men in the United States has motivated a sizable body of literature on retirement behavior. Three factors, in particular, have been studied extensively: the growth of the Social Security program (see, for
Health insurance systems in China: a briefing note
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1. Background 1.1. Between the 1950s and mid-1970s in China, health insurance was organized around rural agricultural communes or urban place of employment. Since the 1950s, rural populations were covered under cooperative medical schemes managed by
The Swiss and Dutch health insurance systems: universal coverage and regulated competitive insurance markets
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AbSTRACT: As the United States resumes debate over options for achieving universal health coverage, policymakers are once again examining insurance systems in other industrialized countries. More recent attention has focused on countries that combine
The insurance gap and minority health care, 1997-2001
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In assessing minority health care disparities, this report examines four measures of access among whites, blacks and Latinos:whether people have a regular health care provider; whether people saw a doctor in the last year;whether people had access to specialists;
Health insurance coverage: Early release of estimates from the National Health Interview Survey, 2011
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In 2009, 22.4% of persons under age 65 years with private health insurance were enrolled in a high deductible health plan (HDHP), including 6.3% who were enrolled in a consumer- directed health plan (CDHP). Almost 50% of persons with a private plan obtained by means Page 1. Colorectal cancer screening behavior and healthinsurance status w (United States) Key words: cancer prevention, colonoscopy, colorectal cancer screening, fecal occult blood test, flexible sigmoid- oscopy, healthinsurance Abstract Objective: The purpose of this study
Health insurance and the demand for medical care
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This report examines the effects of varying levels of cost sharing on the demand for medical care and other health services. It presents the final results of the HAND Health Insurance Experiment with respect to annual utilization of medical services in the fee-for-service
Health events, health insurance, and labor supply: Evidence from the health and retirement survey
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The economic consequences of health problems are reported to be enormous. For example, many investigators have concluded that the cost to society of common health problems such as heart disease, diabetes, and cancer is many billions of dollars per year in terms of lost
An introductory resource guide for implementing the health insurance portability and accountability act (HIPAA) security rule
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Workforce Security: Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not Abstract Despite considerable research, there is little consensus about the impact of Medicaid eligibility expansions for low-income children. In this paper, I reexamine the expansions' impact on Medicaid take-up and private insurance crowd-out by investigating
Working without benefits: The health insurance crisis confronting Hispanic Americans
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EXECUTIVE SUMMARY America's Hispanic community is facing a health care crisis. Nearly 40 percent of Hispanics under age 65 do not have insurance. Despite their increasingly vital contribution to the nation's economy, Hispanic Americans are twice as likely to be uninsured
A Frameworkfor Assessing Health Financing Strategies and the Role of Health Insurance
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All developing countries face three major health policy questions: how to mobilize sufficient funds to finance health care, how to allocate those funds and organize health care delivery to produce the most health benefits for the largest number of people, and how to control the Objectives: The purpose of the study was to examine the effect of language proficiency on enrollment in a state-sponsored child health insurance program. Methods: 1055 parents of Medicaid-eligible children, who were enrolled in a state-sponsored child health insurance
Wealthier but not much healthier: effects of a health insurance program for the poor in Mexico
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Abstract In 2002 the Mexican government began a very large expansion of government- funded healthcare for the poor-specifically, people not employed in the formal sector. The program, Seguro Popular (SP), was rolled out sequentially across different areas in Mexico.
Health insurance status change and emergency department use among US adults
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Background Recent events have increased the instability of health insurance coverage. We compared emergency department (ED) use by newly insured vs continuously insured adults and by newly uninsured vs continuously uninsured adults. Methods We analyzed 159 934
Community-based health insurance and social protection policy
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1. Health security and improvements in health outcomes are an integral part of the global commitment to poverty reduction. National poverty reduction strategies reflect this commitment. Efforts are underway in practically all developing countries to improve quality, Abstract Following the 1996 welfare reform, newly arrived older immigrants with less than 5 years of residence (NOIs) have been barred from Medicaid benefits. Neither are they eligible for Medicare due to lack of work history. This study examines the relationship between
Synopsis of results on the impact of community-based health insurance on financial accessibility to health care in Rwanda
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Abstract: This paper evaluates the impact of prepayment schemes on access to health care for poor households, based on household survey data. Rwanda is one of the poorest countries in the world. After the genocide in 1994, public health care services were provided
Losing ground: how the loss of adequate health insurance is burdening working families
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SR Collins, JL Kriss, MM Doty, SD Rustgi 2008 saluteinternazionale.info ABSTRACT: The economic downturn is forcing working families across the United States to make tough financial choices, often involving sacrificing needed health care and health insurance. Using data from four years of the Commonwealth Fund Biennial Health Insurance ABSTRACT Policymakers fear that health insurers when exposed to competition will engage in cream-skimming (ie selection of good risks) rather than trying to improve their benefit to premium ratio. This fear surfaced also when Swiss federal government proposed pro-
Do children of immigrants make differential use of public health insurance
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The fraction of the US population that is foreign born has risen dramatically over the past two decades from 4.7 percent in 1970 to 7.9 percent in 1990 (Banister 1994). First-and second- generation children of immigrants are the fastest-growing segment of the US population TJ Songer, RE LaPorte, JR Lave, JS Dorman Diabetes 1997 Am Diabetes Assoc OBJECTIVE To examine the health insurance experience and out-of-pocket health care costs of families with a child with IDDM. RESEARCH DESIGN AND METHODS A case- control study of 197 families with a child with IDDM and 142 control families with no diabetic
Health insurance coverage: early release of estimates from the National Health Interview Survey, 2010
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This report from the National Center for Health Statistics (NCHS) presents selected estimates of health insurance coverage for the civilian noninstitutionalized US population based on data from the 2015 National Health Interview Survey (NHIS), along with The 1 January 2006 will go down in history as a date that marked a significant change in Dutch health insurance. After many years of political debate and several failed attempts to implement a major reform lastly in the early 1990s the government mobilised a
Tax subsidies to employer-provided health insurance
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The value of employer-provided health insurance is excluded from an individual's federal and state taxable income and from the social security tax base. These exclusions provide an incentive for individuals and firms to structure compensation arrangements so that
Insurance and the US health care system
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Nearly 15 percent of children in the United States are inadequately insured because they lack health insurance for all or part of the year. In this issue of the Journal, Olson and colleagues1 describe the potent effect of inadequate insurance coverage on several aspects ABSTRACT This paper reviews the issues around and impacts of the tax exclusion for employer-sponsored insurance. After reviewing the arguments for and against this policy, I present micro-simulation evidence on the federal revenue, insurance coverage, and MI Harris, CC Cowie, R Eastman Diabetes Care, 1994 Am Diabetes Assoc OBJECTIVE To compare the extent and types of health insurance coverage for adults with diabetes to coverage for those without diabetes in the US population. RESEARCH DESIGN AND METHODS Nationally representative samples of 2,405 adults with diabetes and 20,131
Socioeconomic costs of stroke in Korea: estimated from the Korea national health insurance claims database
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Objectives: To estimate the annual socioeconomic costs of stroke in Korea in 2005 from a societal perspective. Methods: We identified those 20 years or older who had at least one national health insurance (NHI) claims record with a primary or a secondary diagnosis of
The historical and social base of social health insurance systems
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The cultural core of social health insurance (SHI) is deeply rooted in the societies which first spawned it. Germany is often considered to be the source of this approach to health insurance, as it was the first western European country to codify existing voluntary structures
Who will be uninsured after health insurance reform
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Summary The Patient Protection and Affordable Care Act (ACA) will expand insurance coverage by about 30 million people. Although this still falls short of universal coverage, the number of uninsured people will be reduced by more than half. This brief analyzes the likely
Private health insurance and medical savings accounts: theory and experience
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In this chapter, we focus on two private mechanisms for funding health care private health insurance and medical savings accounts. We refer specifically to countries outside the European Union (EU). Chapter 6 analyses the role of voluntary health insurance within EU
Income, poverty, and health insurance coverage in the united states: 2010
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This report presents data on income, poverty, and health insurance coverage in the United States based on information collected in the 2011 and earlier Current Population Survey Annual Social and Economic Supplements (CPS ASEC) conducted by the US Census
The March CPS health insurance verification question and its effect on estimates of the uninsured
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Abstract In March 2000, the March Current Population Survey (CPS) added an experimental health insurance" verification" question. Anyone who did not report any type of health insurance coverage was asked an additional question about whether or not they were, in
Who benefits from social health insurance in developing countries
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Abstract A major policy issue in developing countries is the lack of formal insurance markets. A popular approach to this problem is compulsory social health insurance (SI). The movement towards SI has been motivated not only by the desire to expand insurance
Access to medical care, dental care, and prescription drugs: the roles of race/ethnicity, health insurance, and income
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Background: After accounting for socioeconomic factors and other demographic characteristics, racial/ethnic disparities in access to care were examined. Methods: Using nationally representative data on 34,403 individuals from the 2004 Medical Expenditure
Factoring affecting the demand for health insurance in a micro insurance scheme
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Abstract Health insurance schemes are increasingly recognised as preferable mechanisms to finance health care provision. In this direction micro health insurance schemes and community based health insurance schemes are assuming significant importance in
The effect of health savings accounts on health insurance coverage
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ABSTRACT: The authors investigate the potential of Health Savings Accounts (HSAs) to expand health insurance coverage. They examine how many currently uninsured people might be encouraged to buy coverage through HSAs, and what the impacts of such actions
Public health insurance in Japan
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Japanese universal public health insurance which is largely based on a fee-for-services payment system has functioned well so far. There are several key factors for the success of this program such as social solidarity and infrastructure for the utilization review. However,
Private health insurance in Ireland: a case study
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SUMMARY 1. This paper analyses the Irish private health insurance (PHI) market. It describes how PHI interacts with the public system, and assesses its contribution to equity, efficiency and responsiveness of the health system. The analysis identifies some of the
Disparities in health insurance and access to care for residents across US cities
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Abstract: US metropolitan areas are characterized by pronounced disparities in rates of health insurance coverage and access to care. While it has been well documented that people with lower incomes run a greater risk of being uninsured than those with higher
Security matters: How instability in health insurance puts US workers at risk
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The Task Force on the Future of Health Insurance is a national, independent, nonpartisan initiative established by The Commonwealth Fund to identify strategies to expand and improve health insurance coverage for America's workers and working families. The Task
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