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Management: Health Insurance
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Total 321 results found since Jan 2013.
Financial risk protection in private health insurance: empirical evidence on catastrophic and impoverishing spending from Germany's dual insurance system
This study provides evidence on financial protection in PHI for the case of Germany's dual insurance system of PHI and SHI, where PHI covers 11% of the population. Linked survey and claims data of PHI insureds (n = 3105) and population-wide household budget data (n = 42,226) are used to compute the prevalence of catastrophic health expenditures (CHE), i.e. the share of households whose out-of-pocket payments either exceed 40% of their capacity-to-pay or push them (further) into poverty. Despite comparatively high out-of-pocket payments, CHE is low in German PHI. It only affects the poor. Key to low financial burden seems t...
Source: Health Economics, Policy, and Law - September 7, 2023 Category: Health Management Authors: Philipp Hengel Miriam Bl ümel Martin Siegel Katharina Achstetter Julia K öppen Reinhard Busse Source Type: research
Changing roles of health insurers in France, Germany, and the Netherlands: any lessons to learn from Bismarckian systems?
Health Econ Policy Law. 2023 Sep 7:1-15. doi: 10.1017/S1744133123000191. Online ahead of print.ABSTRACTBismarckian health systems are mainly governed by social health insurers, but their role, status, and power vary across countries and over time. We compare the role of health insurers in three distinct social health insurance systems in improving health systems' efficiency. In France, insurers work together as a single payer within a highly regulated context. Although this gives insurers substantial bargaining power, collective negotiations with providers are highly political and do not provide appropriate incentives for ...
Source: Health Economics, Policy, and Law - September 7, 2023 Category: Health Management Authors: Frederik T Schut Cornelia Henschke Zeynep Or Source Type: research
Financial risk protection in private health insurance: empirical evidence on catastrophic and impoverishing spending from Germany's dual insurance system
This study provides evidence on financial protection in PHI for the case of Germany's dual insurance system of PHI and SHI, where PHI covers 11% of the population. Linked survey and claims data of PHI insureds (n = 3105) and population-wide household budget data (n = 42,226) are used to compute the prevalence of catastrophic health expenditures (CHE), i.e. the share of households whose out-of-pocket payments either exceed 40% of their capacity-to-pay or push them (further) into poverty. Despite comparatively high out-of-pocket payments, CHE is low in German PHI. It only affects the poor. Key to low financial burden seems t...
Source: Health Economics, Policy, and Law - September 7, 2023 Category: Health Management Authors: Philipp Hengel Miriam Bl ümel Martin Siegel Katharina Achstetter Julia K öppen Reinhard Busse Source Type: research
Changing roles of health insurers in France, Germany, and the Netherlands: any lessons to learn from Bismarckian systems?
Health Econ Policy Law. 2023 Sep 7:1-15. doi: 10.1017/S1744133123000191. Online ahead of print.ABSTRACTBismarckian health systems are mainly governed by social health insurers, but their role, status, and power vary across countries and over time. We compare the role of health insurers in three distinct social health insurance systems in improving health systems' efficiency. In France, insurers work together as a single payer within a highly regulated context. Although this gives insurers substantial bargaining power, collective negotiations with providers are highly political and do not provide appropriate incentives for ...
Source: Health Economics, Policy, and Law - September 7, 2023 Category: Health Management Authors: Frederik T Schut Cornelia Henschke Zeynep Or Source Type: research
Financial risk protection in private health insurance: empirical evidence on catastrophic and impoverishing spending from Germany's dual insurance system
This study provides evidence on financial protection in PHI for the case of Germany's dual insurance system of PHI and SHI, where PHI covers 11% of the population. Linked survey and claims data of PHI insureds (n = 3105) and population-wide household budget data (n = 42,226) are used to compute the prevalence of catastrophic health expenditures (CHE), i.e. the share of households whose out-of-pocket payments either exceed 40% of their capacity-to-pay or push them (further) into poverty. Despite comparatively high out-of-pocket payments, CHE is low in German PHI. It only affects the poor. Key to low financial burden seems t...
Source: Health Economics, Policy, and Law - September 7, 2023 Category: Health Management Authors: Philipp Hengel Miriam Bl ümel Martin Siegel Katharina Achstetter Julia K öppen Reinhard Busse Source Type: research
Changing roles of health insurers in France, Germany, and the Netherlands: any lessons to learn from Bismarckian systems?
Health Econ Policy Law. 2023 Sep 7:1-15. doi: 10.1017/S1744133123000191. Online ahead of print.ABSTRACTBismarckian health systems are mainly governed by social health insurers, but their role, status, and power vary across countries and over time. We compare the role of health insurers in three distinct social health insurance systems in improving health systems' efficiency. In France, insurers work together as a single payer within a highly regulated context. Although this gives insurers substantial bargaining power, collective negotiations with providers are highly political and do not provide appropriate incentives for ...
Source: Health Economics, Policy, and Law - September 7, 2023 Category: Health Management Authors: Frederik T Schut Cornelia Henschke Zeynep Or Source Type: research
Financial risk protection in private health insurance: empirical evidence on catastrophic and impoverishing spending from Germany's dual insurance system
This study provides evidence on financial protection in PHI for the case of Germany's dual insurance system of PHI and SHI, where PHI covers 11% of the population. Linked survey and claims data of PHI insureds (n = 3105) and population-wide household budget data (n = 42,226) are used to compute the prevalence of catastrophic health expenditures (CHE), i.e. the share of households whose out-of-pocket payments either exceed 40% of their capacity-to-pay or push them (further) into poverty. Despite comparatively high out-of-pocket payments, CHE is low in German PHI. It only affects the poor. Key to low financial burden seems t...
Source: Health Economics, Policy, and Law - September 7, 2023 Category: Health Management Authors: Philipp Hengel Miriam Bl ümel Martin Siegel Katharina Achstetter Julia K öppen Reinhard Busse Source Type: research
Changing roles of health insurers in France, Germany, and the Netherlands: any lessons to learn from Bismarckian systems?
Health Econ Policy Law. 2023 Sep 7:1-15. doi: 10.1017/S1744133123000191. Online ahead of print.ABSTRACTBismarckian health systems are mainly governed by social health insurers, but their role, status, and power vary across countries and over time. We compare the role of health insurers in three distinct social health insurance systems in improving health systems' efficiency. In France, insurers work together as a single payer within a highly regulated context. Although this gives insurers substantial bargaining power, collective negotiations with providers are highly political and do not provide appropriate incentives for ...
Source: Health Economics, Policy, and Law - September 7, 2023 Category: Health Management Authors: Frederik T Schut Cornelia Henschke Zeynep Or Source Type: research
Cost-effectiveness of combination therapy of polatuzumab vedotin plus rituximab, cyclophosphamide, doxorubicin, and prednisolone for previously untreated diffuse large B-cell lymphoma in Japan
CONCLUSIONS: This study suggests that Pola + R-CHP is a cost-effective treatment for previously untreated DLBCL in Japan under the public health insurance system.PMID:37656225 | DOI:10.1080/13696998.2023.2254162
Source: Journal of Medical Economics - September 1, 2023 Category: Health Management Authors: Takashi Mizuoka Hiroyuki Sakamaki Shigeo Fuji Shota Saito Tatsunori Murata Shinya Ohno Naoki Inubashiri Tomoha Oshima Kazuhito Yamamoto Source Type: research
Reexamining the association of care continuity and health care outcomes
CONCLUSIONS: The correlation between claims-based and patient-reported COC measures is low, and claims-based and patient-reported COC measures are associated with different subjective and objective health care outcomes. We suggest that claims-based COC indicators representing the pattern of physician visits might be considered a unique dimension of COC.PMID:37616152 | DOI:10.37765/ajmc.2023.89411
Source: The American Journal of Managed Care - August 24, 2023 Category: Health Management Authors: Chi-Chen Chen Shou-Hsia Cheng Source Type: research
