deductibles and coinsurance
Summary: Cost-sharing mechanisms that provide for payment by the insured of some portion of covered expenses. Deductibles are the amounts paid by the insured under a health insurance contract before benefits become payable; coinsurance is the provision under which the insured pays part of the medical bill, usually according to a fixed percentage, when benefits become payable.
Publications238 found, 100 shown here
- Employee choice of a high-deductible health plan across multiple employersJudith R Lave
University of Pittsburgh, Pittsburgh, PA 15261, USA
Health Serv Res 46:138-54. 2011..To determine factors associated with selecting a high-deductible health plan (HDHP) rather than a preferred provider plan (PPO) and to examine switching and market segmentation after initial selection...
- Early experience with employee choice of consumer-directed health plans and satisfaction with enrollmentJinnet Briggs Fowles
Park Nicollet Institute, 3800 Park Nicollet Boulevard, Minneapolis, MN 55416, USA
Health Serv Res 39:1141-58. 2004..To assess the initial impact of offering consumer-defined health plan (CDHP) options on employees...
- The decline in bulk-billing and increase in out-of-pocket costs for general practice consultations in rural areas of Australia, 1995-2001Anne F Young
Research Centre for Gender and Health, University of Newcastle, Callaghan, NSW, Australia
Med J Aust 178:122-6. 2003..To describe the changes in bulk-billing and out-of-pocket costs for Australian general practice consultations over the period 1995-2001...
- Consumer awareness and strategies among families with high-deductible health plansTracy A Lieu
Center for Child Health Care Studies, 133 Brookline Ave, 6th Floor, Boston, MA, USA
J Gen Intern Med 25:249-54. 2010....
- Health care use and decision making among lower-income families in high-deductible health plansJeffrey T Kullgren
VA Medical Center, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, 19104 6021, USA
Arch Intern Med 170:1918-25. 2010..Lower-income families may face unique challenges in high-deductible health plans (HDHPs)...
- Perspectives from deductible plan enrollees: plan knowledge and anticipated care-seeking changesMary Reed
Division of Research, Center for Health Policy Studies, Oakland, California 94612, USA
BMC Health Serv Res 9:244. 2009..We examined knowledge of deductible plan details among new enrollees, as well as anticipated care-seeking changes in response to the deductible...
- Do high-deductible health plans threaten quality of care?Thomas H Lee
Partners HealthCare System, Boston, USA
N Engl J Med 353:1202-4. 2005
- Health benefits in 2007: premium increases fall to an eight-year low, while offer rates and enrollment remain stableGary Claxton
Health Care Marketplace Project, Henry J Kaiser Family Foundation KFF, Washington, DC, USA
Health Aff (Millwood) 26:1407-16. 2007..Despite the comparatively modest increase in premiums during a period of strong economic growth, the percentage of workers obtaining coverage from their employer remained statistically unchanged...
- Emergency department use and subsequent hospitalizations among members of a high-deductible health planJ Frank Wharam
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Mass 02215, USA
JAMA 297:1093-102. 2007..High-deductible health plans have been promoted as a means of reducing overutilization but could also be related to worse outcomes if patients defer necessary care...
- Consumer-directed health careM Gregg Bloche
Georgetown University, Washington, DC, USA
N Engl J Med 355:1756-9. 2006
- Consumer directed healthcare: except for the healthy and wealthy it's unwiseSteffie Woolhandler
The Department of Medicine, Cambridge Hospital, Harvard Medical School, 1493 Cambridge Street, Cambridge, MA 02139, USA
J Gen Intern Med 22:879-81. 2007..They offer little hope of slowing the growth of health care costs and add further bureaucratic costs and complexity to our health care financing system...
- Deductibles and health care expenditures: empirical estimates of price sensitivity based on administrative dataRené C J A van Vliet
Institute of Health Policy and Management iBMG, Erasmus University Rotterdam, P O Box 1738, 3000 DR Rotterdam, The Netherlands
Int J Health Care Finance Econ 4:283-305. 2004..To estimate the price sensitivity of demand for health care by analysing the relation between deductibles and expenditures found in an administrative database...
- Driven to distress. Medical groups fret over expected billing challenges as more companies steer employees to consumer-driven health plantsMichael Romano
Mod Healthc 36:28-30. 2006
- Consumer experiences in a consumer-driven health planJon B Christianson
Carlson School of Management, Department of Healthcare Management, University of Minnesota, 321 19th Avenue South, Suite 3 149, Minneapolis, MN 55455, USA
Health Serv Res 39:1123-40. 2004..To assess the experience of enrollees in a consumer-driven health plan (CDHP)...
- Commentary--Defined contribution health plans: attracting the healthy and well-offGail Shearer
Health Policy Analysis, Consumers Union, Washington Office, 1066 Connecticut Avenue NW, Suite 310, Washington, DC 20009, USA
Health Serv Res 39:1159-66. 2004
- Evaluation of the effect of a consumer-driven health plan on medical care expenditures and utilizationStephen T Parente
Carlson School of Management, Department of Healthcare Management, University of Minnesota, 321 19th Avenue South, Suite 3 149, Minneapolis, MN 55455, USA
Health Serv Res 39:1189-210. 2004..To compare medical care costs and utilization in a consumer-driven health plan (CDHP) to other health insurance plans...
- Commentary--Current MSA theory: well-meaning but futileGeorge C Halvorson
Kaiser Foundation Health Care, Inc
Health Serv Res 39:1119-22. 2004
- Employee choice of consumer-driven health insurance in a multiplan, multiproduct settingStephen T Parente
Carlson School of Management, Department of Healthcare Management, University of Minnesota, 321 19th Avenue South, Suite 3 149, Minneapolis, MN 55455, USA
Health Serv Res 39:1091-112. 2004..To determine who chooses a Consumer-Driven Health Plan (CDHP) in a multiplan, multiproduct setting, and, specifically, whether the CDHP attracts the sicker employees in a company's risk pool...
- Tales from the new frontier: pioneers' experiences with consumer-driven health careAnthony T Lo Sasso
Institute for Policy Research, Northwestern University, 2040 Sheridan Road, Evanston, IL 60208, USA
Health Serv Res 39:1071-90. 2004..To conduct site visits to study the early experiences of firms offering consumer-driven health care (CDHC) plans to their employees and firms that provide CDHC products...
- "Consumer-driven" coverage: future or fad?Chip Kahn
Hosp Outlook 6:10. 2003
- 3-tier drug benefit designs based on sound drug formulary principles will maximize favorable outcomesFrederic R Curtiss
J Manag Care Pharm 10:83-4, 86. 2004
- Beyond the myths: finding benefit design solutions that address the true costs of high healthcare useVincent J Willey
HealthCore, Wilmington, Delaware, USA
Am J Manag Care 14:S252-63. 2008..Achieving savings in direct and indirect costs will require more than shifting coverage, which can lead to nonadherence and increase costs elsewhere...
- Cost cure-all? Or unhealthy shift?Kim Clark
US News World Rep 135:38-9. 2003
- Pharmacy benefit starts to reflect push for consumer-directed careTony Berberabe
Manag Care 12:29-32. 2003
- Consumer-directed health care: too good to be true?MargaretAnn Cross
Manag Care 12:18-25. 2003
- Commentary--Looking at the effects of consumer-centric health plans on expenditures and utilizationJohn Bertko
Humana Inc, 500 W Main Street, Louisville, KY 40202, USA
Health Serv Res 39:1211-8. 2004
- Impact of multitiered copayments on the use and cost of prescription drugs among Medicare beneficiariesBoyd H Gilman
Mathematica Policy Research Inc, 955 Massachusetts Avenue, Suite 801, Cambridge, MA 02139, USA
Health Serv Res 43:478-95. 2008..To assess the impact of multitiered copayments on the cost and use of prescription drugs among Medicare beneficiaries...
- Coordinated care in a 'consumer-driven' health systemJill Mathews Yegian
California HealthCare Foundation, Oakland, USA
Health Aff (Millwood) 25:w531-6. 2006....
- Consumer-directed health care: early evidence about effects on cost and qualityMelinda Beeuwkes Buntin
RAND, Arlington, Virginia, USA
Health Aff (Millwood) 25:w516-30. 2006..The early effects of CDHC on quality are mixed, with evidence of both appropriate and inappropriate changes in care use. Greater information about prices, quality, and treatment choices will be critical if CDHC is to achieve its goals...
- Consumer-driven health care. Why it won't solve what ails the United States health systemSara R Collins
Commonwealth Fund, New York, NY 10021, USA
J Leg Med 28:53-77. 2007
- Value-based insurance design: a "clinically sensitive, fiscally responsible" approach to mitigate the adverse clinical effects of high-deductible consumer-directed health plansA Mark Fendrick
J Gen Intern Med 22:890-1. 2007
- Consumer response to dual incentives under multitiered prescription drug formulariesBoyd H Gilman
Mathematica Policy Research, Inc, Cambridge, MA 02139, USA
Am J Manag Care 13:353-9. 2007....
- The case against excessive cost sharingDiana I Brixner
University of Utah College of Pharmacy, Salt Lake City, UT 84108, USA
Am J Manag Care 12:S162-4; discussion S167-72; quiz S173-6. 2006
- Weighing the risks of consumer-driven health plans for familiesMargaret A McManus
American Academy of Pediatrics, Elk Grove Village, Illinois, USA
Pediatrics 117:1420-4. 2006
- The relationship between older adults' knowledge of their drug coverage and medication cost problemsJohn D Piette
Department of Veterans Affairs Center for Practice Management and Outcomes Research, Ann Arbor, Michigan 48113, USA
J Am Geriatr Soc 54:91-6. 2006..To determine whether chronically ill patients have gaps in knowledge about their prescription drug coverage and establish the relationship between gaps and medication cost problems...
- Varying pharmacy benefits with clinical status: the case of cholesterol-lowering therapyDana P Goldman
RAND Corporation, Santa Monica, CA 90407 2138, USA
Am J Manag Care 12:21-8. 2006..To determine whether a pharmacy benefit that varies copayments for cholesterol-lowering (CL) therapy according to expected therapeutic benefit would improve compliance and reduce use of other services...
- Out-of-pocket pharmacy expenditures for veterans under medicare part DRandall W Rupper
VA Salt Lake City Geriatrics Research, Education, and Clinical Center, Salt Lake City, Utah, USA
Med Care 45:S77-80. 2007..We sought to determine how these programs' different benefit structures and low-income assistance thresholds would affect pharmacy out-of-pocket expenses for veterans...
- Traditional plans preferred: pollLaura B Benko
Mod Healthc 35:18. 2005
- Health savings accounts--the ownership society in health careJames C Robinson
Division of Health Policy and Management at the University of California, Berkeley, School of Public Health, USA
N Engl J Med 353:1199-202. 2005
- Consumer-directed health care: it's not whether the glass is half-empty, but whyMurray N Ross
Kaiser Permanente Institute for Health Policy, Oakland, California, USA
Health Aff (Millwood) 25:w552-4. 2006..In a world where employers are seeking any port in a storm of unsustainable cost growth, it might be more useful to compare offering a consumer-directed plan to other options that employers could have chosen in constraining health costs...
- Tame your health insurance costsKen Terry
Med Econ 82:35-8, 40. 2005
- The undercovered classMatthew Weinstock
Hosp Health Netw 81:32-6, 38, 1. 2007..Soaring deductibles and gaping holes in coverage mean huge out-of-pocket expenses. When patients can't pay, providers are stuck. Now, some hospitals are helping patients understand up front just what their insurance covers...
- Many Americans dislike consumer-directed health coverageKate Traynor
Am J Health Syst Pharm 64:129-30. 2007
- Health benefits in 2003: premiums reach thirteen-year high as employers adopt new forms of cost sharingJon Gabel
Health Systems Studies, Health Research and Educational Trust, Washington, D C, USA
Health Aff (Millwood) 22:117-26. 2003..There was no change in the percentage of employers offering health plans to their workers. Employers indicate little confidence in any future strategies for controlling health care costs...
- Defined-contribution products and their influence on pharmacy benefit managementDiane Giaquinta
Manag Care Interface 16:36-8. 2003
- Control of prescription costs--is it possible?Patrick N Renaud
Empl Benefits J 27:11-4. 2002..The author considers two choices for controlling the cost of prescription drugs: Return the prescription drug program to the TPA, or implement plan design changes. Making changes to the buying habits of the public is key...
- Self-insurance in times of growing and retreating managed careJon R Gabel
Health System Studies, Health Research and Educational Trust HRET, Washington, DC, USA
Health Aff (Millwood) 22:202-10. 2003..Cost sharing is somewhat lower in self-insured PPO plans. During periods of rapid inflation, premiums increase more slowly for self-insured than for fully insured plans...
- The tough decisions that no one wants to makeJoe Taylor
Mercer Human Resource Consulting, Dallas, USA
Benefits Q 19:19-29. 2003....
- Employer-sponsored health insurance: pressing problems, incremental changesSally Trude
Center for Studying Health System Change, Washington, DC, USA
Health Aff (Millwood) 21:66-75. 2002..While dramatic changes in health benefits are unlikely in the short term, policymakers may want to watch for future erosions in health coverage...
- Employer-sponsored insurance: how much financial protection does it provide?Jon R Gabel
Health Research and Education Trust, USA
Med Care Res Rev 59:440-54. 2002..Individuals who incur high costs pay a smaller share of the bill than do those with lower levels of spending. The generosity of employer-sponsored plans increased slightly in the 1990s...
- The state of consumer-centric careClive Riddle
MCOL, Modesto, California, USA
Manag Care Interface 15:20-4. 2002..Health plans are today faced with the challenge of rethinking their offerings--or even their basic program approach--to address this burgeoning trend...
- What's the fallout if patients pay? "Self-directed" health insurance plans mean patients have more choice than ever. Will they still choose you?Ken Terry
Med Econ 80:32-4, 39-40. 2003
- The breaking pointDavid Stires
Fortune 147:104-6, 108, 110 passim. 2003
- Responding to consumer demand for choice, flexibilityMary Brainerd
Healthplan 43:13-7. 2002
- "Build it and they will come?"Diane Giaquinta
Manag Care Interface 15:44-5, 47. 2002
- Workers' decisions to take-up offered health insurance coverage: assessing the importance of out-of-pocket premium costsPhilip F Cooper
Center for Cost and Financing Studies, Agency for Healthcare Research and Quality, Rockville, MD 20852, USA
Med Care 41:III35-III43. 2003....
- Consumer driven healthcare and the birth of health reimbursement arrangementsRandall K Abbott
Manag Care Q 10:4-7. 2002..Communication, education, and the use of Web-enabled technology are critical elements of this process...
- Health care costs of adults treated for attention-deficit/hyperactivity disorder who received alternative drug therapiesEric Q Wu
Analysis Group, Inc, Boston, MA 02199, USA
J Manag Care Pharm 13:561-9. 2007....
- Relationship of the use and costs of physician office visits and prescription drugs to travel distance and increases in member cost shareWilliam T Cecil
Health Policy Research, BlueCross BlueShield of Tennessee, 801 Pine St, 1E, Chattanooga, TN 37402, USA
J Manag Care Pharm 12:665-76. 2006..The prescription drug benefit is commonly designed and managed as a stand-alone health insurance product without consideration of how the design of other medical benefits may impact its use...
- Demand response of mental health services to cost sharing under managed careChunling Lu
Harvard Global Health Initiative, 104 Mt Auburn Street, Cambridge, MA 02138, USA
J Ment Health Policy Econ 11:113-25. 2008..The economics of parity under managed care needs to be under re-examination...
- Administrative claims analysis of the relationship between warfarin use and risk of hemorrhage including drug-drug and drug-disease interactionsKui Zhang
Department of Research and Development, CaremarkRX, Hunt Valley, MD 21031, USA
J Manag Care Pharm 12:640-8. 2006..Warfarin is used most commonly for irregular heartbeat, after a heart attack, and after joint or heart valve replacement surgery...
- Neutropenia-related costs in patients treated with first-line chemotherapy for advanced non-small cell lung cancerMichael E Stokes
United BioSource Corporation, 185 Dorval Ave, Ste 500, Dorval, QC, H9S 5J9, Canada
J Manag Care Pharm 15:669-82. 2009..Neutropenia-related complications often lead to increased use of costly health care including inpatient and outpatient services. Monitoring and treatment of neutropenia thus place an economic burden on the health care system...
- Trends in the prescription drug plans delivering the Medicare Part D prescription drug benefitJoel V Brill
Predictive Health, LLC, Phoenix, AZ 85016, USA
Am J Health Syst Pharm 64:S3-6; quiz S21-S23. 2007....
- Rural-urban differences in health care benefits of a community-based sample of at-risk drinkersJohn C Fortney
VA HSR and D Center for Healthcare and Outcomes Research, Central Arkansas Veterans Healthcare System, USA
J Rural Health 19:292-8. 2003..Different types of health plan cost-containment strategies (eg, gatekeeping, selective contracting, and cost-sharing) may affect the utilization of behavioral health services differently in urban and rural areas...
- Costs of care associated with non-small-cell lung cancer in a commercially insured cohortB E Hillner
Department of Internal Medicine, Medical College of Virginia and Massey Cancer Center, Virginia Commonwealth University, Richmond 23298 0170, USA
J Clin Oncol 16:1420-4. 1998..To examine the cost of incident cases of non-small-cell lung cancer (NSCLC) in a commercially insured cohort...
- Physician consideration of patients' out-of-pocket costs in making common clinical decisionsHoangmai H Pham
Center for Studying Health System Change, 600 Maryland Avenue SW, Washington, DC 20024, USA
Arch Intern Med 167:663-8. 2007..Patients face growing cost-sharing through higher deductibles and other out-of-pocket (OP) expenses, with uncertain effects on clinical decision making...
- Differences between physical and behavioral health benefits in the health plans of at-risk drinkersJohn C Fortney
Department of Veterans Affairs Health Services Research and Development Center for Healthcare and Outcomes Research, Little Rock, Arkansas, USA
Psychiatr Serv 54:97-102. 2003..The goal of this study was to describe the physical and behavioral health benefits of a representative community-based sample of at-risk drinkers potentially in need of behavioral health services...
- The impact of cost sharing on antidepressant use among older adults in British ColumbiaPhilip S Wang
National Institute of Mental Health, Bethesda, MD 20892 9629, USA
Psychiatr Serv 59:377-83. 2008....
- Estimating the price elasticity of expenditure for prescription drugs in the presence of non-linear price schedules: an illustration from Quebec, CanadaPaul Contoyannis
Centre for Health Economics and Policy Analysis, McMaster University, Canada
Health Econ 14:909-23. 2005..Our preferred specification leads to expenditure elasticities that are in the low range of previous estimates (between -0.12 and -0.16). Naïve OLS estimates are between 1 and 4 times these magnitudes...
- Cost-effectiveness of providing full drug coverage to increase medication adherence in post-myocardial infarction Medicare beneficiariesNiteesh K Choudhry
Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, MA 02120, USA
Circulation 117:1261-8. 2008....
- Effect of premium, copayments, and health status on the choice of health plansJames M Naessens
Division of Health Care Policy and Research, Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota 55902, USA
Med Care 46:1033-40. 2008..Explore effects of comorbidity and prior health care utilization on choice of employee health plans with different levels of cost sharing...
- 2007 costs and coverage of antiretrovirals under Medicare Part D for people with HIV/AIDS living in North CarolinaSohini Sengupta
Department of Social Medicine, University of North Carolina at Chapel Hill, MacNider Hall, CB 7240, Chapel Hill, NC 27599 7240, USA
N C Med J 69:6-13. 2008..This analysis examines Medicare Part D antiretroviral coverage in 2007 for beneficiaries with HIV/AIDS in North Carolina, particularly those who did not qualify as dual eligibles or for a full low-income subsidy...
- Reference drug programs: effectiveness and policy implicationsSebastian Schneeweiss
Harvard Medical School, Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women s Hospital, 1620 Tremont Street, Suite 3030, Boston, MA 02120, USA
Health Policy 81:17-28. 2007..This paper summarizes the mechanism and rationale of RDPs, presents evidence of their economic effectiveness and clinical safety, and concludes with some practical implications of implementing RDP policies...
- Coverage of atypical antipsychotics among medicare drug plans in the state of washington: changes between 2007 and 2008Meng Yun Wu
Department of Health Policy and Administration and Department of Pharmacotherapy, College of Pharmacy, Washington State University, Spokane Washington Institute for Mental Illness Research and Training, Spokane and Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill
Prim Care Companion J Clin Psychiatry 11:316-21. 2009..To examine changes in the cost and coverage of atypical antipsychotics among Medicare prescription drug plans and Medicare advantage plans in the state of Washington...
- Microdialysis assessment of peripheral metabolism in critical limb ischemia after endovascular revascularizationMatteo Tozzi
Vascular Surgery Department of Surgical Sciences, University of Insubria, Varese University Hospital, Varese, Italy
Ann Surg Innov Res 3:17. 2009..CONCLUSIONS: Restoration of glucose and glycerol circadian rhythm, coupled with low lactate concentration and lactate/pyruvate ratio seemed to be linked to good surgical outcome...
- Complex home care: Part 2- family annual income, insurance premium, and out-of-pocket expensesUbolrat Piamjariyakul
University of Kansas School of Nursing, School of Nursing Building, Kansas City, KS, USA
Nurs Econ 28:323-9. 2010..Any changes that may increase the out-of-pocket costs or health insurance costs to these families can also have a negative long-term impact on society when greater numbers of patients declare bankruptcy or qualify for medical disability...
- Nearly half of families in high-deductible health plans whose members have chronic conditions face substantial financial burdenAlison A Galbraith
Center for Child Health Care Studies, Department of Population Medicine, Harvard Medical School, Boston, Massachusetts, USA
Health Aff (Millwood) 30:322-31. 2011..As health reform efforts advance, policy makers must consider how to modify high-deductible plans to reduce the financial burden for families with chronic conditions...
- Publicly funded medical savings accounts: expenditure and distributional impacts in Ontario, CanadaJeremiah Hurley
Department of Economics, McMaster University, Hamilton, Ont, Canada
Health Econ 17:1129-51. 2008..MSAs, however, are also predicted to have unavoidable negative distributional consequences with respect to both public expenditures and out-of-pocket spending...
- Small group health insurance reform in Rhode Island: promises and pitfalls of the HEALTHpact planEdward Alan Miller
Department of Gerontology, John W McCormack Graduate School of Policy and Global Studies, University of Massachusetts Boston, MA 02125, USA
Health Serv Res 46:285-97. 2011..This study analyzes what design elements inhibited enrollment in HEALTHpact...
- Medicare Part D in 2008: rising prices and growing confusionPaul J Flaer
Robert Stempel School of Public Health, Florida International University, USA
J Health Care Finance 34:89-92. 2008..Return to the public hospital pharmacy system from the neighborhood pharmacy and Medicare Part D plan can mean significant savings to low-income or indigent patients...
- Ready for prime time? Make your financial assistance policy a class actDennis Barry
Vinson an Elkins, LLP, Washington, DC, USA
Healthc Financ Manage 59:48-55. 2005..The best course for hospitals is to have clearly defined financial assistance policies in place that reflect an awareness of all the related potential legal and regulatory concerns...
- The mission of safety net organizations following national insurance reformMark A Hall
Center for Bioethics, Health and Society, Wake Forest University, Winston Salem, NC 27157 1063, USA
J Gen Intern Med 26:802-5. 2011....
- Trends in home phototherapy adoption in the US: monetary disincentives are only the tip of the icebergBrad A Yentzer
Center for Dermatology Research, Department of Dermatology, Wake Forest University School of Medicine, Winston Salem, North Carolina 27157 1071, USA
J Dermatolog Treat 22:27-30. 2011..It is likely that even more patients are never prescribed a home unit due to lack of physician training or frustration with meager and often inadequate reimbursements from insurance...
- Health benefits in 2010: premiums rise modestly, workers pay more toward coverageGary Claxton
Health Care Marketplace Project, Kaiser Family Foundation, Washington, DC, USA
Health Aff (Millwood) 29:1942-50. 2010..The change was largely driven by a thirteen-percentage-point increase in the number of firms with three to nine workers that offered benefits (up from 46 percent in 2009 to 59 percent in 2010). The reason for this increase is unclear...
- What does the Medicare prescription drug legislation mean for the American cardiologist?Janice B Schwartz
Jewish Home of San Francisco and the Division of Clinical Pharmacology, University of California, San Francisco, CA 94112, USA
Am J Geriatr Cardiol 14:317-24. 2005..This article details the background, benefits, and expected impact of all of these aspects of the new Medicare Part D prescription drug benefit...
- Liability, insurance and medical practicePaul Fenn
Nottingham University Business School, Jubilee Campus, Nottingham, UK
J Health Econ 26:1057-70. 2007..These results are consistent with hospitals reacting to the incentives provided by a clinical negligence compensation system...
- Reducing patient financial liability for hospitalizations: the physician roleEdward A Ross
Division of Nephrology, Hypertension, and Transplantation, University of Florida, Gainesville, Florida 32610 0224, USA
J Hosp Med 5:160-2. 2010..By participating in case management activities, physicians can have an important patient advocate role, and thereby minimize the financial burden to these individuals and their families...
- Redistributive effects in public health care financingIvonne Honekamp
Empirical Microeconomics, University of Bamberg, Feldkirchenstr 21, 96045 Bamberg, Germany
Eur J Health Econ 9:405-16. 2008..We show that governments who treat access to health care as a basic right for everyone should consider redistributive effects when reforming health care financing...
- Alternative liability insurance: are you ready for a captive?Barry D Pressman
S Mark Taper Imaging Center, Cedars Sinai Medical Center, Los Angeles, CA 90048, USA
J Am Coll Radiol 3:194-9. 2006..The authors discuss using deductibles, self-insured retentions, and the development of one's own insurance company, that is, a captive...
- Cancer insurance policies in Japan and the United StatesC L Bennett
Health Services Research and Development Division, Lakeside Veterans Affairs VA Medical Center, Chicago, IL, USA
West J Med 168:17-22. 1998..Understanding the factors that led to the success of cancer insurance in Japan may assist policymakers in evaluating cancer insurance policies as they become more prevalent in the United States...
- Empirical models of demand for out-patient physician services and their relevance to the assessment of patient payment policies: a critical review of the literatureOlga Skriabikova
Department of Health Organization, Policy and Economics, Caphri, Medical Center, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands
Int J Environ Res Public Health 7:2708-25. 2010..Although we recognize that it is difficult to measure these factors and to incorporate them in the demand models, it is apparent that there is a gap in research for the construction of effective patient payment schemes...
- What do health savings accounts mean for the emergency department?K John McConnell
Center for Policy and Research in Emergency Medicine, Department of Emergency Medicine, Oregon Health and Science University, Portland, OR, USA
Ann Emerg Med 46:536-40. 2005..We note areas that emergency physicians should monitor as health savings accounts become more prominent...
- Optimal deductibles for outpatient servicesKarl Michael Ortmann
Beuth Hochschule für Technik Berlin, University of Applied Sciences, Luxemburger Strasse 10, Berlin, Germany
Eur J Health Econ 12:39-47. 2011..Similarities and discrepancies with respect to results obtained in the RAND Health Insurance Experiment conducted in the United States from 1971 to 1982 are highlighted...
- Moral hazard and consumer-driven health care: a fundamentally flawed conceptJohn P Geyman
Department of Family Medicine, University of Washington School of Medicine, Seattle 98195, USA
Int J Health Serv 37:333-51. 2007..A case is made to reject moral hazard as an organizing rationale for health care, and the author offers some alternative approaches...
- Premium growth and its effect on employer-sponsored insuranceJessica Vistnes
Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, 540 Gaither Road, Rockville, MD 20850, USA
Int J Health Care Finance Econ 11:55-81. 2011..They also increase employee contributions for single and family coverage, but not deductibles. Among high-wage employers, all but the largest increase deductibles in response to cost pressures...
- Children in need of Pharmacare: medication funding requests at the Toronto Hospital for Sick ChildrenWendy J Ungar
Division of Population Health Sciences, Hospital for Sick Children, Toronto, ON
Can J Public Health 94:121-6. 2003....
- Mental health parity legislationArlene Smaldone
Columbia University School of Nursing, Mail Code 6, 630 West 168th Street, New York, NY 10032, USA
J Psychosoc Nurs Ment Health Serv 48:26-34. 2010....
- Using matched survey and administrative data to estimate eligibility for the Medicare Part D low-income subsidy programErik Meijer
RAND Corporation, Santa Monica, USA
Soc Secur Bull 70:63-82. 2010..A sensitivity analysis indicates that the use of administrative data has a relatively small effect on the estimates, but does suggest that measurement error is important to account for...
- Implementation of a consumer-directed approach in behavioral health care: problems and prospectsRichard A LaBrie
Harvard Medical School, Division on Addictions, Cambridge Health Alliance, 10 Presidents Landing, Medford, MA 12155, USA
Psychiatr Serv 58:300-2. 2007..This column describes important components of consumer-directed care and the unique barriers that behavioral health care creates for those components. Possible best practices are suggested for surmounting those barriers...
- High-deductible health insurance plans: efforts to sharpen a blunt instrumentMary Reed
Division of Research, Kaiser Permanente, Oakland, California, USA
Health Aff (Millwood) 28:1145-54. 2009..Consumers need more information and decision support to understand their benefits and to differentiate when care is necessary, discretionary, or unnecessary...
- Estimating the cost of cancer: results on the basis of claims data analyses for cancer patients diagnosed with seven types of cancer during 1999 to 2000Stella Chang
Medstat Inc, Washington, DC 20008, USA
J Clin Oncol 22:3524-30. 2004..We derive estimates of the costs of cancer using administrative databases, which include claims and employment-related information on individuals insured by private or Medicare supplemental health plans...
- The Science of Medicare ReformDANA P contact GOLDMAN; Fiscal Year: 2010....
- Parity, child mental health, and substance abuseELLEN R MEARA; Fiscal Year: 2010..abstract_text> ..
- Clinical and Social Implications of Cost Sharing for Cancer DrugsYu Ning Wong; Fiscal Year: 2012..Our results may suggest consideration of a novel benefit design that encourages patients to make decisions based on relative value, rather than cost alone. ..
- Implementation of Federal Mental Health ParityColleen L Barry; Fiscal Year: 2013..Findings from this study could provide valuable information on the potential effects of extending federal parity to this population. ..
- COST CONTAINMENT & GROUP HEALTH INSURANCE BENEFIT GROWTHDouglas Coate; Fiscal Year: 1993..In addition, they contain data on the illness risk of each firm's insured employees...
- Modeling Adherence to Psychotherapy for DepressionGregory Simon; Fiscal Year: 2009..The proposed research is one component of an ongoing comprehensive program to understand and increase consumer demand for effective depression treatment. ..
- Effects of income-based drug charges on older PatientsSebastian Schneeweiss; Fiscal Year: 2006..abstract_text> ..
- Remibursement Limits, Antidepressants, and OutcomesPhilip Wang; Fiscal Year: 2005..We will also use other national and international forums to inform ongoing debates over drug coverage for vulnerable elderly patients with depression. ..
- UNCOMPENSATED CARE FUNDS: THE SOLUTION FOR INDIGENT CAREKimberly Rask; Fiscal Year: 1990..The impact of reimbursement funds on medical care utilization and the substitution of hospital-based services for non-hospital-based services will be examined using Tobit analysis...
- Remibursement Limits, Antidepressants, and OutcomesSebastian Schneeweiss; Fiscal Year: 2007..We will also use other national and international forums to inform ongoing debates over drug coverage for vulnerable elderly patients with depression. ..
- COSTS OF DRUG TREATMENT UNDER PRIVATE INSURANCERoland Sturm; Fiscal Year: 2000..Particular attention will be paid to differences between employed policyholders, their adult dependents, and their child dependents. ..
- MANAGED CARE AND ACCESS TO ALCOHOL TREATMENT SERVICESJohn Fortney; Fiscal Year: 2000....
- Consumer Directed Health Plans and Use of Preventive ServicesNeeraj Sood; Fiscal Year: 2013..3) Examine the effects of CHDPs on price shopping for preventive services including services with and without first dollar coverage. ..
- ECONOMICS OF CANCERMark McClellan; Fiscal Year: 2000....
- Using MEPS Data to Inform Public-Plan ConsumerismMatthew Davis; Fiscal Year: 2007..Findings will have immediate relevance for implementation of the HOA projects and other consumerism efforts. [unreadable] [unreadable] [unreadable]..
- DEMAND FOR ALCOHOL TREATMENT SERVICESJAYANTA BHATTACHARYRA; Fiscal Year: 2001..For example, using our framework, we will be able to accurately estimate the costs of parity legislation for alcoholism treatment. ..
- Competitive Continuation of Insurance Financing of Integrative MedicinePaula Diehr; Fiscal Year: 2007..Since the United States is the world's number one consumer of medical care, this study on the addition of new CAM benefits and the consequences is important. [unreadable] [unreadable]..
- Telemedicine-Based Collaborative Care to Reduce Rural Health DisparitiesJohn C Fortney; Fiscal Year: 2010..This population is at high risk for experiencing health disparities and thus, interventions targeting this population have the potential to have a major impact. ..
- Effectiveness of patient lift equipmentHester Lipscomb; Fiscal Year: 2008..The proposed work addresses several NIOSH priority areas including health care workers, back injuries, and intervention effectiveness research. ..
- A Comprehensive Database of Cost-Effectiveness AnalysesPeter Neumann; Fiscal Year: 2003..The web-based data should also understand the needs of different scientists to be understood and policymakers, and bridges to be built across disparate communities. ..
- Assessing Medical Need Among Children in Managed CarePaul Fishman; Fiscal Year: 2003..Pediatric risk assessment research has also not explored opportunities to use all information available in managed care information systems. ..
- Vulnerable Populations and Special Protections in ACTUsSohini Sengupta; Fiscal Year: 2007..abstract_text> ..
- Oregon's Parity Law: Comprehensive Parity in Today's Healthcare EnvironmentKENNETH MCCONNELL; Fiscal Year: 2009..Our proposed research will provide insight about the tradeoffs between expanding coverage for mental health and substance abuse disorders and the total cost of care. ..
- Evaluation of Enteral Stent Placement Using Claims DataSujha Subramanian; Fiscal Year: 2004..abstract_text> ..
- Do Free Glucose Test Strips Increase Self-Monitoring?Andrew Karter; Fiscal Year: 2003..Proposal strengths also include a longitudinal design, substantial statistical power, low cost data acquisition, and an ethnically diverse population with uniform access to care. ..
- WORK AND HEALTH DISPARITIES AMONG RURAL WOMENHester Lipscomb; Fiscal Year: 2004..Education will also be targeted to medical providers in this geographic area on work exposures and conditions, exposure response, prevention, basic epidemiology, and ergonomics. ..
- Workplace Mental Health Benefits & Selective ContractingAnthony Losasso; Fiscal Year: 2002..Our study will offer lessons from which other purchasers, including the federal government, may learn. ..
- SELECTION BIAS BY MEDICARE BENEFICIARIES WITH DIABETESMatthew Maciejewski; Fiscal Year: 2002..Analyses will be conducted on a cohort of beneficiaries with diabetes in thc fee-for-service sector in 1992-1993, so results are not generalizable to people with diabetes who enrolled in Medicare HMOs prior to 1994...
- Long Term Cost and Outcomes of Breast Cancer ScreeningPaul Fishman; Fiscal Year: 2006..The results of our study will help guide researchers and policy makers in planning and implementing brief interventions for a wide range of health behaviors. ..
- The Safety Net, Medicaid, and Child Health OutcomesAnthony Losasso; Fiscal Year: 2009..A final area of study will examine how the relationship between the health care safety net and children's health outcomes differs by race and ethnicity. ..
- Cancer in Older Minority PopulationsAlfred Neugut; Fiscal Year: 2003..Coordination of this P20 will be facilitated by the geographic proximity of the two institutions, their scientific strengths, and their commitment to similar programs. ..
- Health and Health Services Use in the HRS/AHEADFREDRIC WOLINSKY; Fiscal Year: 2008..Linear and non-linear regression and random effects models will also be used where appropriate. [unreadable] [unreadable]..
- COLORECTAL CANCER AND OTHER CANCERS OF THE GI TRACTAlfred Neugut; Fiscal Year: 2005..abstract_text> ..
- Back Disorders in Union CarpentersHester Lipscomb; Fiscal Year: 2006..The project addresses a number of areas of expressed interest to NIOSH including construction workers, back disorders, surveillance methods and health services research. [unreadable] [unreadable]..
- Adverse Outcomes of Dual Use of Health Systems Among Older Male VeteransFREDRIC WOLINSKY; Fiscal Year: 2006..unreadable] [unreadable] [unreadable] [unreadable]..
- IDENTIFICATION OF CLINICALLY RELEVANT CHANGES IN HRQOLFREDRIC WOLINSKY; Fiscal Year: 2002..abstract_text> ..
- Continuity of Care and Health Outcomes: Does It Really Matter?FREDRIC WOLINSKY; Fiscal Year: 2008..unreadable] [unreadable] [unreadable] [unreadable] [unreadable]..
- Financial Incentives and Variations in the Care of Medicare BeneficiariesBruce E Landon; Fiscal Year: 2010..Because patients will be clustered within physicians and physicians clustered within markets, we will use hierarchical analytic methods. ..
- MD Group Characteristics and Quality of Care for CHDBruce Landon; Fiscal Year: 2003..abstract_text> ..
- Effect of a Restrictive Formulary on Low Income ChildrenJULIE URMIE; Fiscal Year: 2007..Instrumental variable analysis will be used to examine the effect of changes in antidepressant prescribing patterns caused by the restrictive formulary on health care costs. [unreadable] [unreadable] [unreadable] [unreadable]..
- Ethnic Disparities in Diabetes ComplicationsAndrew Karter; Fiscal Year: 2008..abstract_text> ..
- The Spillover Effects of Health Insurance Coverage and GenerosityKatherine Baicker; Fiscal Year: 2008..unreadable] [unreadable] [unreadable]..
- Educational Disparities in Diabetes ComplicationsAndrew Karter; Fiscal Year: 2006..abstract_text> ..