insurance selection bias
Summary: Adverse of favorable selection bias exhibited by insurers or enrollees resulting in disproportionate enrollment of certain groups of people.
Publications162 found, 100 shown here
- Life insurance and breast cancer risk assessment: adverse selection, genetic testing decisions, and discriminationKatrina Armstrong
Department of Medicine, University of Pennsylvania School of Medicine, USA
Am J Med Genet A 120:359-64. 2003..Although fear of insurance discrimination is associated with the decision not to undergo BRCA1/2 testing, there was no evidence of actual insurance discrimination from BRCA1/2 testing...
- Psychosocial impact of breast/ovarian (BRCA1/2) cancer-predictive genetic testing in a UK multi-centre clinical cohortM Watson
Department of Psychological Medicine, Royal Marsden NHS Foundation Trust, London and Sutton, SM2 5PT, England
Br J Cancer 91:1787-94. 2004..The data show persistent worry in younger female gene carriers and confirm changes in risk management consistent with carrier status. Men were not adversely affected by genetic testing in terms of their general mental health...
- Risk adjustment and risk selection in Europe: 6 years laterWynand P M M van de Ven
Department of Health Policy and Management, Erasmus University Rotterdam, The Netherlands
Health Policy 83:162-79. 2007..Without good risk adjustment the disadvantages of a competitive insurance market may outweigh its advantages...
- Favorable selection in the Medicare+Choice program: new evidenceL M Greenwald
Office of Strategic Planning, Health Care Financing Administration, Baltimore 21244, MD, USA
Health Care Financ Rev 21:127-34. 2000..The most striking differences are found in the comparison of average risk factors, indicating a clear bias in the managed care populations toward beneficiaries predicted to be less costly...
- Obtaining insurance after DNA diagnostics: a survey among hypertrophic cardiomyopathy mutation carriersImke Christiaans
Department of Cardiology, Academic Medical Centre, Amsterdam, The Netherlands
Eur J Hum Genet 18:251-3. 2010....
- Human genetics. A rational view of insurance and genetic discriminationWilliam Nowlan
National Life Insurance Company, Montpelier, VT 05604, USA
Science 297:195-6. 2002
- Genetic screening for iron overload: No evidence of discrimination at 1 yearMark A Hall
Wake Forest University Medical School, Department of Public Health Sciences, 2000 West 1st Street, Winston Salem, NC 27157 1063, USA
J Fam Pract 56:829-34. 2007..This study measured the extent of insurance and employment problems associated with population screening for hereditary hemochromatosis and iron overload...
- Investigating genetic discrimination in the Australian life insurance sector: the use of genetic test results in underwriting, 1999-2003Margaret Otlowski
Centre for Law and Genetics, Faculty of Law, Private Bag 89, University of Tasmania, Hobart, TAS 7000, Australia
J Law Med 14:367-96. 2007..Whilst underwriting in most cases appeared to be reasonable, the article highlights several cases involving disclosure of a positive predictive test result for breast/ovarian cancer that required further investigation...
- Medical care use and selection in a social health insurance with an equalization fund: evidence from ColombiaAntonio J Trujillo
College of Health and Public Affairs, University of Central Florida, USA
Health Econ 12:231-46. 2003..On the other hand, the evidence on selection is somewhat mixed: individuals who report good health status are more likely to participate in SHIEF, while those without a chronic condition are less likely to participate in SHIEF...
- Insurance, unfair discrimination, and genetic testingPatrick J Morrison
Department of Medical Genetics, Belfast City Hospital Trust, Belfast BT9 7AB, UK
Lancet 366:877-80. 2005
- Predictive genetic testing for BRCA1/2 in a UK clinical cohort: three-year follow-upC Foster
Macmillan Research Unit, School of Nursing and Midwifery, University of Southampton, Southampton, UK
Br J Cancer 96:718-24. 2007....
- HMO marketing and selection bias: are TEFRA HMOs skimming?R Lichtenstein
Department of Health Services Management and Policy, School of Public Health, University of Michigan, Ann Arbor 48109
Med Care 30:329-46. 1992..It also appears unlikely that HMOs were differentially targeting healthy and unhealthy segments of the Medicare market...
- Selection experiences in Medicare HMOs: pre-enrollment expendituresK T Call
University of Minnesota, USA
Health Care Financ Rev 20:197-209. 1999..Among short-term enrollees, we find unfavorable selection, however, selection bias was not sensitive to market characteristics...
- Switching costs, price sensitivity and health plan choiceBruce A Strombom
Analysis Group Economics Inc, Los Angelus, CA 90017, USA
J Health Econ 21:89-116. 2002..Simulations combining our results with actuarial data illustrate the cost implications of risk-related differences in price elasticity...
- Patient protection and risk selection: do primary care physicians encourage their patients to join or avoid capitated health plans according to the patient's health status?Matthew K Wynia
Institute for Ethics, American Medical Association, Chicago Ill, USA
J Gen Intern Med 17:40-7. 2002..Though insurance risk selection has been well documented among organizations paid on a prospective basis, such physician-level risk selection has not been studied...
- Premium variation in the individual health insurance marketB Herring
Institute for Social and Policy Studies, Yale University, 89 Trumbull Street, New Haven, CT 06520, USA
Int J Health Care Finance Econ 1:43-58. 2001..We find that premiums vary significantly less strongly with risk for persons insured by HMOs and in markets dominated by managed care insurers...
- The effect of health on acute care supplemental insurance ownership: an empirical analysisA Shmueli
The Hebrew University and the Gertner Institute for Health Policy Research, Jerusalem, Israel
Health Econ 10:341-50. 2001..The policy implications of the above findings are discussed in the context of the Israeli health system...
- Disenrollment from Medicare HMOsK T Call
Division of Health Services Research and Policy, School of Public Health, University of Minnesota, Box 729 Mayo, 420 Delaware Street SE, Minneapolis, MN 55455, USA
Am J Manag Care 7:37-51. 2001....
- No exit? The effect of health status on dissatisfaction and disenrollment from health plansM Schlesinger
Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, CT 06520, USA
Health Serv Res 34:547-76. 1999..To examine the implications of serious and chronic health problems on the willingness of enrollees to switch health plans if they are dissatisfied with their current arrangements...
- Genetic discrimination: perspectives of consumersE V Lapham
Georgetown University Child Development Center, 3307 M Street, NW, Washington, DC, 20007 3935
Science 274:621-4. 1996..The level of perceived discrimination points to the need for more information to determine the extent and scope of the problem...
- Verification of consumers' experiences and perceptions of genetic discrimination and its impact on utilization of genetic testingKristine Barlow-Stewart
Centre for Genetics Education, NSW Health, Royal North Shore Hospital, St Leonards, NSW 2065, Australia
Genet Med 11:193-201. 2009..To undertake a systematic process of verification of consumer accounts of alleged genetic discrimination...
- Choice of health insurance by families of the mentally illP Deb
Indiana University Purdue University at Indianapolis, USA
Health Econ 5:61-76. 1996....
- Supplementary health insurance as a tool for risk-selection in mandatory basic health insurance marketsFrancesco Paolucci
Department of Health Policy and Management, Erasmus University Rotterdam, The Netherlands
Health Econ Policy Law 2:173-92. 2007..Finally, we discuss several strategies for policy makers to reduce the chance that SI will be used for risk-selection in BI markets...
- Selection bias in TEFRA at-risk HMOsR Lichtenstein
Department of Health Services Management and Policy, School of Public Health, University of Michigan, Ann Arbor 48109
Med Care 29:318-31. 1991..Evidence suggests that beneficiary self-selection is probably a more important explanation of these patterns than purposeful actions of HMOs to discourage enrollment by sicker beneficiaries (i.e., "skimming")...
- Duplicate coverage and demand for health care. The case of CataloniaA M Vera-Hernández
Department of Economics and Economic History, Universitat Autonoma de Barcelona, Barcelona, Spain
Health Econ 8:579-98. 1999..It is argued that this last result is related to the existence of a compulsory public insurance...
- Needs for further improvement: risk adjustment in the German health insurance systemFlorian Buchner
Munich Re, 107 Koeniginstrasse, 80791 Munich, Germany
Health Policy 65:21-35. 2003..Another cause of risk selection is regional differences. The central suggestion of an expertise on behalf of the German Ministry of Health on experiences and improvement proposals is the change to a direct modeling of morbidity...
- Risk adjusted premium subsidies and risk sharing: key elements of the competitive sickness fund market in the NetherlandsLeida M Lamers
Department of Health Policy and Management, Erasmus University Rotterdam, PO Box 17, 38, 3000 DR Rotterdam, The Netherlands
Health Policy 65:49-62. 2003..The effects of introducing financial risk for Dutch sickness funds on risk selection and consumer mobility are analysed. The paper concludes with a description of expected future developments...
- Risk adjustment in SwitzerlandKonstantin Beck
Department of Statistics, PO Box 2568, CH 6002, Lucerne, Switzerland
Health Policy 65:63-74. 2003..The paper concludes with a description of the current political and scientific discussion in Switzerland...
- Options and opportunities for individuals and families in the private health insurance marketJanet Stokes Trautwein
National Association of Health Underwriters, Arlington, Virginia, USA
Health Aff (Millwood) . 2002..Since individual-market purchasers do not have an employer contribution to offset the cost of coverage, proposals for refundable tax credits offer great potential for making health insurance coverage more affordable for eligible persons...
- Risk selection and complementary health insurance: the Swiss approachMathias Kifmann
Universitat Augsburg, Universitätsstr 16, 86159 Augsburg, Germany
Int J Health Care Finance Econ 6:151-70. 2006..Nevertheless, the integration approach can be Pareto-superior if the cost savings due to the integration of basic and complementary insurance are sufficiently large...
- Do adjusted clinical groups eliminate incentives for HMOs to avoid substance abusers? Evidence from the Maryland Medicaid HealthChoice programSusan L Ettner
UCLA Department of Medicine, Division of General Internal Medicine and Health Services Research, 911 Broxton Plaza, Room 106, Box 951736, Los Angeles, CA 90095 1736, USA
J Behav Health Serv Res 30:63-77. 2003..Thus, the adjusted clinical groups methodology used to adjust capitation payments in the HealthChoice program attenuated, but did not eliminate, financial incentives for MCOs to avoid substance abusers...
- Evaluating selection out of health plans for Medicaid beneficiaries with substance abuseSharon Lise T Normand
Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA
J Behav Health Serv Res 30:78-92. 2003..These results suggest that current risk-adjustment systems may fail to offset selection incentives in modern capitated health plans...
- Adverse selection and generosity of alcohol treatment benefitsKatherine M Harris
Division of Clinical and Prevention Research, National Institute on Alcohol Abuse and Alcoholism NIAAA, Rockville, MD 20852, USA
Inquiry 39:413-28. 2002..Also, users of alcohol treatment services do not remain disproportionately enrolled longer in plans with generous benefits...
- How does the employer contribution for the federal employees health benefits program influence plan selection?Curtis S Florence
Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, USA
Health Aff (Millwood) 22:211-8. 2003..We find that there is little risk segmentation in the FEHBP and that reducing the premium subsidy would lower government premium spending and slightly increase risk segmentation...
- Cream-skimming, incentives for efficiency and payment systemPedro Pita Barros
Faculdade de Economia, Universidade Nova de Lisboa, Travessa Estêvão Pinto, P 1099 032 Lisboa, Portugal
J Health Econ 22:419-43. 2003..It can be interpreted as a fixed transfer in the beginning of the period plus an ex-post fund at the end of the period. The novelty rests in the way contributions to this fund are defined...
- Guaranteed renewability and the problem of risk variation in individual health insurance marketsVip Patel
eHealthInsurance Inc, Sunnyvale, California, USA
Health Aff (Millwood) . 2002..The paper concludes with a discussion of possible threats to the protection guaranteed renewability provides against risk segmentation...
- Using tax credits and state high-risk pools to expand health insurance coverageBruce Abbe
Communicating for Agriculture and the Self Employed, USA
Health Aff (Millwood) . 2002....
- The nongroup market as one element of a broader coverage-expansion strategyLaura Tollen
Kaiser Permanente Institute for Health Policy, Kaiser Foundation Health Plan, Inc, Oakland, California, USA
Health Aff (Millwood) . 2002..In "more regulated" markets, a broadly funded reinsurance mechanism could moderate premiums...
- Has solidarity survived? A comparative analysis of the effect of social health insurance reform in four European countriesHans Maarse
Faculty of Health Sciences, University of Maastricht
J Health Polit Policy Law 28:585-614. 2003..g., an increase in private payments), accompanying measures often were taken to keep solidarity intact as much as possible. Thus the assumption of a negative impact as a result of health insurance reform is not confirmed...
- Aboard the insurance titanic. If you think employer coverage is worsening, try the individual marketEmily Friedman
Mod Healthc 33:23. 2003
- The Americans with Disabilities Act: an end to discrimination against HIV/AIDS patients or simply another loophole to bypass?Jill Alesch
Drake University Law School, USA
Drake Law Rev 52:523-51. 2004
- Restrictions on provider access in health plans and socioeconomic statusPartha Deb
Department of Economics, Hunter College, City University of New York, 695 Park Avenue, HW 1524, New York, NY 10021, USA
Health Serv Res 41:1821-46. 2006..To model the socioeconomic determinants of restrictions on provider access and choices in health plans...
- Separate and unequal: self-segregation in health insuranceRobert G Evans
Centre for Health Services and Policy Research, UBC Campus, Vancouver, BC, Canada
Med Care 46:1012-4. 2008
- Explaining racial and ethnic disparities in health careJames B Kirby
Center for Cost, Financing and Access Trends, Agency for Healthcare Research and Quality, Rockville, Maryland 20850, USA
Med Care 44:I64-72. 2006..We build on this previous research by incorporating additional factors such as attitudes about health care and neighborhood characteristics, as well as separately analyzing different Hispanic subgroups...
- A closer look at the managed care backlashPhilip F Cooper
Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, Rockville, Maryland, USA
Med Care 44:I4-11. 2006..Much anecdotal evidence exists regarding the managed care backlash of the late 1990s, but limited empirical evidence is available...
- How health insurance inhibits trade in health careAaditya Mattoo
Development Research Group, World Bank in Washington, DC, USA
Health Aff (Millwood) 25:358-68. 2006..We propose that coverage should be neutral to provider location and that reimbursement should include travel costs...
- Risk selection in employer-sponsored managed care plansMonica Marchetta
Changes in Health Care Financing and Organization, Washington, D C, USA
Find Brief 8:1-5. 2005
- Determinants of health insurance ownership among South African womenJoses M Kirigia
World Health Organization, Regional Office for Africa, Brazzaville, Congo
BMC Health Serv Res 5:17. 2005..The objective of this study was to examine the relationship between health insurance ownership and the demographic, economic and educational characteristics of South African women...
- The effect of benefits, premiums, and health risk on health plan choice in the Medicare programAdam Atherly
Department of Health Policy and Management, Emory University, Atlanta, GA 30322, USA
Health Serv Res 39:847-64. 2004..To estimate the effect of Medicare+Choice (M+C) plan premiums and benefits and individual beneficiary characteristics on the probability of enrollment in a Medicare+Choice plan...
- 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...
- 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...
- Genetic discrimination in a time of false hopesJohn V Jacobi
Health Law and Policy Program, Seton Hall Law School, USA
Fla State Univ Law Rev 30:363-99. 2003
- Evaluating the effect of regulatory prohibitions against risk selection by health status on supplemental insurance ownership in IsraelRevital Gross
Health Policy Research Unit, JDC Brookdale Institute, P O Box 13087, Jerusalem 91130, Israel and School of Social Work, Bar Ilan University, Ramat Gan Israel
Soc Sci Med 58:1609-22. 2004....
- A comparison of single- and multi-payer health insurance systems and options for reformP Hussey
Health Policy and Management, John Hopkins University, 624 N Broadway, Baltimore, MD 21205, USA
Health Policy 66:215-28. 2003..These reforms have been implemented with some success in several countries but face several important challenges...
- Service-level selection by HMOs in MedicareZhun Cao
Center for Multicultural Mental Health Research, Cambridge Health Alliance, 120 Beacon Street, 4th Floor, Somerville, MA 02143, USA
J Health Econ 22:915-31. 2003..We find evidence indicating that there exists significant service-level selection by HMOs...
- Estimating the effects of prescription drug coverage for Medicare beneficiariesDennis G Shea
Department of Health Policy and Administration, The Pennsylvania State University, University Park, PA, USA
Health Serv Res 42:933-49. 2007..To identify the effect of insurance coverage on prescription utilization by Medicare beneficiaries...
- Enrollee mix, treatment intensity, and cost in competing indemnity and HMO plansDaniel Altman
The New York Times, New York, NY, USA
J Health Econ 22:23-45. 2003..Contrary to conventional wisdom, indemnity plans do not have greater treatment intensity...
- The role of perspectiveHarold S Luft
Health Serv Res 37:245-50. 2002
- Outpatient encounter data for risk adjustment--a view from Europe: comments on WelchPeter C Smith
Centre for Health Economics, University of York, York, United Kingdom
J Ambul Care Manage 25:23-5. 2002..The commentary concludes that, although risk adjustment research of this type is important, the most fundamental requirement is to develop a more active purchasing function on the part of insurers...
- Community rating in health insurance and different benefit packagesMathias Kifmann
Universitat Konstanz, Germany
J Health Econ 21:719-37. 2002..However, high risk types can be made better off if CRIs must offer the additional benefit or if community rating health insurers offering the additional benefit are subsidized while those selling only the basic benefit are taxed...
- Cost-minimizing risk adjustmentYujing Shen
Center for Health Quality, Outcomes and Economic Research, Boston University School of Public Health, Bedford, MA 01730, USA
J Health Econ 21:515-30. 2002..Estimations using privately-insured data suggest that cost-minimizing risk adjusted premiums reduce total sponsor costs as much as 25.6% below conventional risk adjustment premiums...
- Risk adjustment alternatives in paying for behavioral health care under MedicaidS L Ettner
UCLA Department of Medicine, Los Angeles, CA 90095-1736, USA
Health Serv Res 36:793-811. 2001..CONCLUSIONS: Current risk adjustment methodologies do not eliminate the financial incentives for integrated health plans and behavioral health care carve-out plans to avoid high-utilizing patients with psychiatric disorders...
- Alternative health insurance schemes: a welfare comparisonBodil O Hansen
Institute of Economics, Copenhagen Business School, Frederiksberg, Denmark
J Health Econ 21:739-56. 2002..We further consider the situation where the compulsory scheme may be supplemented by voluntary competitive insurance; this situation turns out to be at least as good as either of the alternatives...
- Welfare effects of supplementary insurance: a commentPatricia M Danzon
J Health Econ 21:923-6. 2002
- Genetic testing when there is a mix of compulsory and voluntary health insuranceMichael Hoel
Department of Economics, University of Oslo, Norway
J Health Econ 21:253-70. 2002..A reason may be that genetic insurance is not yet a political issue, and the advantage of shared genetic information is therefore not transparent...
- The prevalence of formal risk adjustment in health plan purchasingP S Keenan
Harvard University, MA, USA
Inquiry 38:245-59. 2001..Ourfindings raise the question of why regulators have adopted formal risk adjustment, but private purchasers for the most part have not...
- Do welfare caseload declines make the Medicaid risk pool sicker?Bowen Garrett
Health Policy Center of the Urban Institute, Washington, DC 20037, USA
Inquiry 39:12-33. 2002..We adjust utilization differences for insurance status and factors often used to adjust capitation rates. We conclude that declining welfare caseloads likely will result in a sicker and more expensive adult Medicaid risk pool...
- Inside the sausage factory: improving estimates of the effects of health insurance expansion proposalsSherry Glied
Department of Health Policy and Management, Mailman School of Public Health, Columbia University, 600 West 168 St, 6th Floor, New York, NY 10032, USA
Milbank Q 80:603-35, iii. 2002..The article also suggests ways of making models more transparent and proposes "reference case" guidelines for modelers so that consumers can compare modeling results...
- Consumer-driven health plansAnthony T Lo Sasso
Health Aff (Millwood) 22:279-80; author reply 280. 2003
- Health insurance system promotes disparitiesBarbara Kivimae Krimgold
Health Aff (Millwood) 22:279; author reply 280. 2003
- How profitable is risk selection? A comparison of four risk adjustment modelsYujing Shen
Department of Health Services, Boston University School of Public Health, USA
Health Econ 11:165-74. 2002..The magnitude of potential profit varies according to the risk adjustment model and the private information plans can employ to identify profitable enrollees...
- Preference diversity and the breadth of employee health insurance optionsJ R Moran
Syracuse University, NY 13244-1020, USA
Health Serv Res 36:911-34. 2001..However, diseconomies of scale in the purchase and administration of health insurance appear to limit the extent to which small employers can accommodate diverse worker preferences...
- How and why the health insurance system will collapseHumphrey Taylor
Harris Poll, Harris Interactive, New York City, USA
Health Aff (Millwood) 21:195-7. 2002..If unchecked by government intervention, these trends will lead to the collapse of employer-sponsored health insurance...
- Are HMO enrollees healthier than others? Results from the community tracking studyElizabeth Schaefer
Center for Studying Health System Change, Washington, DC, USA
Health Aff (Millwood) 21:249-58. 2002..To help understand that result, we present evidence suggesting that other factors, including cost considerations, may be more important than health when people are deciding whether to enroll in an HMO...
- [Switching sickness funds and risk compensation mechanisms in the statutory health insurance system in Germany--empirical results from the cooperative health research in the region of Augsburg (KORA)]A Werner
Kreiskrankenhaus Weilheim, Weilheim
Gesundheitswesen 67:S158-66. 2005..Therefore, the system of risk equalisation has to be developed towards measuring the risk volume borne by the sickness funds more precisely than hitherto...
- Medical privacy: from the 4th Amendment to HIPAA. Right to privacy vs. public health: showdown looms over patient genetic informationE R Washburn
El Dorado Pediatric Medical Group, Inc, Placerville, Calif, USA
Physician Exec 27:22-9. 2001..Learn the history of our privacy rights and regulations. And preview the privacy debates and dilemmas that await our digital society...
- A comprehensive snapshot of States' small group market reforms on insurer pricing & rating practices, 1999Sudha Xirasagar
University of South Carolina, School of Public Health, Department of Health Services Policy and Management, Columbia, SC, USA
J Health Soc Policy 19:61-81. 2004..The variety in pricing and rating reforms illustrate the differences in the depth of reforms across states, and represent a far wider range of potential actuarial combinations than the sample of reforms documented in past literature...
- The magnitude and nature of risk selection in employer-sponsored health plansSean Nicholson
Cornell University, Ithaca, NY 14853, USA
Health Serv Res 39:1817-38. 2004..To determine whether health maintenance organizations (HMOs) attract enrollees who use relatively few medical resources and whether a simple risk-adjustment system could mitigate or eliminate the inefficiency associated with risk selection...
- Voluntary health insurance in the European Union: a critical assessmentElias Mossialos
European Observatory on Health Care Systems, London School of Economics and Political Science, United Kingdom
Int J Health Serv 32:19-88. 2002..In a deregulated environment, it is questionable whether this method of funding health care will encourage a more efficient and equitable allocation of resources...
- Risk segmentation and equity in the Chilean mandatory health insurance systemClaudio Sapelli
Department of Economics, Pontificia Universidad Catholica de Chile, Casilla 76 Carreo 17, Santiago, Chile
Soc Sci Med 58:259-65. 2004....
- Storm clouds in Michigan. Blues spars with governor over regulation, reformLaura B Benko
Mod Healthc 32:12. 2002
- Payment. System breakdownRichard Haugh
Hosp Health Netw 78:22, 24. 2004
- Older age underwriting: frisky vs frailAmy K Bennett
Prudential Financial, 13001 County Road 10, Plymouth, MN 55442, USA
J Insur Med 36:74-83. 2004..Key features of frailty are social isolation, dependency in managing life activities and self-care, cognitive decline, shrinking of bone and muscle mass, and slow weight loss...
- The individual market: a delicate balanceScott Serota
BlueCross BlueShield Association, Chicago, USA
Health Aff (Millwood) . 2002..Small miscalculations in any of these areas can quickly result in spiraling premiums and plummeting coverage rates...
- Dynamic process of adverse selection: evidence from a subsidized community-based health insurance in rural ChinaLicheng Zhang
The New School, Milano School for Management and Public Policy, New York, NY, USA
Soc Sci Med 67:1173-82. 2008..In addition, inequity of enrollment still exists under the current premium subsidy policy. Based on the findings, relevant policy implications are put forward to further improve the CHI scheme...
- Threats to your genetic privacyBernadine Healy
US News World Rep 143:86. 2007
- Voluntary disenrollment from Medicare advantage plans: valuable signals of market performanceLee R Mobley
Research Triangle International, Research Triangle Park, NC 27709, USA
Am J Manag Care 13:677-84. 2007..To examine 2000-2005 trends in the reasons Medicare beneficiaries gave for disenrolling from their Medicare Advantage (MA) plans...
- Pricing implications of trends in population mortality and underwriting effectivenessRobert J Pokorski
Gen Re LifeHealth Financial Centre, P O Box 300, 695 East Main Street, Stamford, CT 06904 0300, USA
J Insur Med 36:54-9. 2004..Factors that may increase or decrease the future effectiveness of underwriting are reviewed...
- Heart of the uninsuredArthur Garson
School of Medicine, University of Virginia, Charlottesville, Virginia, USA
Health Aff (Millwood) 26:227-31. 2007
- Insurance problems among inflammatory bowel disease patients: results of a Dutch population based studyM G V M Russel
Department of Gastroenterology, University Hospital Maastricht, Maastricht, The Netherlands
Gut 52:358-62. 2003..In this study our aim was to document and compare the incidence of difficulties in application for life and medical insurance in a population based cohort of IBD patients and matched population controls...
- An analysis of the proposal for population based screening for hereditary hemochromatosis in MassachusettsJ M LeGraw
Boston University School of Public Health, USA
J Biolaw Bus 4:51-8. 2001....
- Genetic discrimination in health insurance--comprehensive legal solutions for a (not so) special problem?Robert F Rich
University of Illinois, USA
Indiana Health Law Rev 2:1-47. 2005
- Evaluating Medicaid HMOs when encounter data are missing: case of developmentally delayed childrenFarrokh Alemi
Health System Management Program, College of Nursing and Health Sciences, George Mason University, Fairfax, Virginia, 4400 University Drive, Fairfax, VA 22030 4444, USA
Health Care Manag Sci 6:37-42. 2003..Data also showed that over 12 months, severity of FFS patients declined. Therefore, we inferred that the HMO was attracting sicker patients. The HMO was paid less than FFS plan, despite the fact that it attracted sicker patients...
- Victims of genetic discrimination speak upPeter Aldhous
New Sci 188:7. 2005
- Health care policy evaluation using longitudinal insurance claims data: an application of the panel Tobit estimatorP V Grootendorst
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada
Health Econ 6:365-82. 1997..Little evidence of transitory effects to insurance coverage was found. Finally, the extension of insurance has made only a minor contribution to growth in seniors' drug use, relative to secular growth in drug use over time...
- Risk selection and risk adjustment: improving insurance in the individual and small group marketsKatherine Baicker
Department of Health Policy and Management, Harvard School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA
Inquiry 46:215-28. 2009..Reforms intended to increase insurance coverage and the value of care delivered will be much more effective if implemented in conjunction with policies that address these fundamental selection issues...
- The interaction of partial public insurance programs and residual private insurance markets: evidence from the US Medicare programAmy Finkelstein
Harvard University and National Bureau of Economic Research, 1050 Massachusetts Ave, 3rd Floor, Cambridge, MA 02138, USA
J Health Econ 23:1-24. 2004..Medicare is, however, associated with a shift in the source of prescription drug coverage, from employer-provided coverage to Medicare HMOs...
- Complementary health insurance in France. Who pays? Why? Who will suffer from public disengagement?Bérengère Saliba
ORS PACA, INSERM UMR 379 and CNRS UMR 6579, South Eastern France Regional Center for Disease Control, 23 rue Stanislas Torrents, 13006 Marseille, France
Health Policy 81:166-82. 2007..These results have broad implications for numerous national systems of social protection seeking a new mix between private and public insurance...
- The moral foundations of health insuranceJ P Ruger
Yale University School of Medicine, Department of Epidemiology and Public Health, 60 College Street, New Haven, CT 06525, USA
QJM 100:53-7. 2007
- Can decision biases improve insurance outcomes? An experiment on status quo bias in health insurance choiceMiriam Krieger
Fakultät für Wirtschaftswissenschaften, Universitat Duisburg Essen, Schützenbahn 70, Essen, Germany
Int J Environ Res Public Health 10:2560-77. 2013..Our results have implications for health care policy, for example suggesting that the use of non-binding defaults in health insurance can facilitate the spread of co-insurance policies and thereby help contain health care expenditure...
- Solidarity, genetic discrimination, and insurance: a defense of weak genetic exceptionalismVeikko Launis
Department of Philosophy, University of Turku, Finland
Soc Theory Pract 29:87-111. 2003
- Treatment Patterns, Expenditures and Outcomes in MBHOsSusan Ettner; Fiscal Year: 2005..e., how psychotherapy visits are associated with outcomes and expenditures. Selection models will be used to estimate this relationship for patients with and without drug use. ..
- Impact of the Medicare Part D Benzodiazepine Exclusion on Managed Care PatientsSusan Ettner; Fiscal Year: 2008..Our findings will inform the ongoing debate over amending Part D legislation to include BZD coverage by providing objective data to guide policymakers on the likely costs and benefits. [unreadable] [unreadable] [unreadable]..
- Costs of Preventing Alcohol Problems in Older AdultsSusan Ettner; Fiscal Year: 2007..abstract_text> ..
- Reimbursement Policy and Cancer ChemotherapyJoseph Newhouse; Fiscal Year: 2009..Understanding its impact on chemotherapy treatment patterns has important implications not only for Medicare spending but also for the welfare of beneficiaries with cancer. ..
- Prescription Drug Cost-sharing: Affordability/SafetyJohn Hsu; Fiscal Year: 2005..This study will be the first to address these issues within a broad sample of Medicare beneficiaries. ..
- MH AND ADVERSE SELECTION IN MANAGED CAREThomas McGuire; Fiscal Year: 2001..Understanding how adverse selection works in managed care and what can be done about it should be a very high priority for research. ..
- Safety And Financial Ramifications of ED CopaymentsJohn Hsu; Fiscal Year: 2002..abstract_text> ..
- Access to HIV-Related and Other Health Services for Rural-to-Urban MigrantsYogesh Rajkotia; Fiscal Year: 2008..The results of this research should be instrumental in the development of theory-driven, empirically informed intervention strategies targeted to high-risk rural-to-urban migrants. ..
- Economic Evaluation of Addiction ServicesJENNIFER RUGER; Fiscal Year: 2007..unreadable] [unreadable] [unreadable] [unreadable]..
- MODELING TREATMENT USE & EFFECTIVENESS IN MENTAL ILLNESSSharon Lise Normand; Fiscal Year: 2007..The methodological advances from this research will enable researchers, policy makers, and methodologists to better characterize factors impacting technology innovation/exnovation and to expand the inferences for usual care. ..
- NETWORK EFFECTS IN MENTAL HEALTH MANAGED CAREThomas McGuire; Fiscal Year: 2002..4) Test the behavior of the managed care plans against the predictions of the optimal network theory. ..
- The Spillover Effects of Health Insurance Coverage and GenerosityKatherine Baicker; Fiscal Year: 2008..unreadable] [unreadable] [unreadable]..
- Medicare Study of Cost-sharing Ramifications and Prescription Drug BenefitsJohn Hsu; Fiscal Year: 2009..This study will be the first to examine the clinical and economic effects of new Medicare Part D plans, using comprehensive automated data from before and after the introduction of Part D, for a well- defined population. ..
- Mental Health Spending and Quality of CareThomas G McGuire; Fiscal Year: 2010..We expand methods of the science of variations and apply them to mental health care using data from the Medicaid program. ..
- ANALYSIS OF MULTIPLE INFORMANT DATA IN PSYCHIATRYSHARON LISE TERESA NORMAND; Fiscal Year: 2010..These novel and innovative methods will improve the assessment of treatment effects and will contribute to improving the health of the population. ..
- Impact of Health Information Technology on Clinical CareJohn Hsu; Fiscal Year: 2006..In short, this natural experiment provides an ideal setting to understand the value of HIT in community-based, ambulatory care. [unreadable] [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. ..
- PRICE INDEXES OF MENTAL HEALTH TREATMENTRichard Frank; Fiscal Year: 2002..To assess outcomes we will use clinical literature along with three expert panels of clinician-researchers to rate expected outcomes for specific combinations of consumers and treatments. ..
- Industry-Sponsored Research Contracts:An Empirical StudyMichelle Mello; Fiscal Year: 2002..The data will be analyzed descriptively and with chi-squared tests and regression analysis. ..
- Cultural Model of Prevention in African-American WomenKatrina Armstrong; Fiscal Year: 2004..This understanding may lay the groundwork for improved understanding and trust between biomedical practitioners and African American patients. ..
- Industry-Sponsored Research Contracts:..Phase IIMichelle Mello; Fiscal Year: 2004..abstract_text> ..
- Economics of Racial & Ethnic Disparities in MH ServicesThomas McGuire; Fiscal Year: 2005..Test for evidence that patient reaction to provider discrimination leads to lower compliance rates and worse outcomes for these minorities. ..
- Race,Treatment and Endometrial Cancer SurvivalKatrina Armstrong; Fiscal Year: 2005..In addition, within each category, we will investigate differences related to primary surgery and adjuvant radiation therapy. ..
- Distrust, Race/Ethnicity, and Predictive Genetic TestingKatrina Armstrong; Fiscal Year: 2005....
- Economic Impacts of New DrugsSharon Lise Normand; Fiscal Year: 2006..Finally, we will examine the proposition that offsets occur differentially across racial and ethnic groups, for high utilizers and according to the organization of insurance arrangements. [unreadable] [unreadable]..
- Impact of Poor Health & AIDS on Small Businesses in SAMark Pauly; Fiscal Year: 2003..They will be useful for predicting the effect of changes in health on economic activity in this sector, and for allocating resources for disease prevention and treatment. ..
- HMO Selection Incentives and Underprovision of MH CareZhun Cao; Fiscal Year: 2006..abstract_text> ..
- Spatial Impact Factors and Mammography ScreeningLee Mobley; Fiscal Year: 2006..This work will demonstrate the feasibility of conducting a broader study encompassing more than twice as many counties of the United States (with additions covered by the expanded SEER database). ..