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Contains a statistical and economic analysis of data from the Rand Health Insurance Experiment.
Book Synopsis The Demand for Episodes of Medical Treatment in the Health Insurance Experiment by : Emmett B. Keeler
Download or read book The Demand for Episodes of Medical Treatment in the Health Insurance Experiment written by Emmett B. Keeler and published by RAND Corporation. This book was released on 1988 with total page 119 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contains a statistical and economic analysis of data from the Rand Health Insurance Experiment.
This report contains a statistical and economic analysis of data on the demand for medical care from the Health Insurance Experiment (HIE). The report presents methods and interim results for medical care spending data organized by episodes, a powerful and fairly new approach to the study of demand. Chapter 2 describes the data, and Chap. 3 describes the assumptions and procedures used to group claims into episodes. Chapter 4 gives the analysis of the effects of price and other covariates on the cost per episode, and the number of episodes per year. Chapter 5 shows how occurrence rates change over the year. Finally, Chap. 6 discusses the consequences of these results for economic and health services research.
Book Synopsis The Demand for Episodes of Medical Treatment by : Emmett B. Keeler
Download or read book The Demand for Episodes of Medical Treatment written by Emmett B. Keeler and published by Rand Corporation. This book was released on 1982 with total page 101 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report contains a statistical and economic analysis of data on the demand for medical care from the Health Insurance Experiment (HIE). The report presents methods and interim results for medical care spending data organized by episodes, a powerful and fairly new approach to the study of demand. Chapter 2 describes the data, and Chap. 3 describes the assumptions and procedures used to group claims into episodes. Chapter 4 gives the analysis of the effects of price and other covariates on the cost per episode, and the number of episodes per year. Chapter 5 shows how occurrence rates change over the year. Finally, Chap. 6 discusses the consequences of these results for economic and health services research.
In the most important health insurance study ever conducted researchers at the RAND Corporation devised all experiment to address two key questions in health care financing: how much more medical care will people use if it is provided free of charge, and what are the consequences for their health? For three- or five-year periods the experiment measured both use and health outcomes in populations carefully selected to be representative of both urban and rural regions throughout the United States. Participants were enrolled in a range of insurance plans requiring different levels of copayment for medical care, from zero to 95 percent. The researchers found that in plans that reimbursed a higher proportion of the bill, patients used substantially more services - indeed, those who paid nothing used 40 percent more services than those required to pay a high deductible - but the effect on the health of the average person was negligible. In addition, participants who were assigned at random to a well-established health maintenance organization used hospitals substantially less than those in the fee-for-service system, again with no measurable effect on the health of the average person. This book collects in one place for the first time results previously dispersed through many journals over many years. Drawing comprehensive, coherent conclusions from an immense amount of data, it is destined to be a classic work serving as an invaluable reference for all those concerned with health care policy - health service researchers, policymakers in both the public and the private sectors, and students.
Book Synopsis Free for All? by : Joseph P. Newhouse
Download or read book Free for All? written by Joseph P. Newhouse and published by Harvard University Press. This book was released on 1993 with total page 516 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the most important health insurance study ever conducted researchers at the RAND Corporation devised all experiment to address two key questions in health care financing: how much more medical care will people use if it is provided free of charge, and what are the consequences for their health? For three- or five-year periods the experiment measured both use and health outcomes in populations carefully selected to be representative of both urban and rural regions throughout the United States. Participants were enrolled in a range of insurance plans requiring different levels of copayment for medical care, from zero to 95 percent. The researchers found that in plans that reimbursed a higher proportion of the bill, patients used substantially more services - indeed, those who paid nothing used 40 percent more services than those required to pay a high deductible - but the effect on the health of the average person was negligible. In addition, participants who were assigned at random to a well-established health maintenance organization used hospitals substantially less than those in the fee-for-service system, again with no measurable effect on the health of the average person. This book collects in one place for the first time results previously dispersed through many journals over many years. Drawing comprehensive, coherent conclusions from an immense amount of data, it is destined to be a classic work serving as an invaluable reference for all those concerned with health care policy - health service researchers, policymakers in both the public and the private sectors, and students.
"Supported by the U.S. Department of Health and Human Services."
Book Synopsis Health Insurance and the Demand for Medical Care by : Willard G. Manning
Download or read book Health Insurance and the Demand for Medical Care written by Willard G. Manning and published by Rand Corporation. This book was released on 1988 with total page 99 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Supported by the U.S. Department of Health and Human Services."
Addressing the challenge of covering heath care expenses—while minimizing economic risks. Moral hazard—the tendency to change behavior when the cost of that behavior will be borne by others—is a particularly tricky question when considering health care. Kenneth J. Arrow’s seminal 1963 paper on this topic (included in this volume) was one of the first to explore the implication of moral hazard for health care, and Amy Finkelstein—recognized as one of the world’s foremost experts on the topic—here examines this issue in the context of contemporary American health care policy. Drawing on research from both the original RAND Health Insurance Experiment and her own research, including a 2008 Health Insurance Experiment in Oregon, Finkelstein presents compelling evidence that health insurance does indeed affect medical spending and encourages policy solutions that acknowledge and account for this. The volume also features commentaries and insights from other renowned economists, including an introduction by Joseph P. Newhouse that provides context for the discussion, a commentary from Jonathan Gruber that considers provider-side moral hazard, and reflections from Joseph E. Stiglitz and Kenneth J. Arrow. “Reads like a fireside chat among a group of distinguished, articulate health economists.” —Choice
Book Synopsis Moral Hazard in Health Insurance by : Amy Finkelstein
Download or read book Moral Hazard in Health Insurance written by Amy Finkelstein and published by Columbia University Press. This book was released on 2014-12-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: Addressing the challenge of covering heath care expenses—while minimizing economic risks. Moral hazard—the tendency to change behavior when the cost of that behavior will be borne by others—is a particularly tricky question when considering health care. Kenneth J. Arrow’s seminal 1963 paper on this topic (included in this volume) was one of the first to explore the implication of moral hazard for health care, and Amy Finkelstein—recognized as one of the world’s foremost experts on the topic—here examines this issue in the context of contemporary American health care policy. Drawing on research from both the original RAND Health Insurance Experiment and her own research, including a 2008 Health Insurance Experiment in Oregon, Finkelstein presents compelling evidence that health insurance does indeed affect medical spending and encourages policy solutions that acknowledge and account for this. The volume also features commentaries and insights from other renowned economists, including an introduction by Joseph P. Newhouse that provides context for the discussion, a commentary from Jonathan Gruber that considers provider-side moral hazard, and reflections from Joseph E. Stiglitz and Kenneth J. Arrow. “Reads like a fireside chat among a group of distinguished, articulate health economists.” —Choice
This monograph presents studies from the Rand Health Insurance Experiment (HIE) concerning the effect of cost-sharing on the use of outpatient medical care for specific diagnosis. The HIE was a large-scale randomized controlled trial of alternative forms of health care financing sponsored by the U.S. Departement of Health and Human Services. The study took place between Nov. 1974 and Janv. 1982 in six sites in the United States and enrolled more than 7'700 nonaged persons in one of several experimental health insurance plans. These analyzes highlight the effect of cost-sharing on the probability of using medical care for specific diagnoses or problems, and the content of medical practice ("disease profile") for specific conditions or reasons for seeking care. Appendixes : Definitions of Groups of diagnoses, procedures and test, and drugs. Rules for creating episodes of care from HIE claims data. Observed probabilities of an episode of care. Logistic regressions. Episode size for selected diagnoses by plan.
Book Synopsis Use of Medical Care in the Rand Health Insurance Experiment by :
Download or read book Use of Medical Care in the Rand Health Insurance Experiment written by and published by . This book was released on 1986 with total page 117 pages. Available in PDF, EPUB and Kindle. Book excerpt: This monograph presents studies from the Rand Health Insurance Experiment (HIE) concerning the effect of cost-sharing on the use of outpatient medical care for specific diagnosis. The HIE was a large-scale randomized controlled trial of alternative forms of health care financing sponsored by the U.S. Departement of Health and Human Services. The study took place between Nov. 1974 and Janv. 1982 in six sites in the United States and enrolled more than 7'700 nonaged persons in one of several experimental health insurance plans. These analyzes highlight the effect of cost-sharing on the probability of using medical care for specific diagnoses or problems, and the content of medical practice ("disease profile") for specific conditions or reasons for seeking care. Appendixes : Definitions of Groups of diagnoses, procedures and test, and drugs. Rules for creating episodes of care from HIE claims data. Observed probabilities of an episode of care. Logistic regressions. Episode size for selected diagnoses by plan.
Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
Book Synopsis Care Without Coverage by : Institute of Medicine
Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
The China Health Insurance Experiment (CHIE) was designed to test insurance as an alternative for health care financing in rural China. Six experimental groups were assigned to different insurance plans in 1989; each group switched to a new plan in 1990. The insurance plans differed according to coinsurance rates. In this study, data from 7,333 panel sample enrollees were used to estimate outpatient and inpatient demand functions for episodes of care. Demand functions were estimated using negative binomial regression (NBR); coinsurance elasticities were also estimated using first difference (fixed effects) models to reduce bias from unobserved heterogeneity. The principal findings are: (1) in rural China coinsurance exerts a significant and negative effect on demand; (2) coinsurance effects are similar for different population sub-groups and for different types of episodes; (3) elasticities of demand varied according to access to care conditions; (4) patterns of socio-demographic effects were similar to those reported on North American populations. These results provide support for proponents of health insurance as a primary means of financing rural health services in low-income developing countries.
Book Synopsis Demand for Episodes of Care in the China Health Insurance Experiment by : Jeffrey Sine
Download or read book Demand for Episodes of Care in the China Health Insurance Experiment written by Jeffrey Sine and published by . This book was released on 1994 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt: The China Health Insurance Experiment (CHIE) was designed to test insurance as an alternative for health care financing in rural China. Six experimental groups were assigned to different insurance plans in 1989; each group switched to a new plan in 1990. The insurance plans differed according to coinsurance rates. In this study, data from 7,333 panel sample enrollees were used to estimate outpatient and inpatient demand functions for episodes of care. Demand functions were estimated using negative binomial regression (NBR); coinsurance elasticities were also estimated using first difference (fixed effects) models to reduce bias from unobserved heterogeneity. The principal findings are: (1) in rural China coinsurance exerts a significant and negative effect on demand; (2) coinsurance effects are similar for different population sub-groups and for different types of episodes; (3) elasticities of demand varied according to access to care conditions; (4) patterns of socio-demographic effects were similar to those reported on North American populations. These results provide support for proponents of health insurance as a primary means of financing rural health services in low-income developing countries.
Book Synopsis The Methodology Used to Measure Health Care Consumption During the First Year of the Health Insurance Experiment by : Kent H. Marquis
Download or read book The Methodology Used to Measure Health Care Consumption During the First Year of the Health Insurance Experiment written by Kent H. Marquis and published by . This book was released on 1977 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Use of Medical Care in the Rand Health Insurance Experiment by :
Download or read book Use of Medical Care in the Rand Health Insurance Experiment written by and published by . This book was released on 1986 with total page 87 pages. Available in PDF, EPUB and Kindle. Book excerpt:
