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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
Featured Health IT Jobs – Epic Application Analyst/Coordinator
We like to regularly feature a healthcare IT job that might be of interest to readers. Today, we’re featuring the Epic Application Analyst/Coordinator position that was recently posted on Healthcare IT Central. This position was posted by Yakima Valley Farm Workers Clinic and is remote.
Here’s a description of the position:
In this role, you’ll drive the design, implementation, and maintenance of electronic systems, collaborating closely with clinical, operational, and administrative stakeholders to enhance workflows. Your expertise in Epic EMR systems configuration and troubleshooting will be invaluable as...
Source: EMR and HIPAA - September 6, 2023 Category: Information Technology Authors: John Lynn Tags: Career and Jobs Healthcare IT Analyst Jobs Coordinator Jobs Epic Application Analyst Epic Application Coordinator Featured Opportunities Health IT Careers Health IT Jobs Healthcare IT Jobs Job Seekers Yakima Valley Farm Workers Clini Source Type: blogs
Geographic and Sociodemographic Variations in Prevalence of Mental Health Symptoms Among US Youths, 2022
Conclusions. There is an urgent need for attention to mental health challenges among youths, taking into account geographic and sociodemographic variations. (Am J Public Health. 2023;113(10):1116-1119. https://doi.org/10.2105/AJPH.2023.307355).PMID:37672739 | DOI:10.2105/AJPH.2023.307355
Source: American Journal of Public Health - September 6, 2023 Category: International Medicine & Public Health Authors: Junxiu Liu Zhiyang Zhou Xi Cheng Nita Vangeepuram Source Type: research
Treatment intervals and survival for women diagnosed with early breast cancer in Queensland: the Breast Cancer Outcomes Study, a population-based cohort study
CONCLUSIONS: Breast cancer-specific survival was poorer for women for whom the diagnosis to surgery, surgery to chemotherapy, or chemotherapy to radiotherapy intervals exceeded guideline-recommended limits. Our findings support 2020 Australian guideline recommendations regarding timely care.PMID:37667512 | DOI:10.5694/mja2.52091
Source: Med J Aust - September 5, 2023 Category: General Medicine Authors: Kou Kou Joanne F Aitken Christopher Pyke Suzanne Chambers Jeff Dunn Peter D Baade Source Type: research
Cancer Incidence in Living Liver Donors After Donor Hepatectomy
J Korean Med Sci. 2023 Sep 4;38(35):e277. doi: 10.3346/jkms.2023.38.e277.ABSTRACTLiving liver donors (LLDs) are screened for transmissible diseases including cancer. We investigated the actual cancer incidence of LLDs compared with a matched healthy control group from the general Korean population using data from the Korean National Health Insurance Services (NHIS). A total of 12,372 LLDs who donated a liver graft between 2002 and 2018 were registered in the Korean Network for Organ Sharing. They were compared to a matched healthy control group selected from the Korean NHIS. Cancer diagnosis was identified in 175 LLDs (1.4...
Source: Cancer Control - September 5, 2023 Category: Cancer & Oncology Authors: Jongman Kim Jae Heon Kim Hyun Jung Kim Source Type: research
Prepregnancy Glucose Levels Within Normal Range and Its Impact on Obstetric Complications in Subsequent Pregnancy: A Population Cohort Study
CONCLUSION: Higher prepregnancy glucose level within normal range was related to gestational diabetes and macrosomia in following pregnancy. Our results may aid in the identification of women at future risk of obstetric complications and may guide to stratify women into normal and intensified care.TWEETABLE ABSTRACT: Higher prepregnancy glucose in normal range is associated with gestational diabetes and macrosomia.PMID:37667584 | PMC:PMC10477073 | DOI:10.3346/jkms.2023.38.e286
Source: J Korean Med Sci - September 5, 2023 Category: General Medicine Authors: Ho Yeon Kim Ki Hoon Ahn Geum Joon Cho Soon-Cheol Hong Min-Jeong Oh Hai-Joong Kim Source Type: research
Treatment intervals and survival for women diagnosed with early breast cancer in Queensland: the Breast Cancer Outcomes Study, a population-based cohort study
CONCLUSIONS: Breast cancer-specific survival was poorer for women for whom the diagnosis to surgery, surgery to chemotherapy, or chemotherapy to radiotherapy intervals exceeded guideline-recommended limits. Our findings support 2020 Australian guideline recommendations regarding timely care.PMID:37667512 | DOI:10.5694/mja2.52091
Source: Med J Aust - September 5, 2023 Category: General Medicine Authors: Kou Kou Joanne F Aitken Christopher Pyke Suzanne Chambers Jeff Dunn Peter D Baade Source Type: research
Prepregnancy Glucose Levels Within Normal Range and Its Impact on Obstetric Complications in Subsequent Pregnancy: A Population Cohort Study
CONCLUSION: Higher prepregnancy glucose level within normal range was related to gestational diabetes and macrosomia in following pregnancy. Our results may aid in the identification of women at future risk of obstetric complications and may guide to stratify women into normal and intensified care.TWEETABLE ABSTRACT: Higher prepregnancy glucose in normal range is associated with gestational diabetes and macrosomia.PMID:37667584 | DOI:10.3346/jkms.2023.38.e286
Source: J Korean Med Sci - September 5, 2023 Category: General Medicine Authors: Ho Yeon Kim Ki Hoon Ahn Geum Joon Cho Soon-Cheol Hong Min-Jeong Oh Hai-Joong Kim Source Type: research
Cancer Incidence in Living Liver Donors After Donor Hepatectomy
J Korean Med Sci. 2023 Sep 4;38(35):e277. doi: 10.3346/jkms.2023.38.e277.ABSTRACTLiving liver donors (LLDs) are screened for transmissible diseases including cancer. We investigated the actual cancer incidence of LLDs compared with a matched healthy control group from the general Korean population using data from the Korean National Health Insurance Services (NHIS). A total of 12,372 LLDs who donated a liver graft between 2002 and 2018 were registered in the Korean Network for Organ Sharing. They were compared to a matched healthy control group selected from the Korean NHIS. Cancer diagnosis was identified in 175 LLDs (1.4...
Source: J Korean Med Sci - September 5, 2023 Category: General Medicine Authors: Jongman Kim Jae Heon Kim Hyun Jung Kim Source Type: research
Fracture Risk in Middle-Aged and Older Patients With Inflammatory Bowel Disease: A Korean Nationwide Population-Based Cohort Study
CONCLUSION: The risk of bone fracture, especially vertebral fracture, is high in middle-aged and older Korean patients with IBD. Obesity, diabetes, hypertension, and lack of exercise are all risk factors associated with bone fractures in patients with UC. These findings are helpful for clinicians to educate patients with IBD on bone health and raise awareness of bone fractures in patients with UC who have specific risk factors.PMID:37667580 | DOI:10.3346/jkms.2023.38.e275
Source: J Korean Med Sci - September 5, 2023 Category: General Medicine Authors: Ji Min Lee Kyungdo Han Kang-Moon Lee Jae-Seung Yun Source Type: research
