What Is Health Insurance (Good) For?

What Is Health Insurance (Good) For? PDF Author: Robert D. Lieberthal
Publisher: Springer
ISBN: 3319437968
Category : Business & Economics
Languages : en
Pages : 276

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Book Description
This informative volume synthesizes the literatures on health economics, risk management, and health services into a concise guide to the financial and social basics of health insurance with an eye to its wide-scale upgrade. Its scope takes in concepts of health capital, strengths and limitations of insurance models, the effectiveness of coverage and services, and the roles of healthcare providers and government agencies in the equation. Coverage surveys the current state of group and public policies, most notably the effects of the Affordable Care Act on insurers and consumers and the current interest in universal coverage and single-payer plans. Throughout, the author provides systemic reasons to explain why today’s health insurance fails so many consumers, concluding with reality-based recommendations for making insurance more valuable to both today’s market and consumer well-being. Included among the topics: ·Defining health insurance and healthcare finance. ·Consuming and investing in health. ·The scope of health insurance and its constraints. ·Matching health insurance supply and demand. ·The role of government in health insurance. ·Ongoing challenges and the future of health insurance. Bringing a needed degree of objectivity to often highly subjective material, What Is Health Insurance (Good) For? is a call to reform to be read by health insurance researchers (including risk management insurance and health services research), professionals, practitioners, and policymakers.

What Is Health Insurance (Good) For?

What Is Health Insurance (Good) For? PDF Author: Robert D. Lieberthal
Publisher: Springer
ISBN: 3319437968
Category : Business & Economics
Languages : en
Pages : 276

Get Book Here

Book Description
This informative volume synthesizes the literatures on health economics, risk management, and health services into a concise guide to the financial and social basics of health insurance with an eye to its wide-scale upgrade. Its scope takes in concepts of health capital, strengths and limitations of insurance models, the effectiveness of coverage and services, and the roles of healthcare providers and government agencies in the equation. Coverage surveys the current state of group and public policies, most notably the effects of the Affordable Care Act on insurers and consumers and the current interest in universal coverage and single-payer plans. Throughout, the author provides systemic reasons to explain why today’s health insurance fails so many consumers, concluding with reality-based recommendations for making insurance more valuable to both today’s market and consumer well-being. Included among the topics: ·Defining health insurance and healthcare finance. ·Consuming and investing in health. ·The scope of health insurance and its constraints. ·Matching health insurance supply and demand. ·The role of government in health insurance. ·Ongoing challenges and the future of health insurance. Bringing a needed degree of objectivity to often highly subjective material, What Is Health Insurance (Good) For? is a call to reform to be read by health insurance researchers (including risk management insurance and health services research), professionals, practitioners, and policymakers.

Coverage Matters

Coverage Matters PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309076099
Category : Medical
Languages : en
Pages : 204

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Book Description
Roughly 40 million Americans have no health insurance, private or public, and the number has grown steadily over the past 25 years. Who are these children, women, and men, and why do they lack coverage for essential health care services? How does the system of insurance coverage in the U.S. operate, and where does it fail? The first of six Institute of Medicine reports that will examine in detail the consequences of having a large uninsured population, Coverage Matters: Insurance and Health Care, explores the myths and realities of who is uninsured, identifies social, economic, and policy factors that contribute to the situation, and describes the likelihood faced by members of various population groups of being uninsured. It serves as a guide to a broad range of issues related to the lack of insurance coverage in America and provides background data of use to policy makers and health services researchers.

Moral Hazard in Health Insurance

Moral Hazard in Health Insurance PDF Author: Amy Finkelstein
Publisher: Columbia University Press
ISBN: 0231538685
Category : Medical
Languages : en
Pages : 161

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Book Description
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

Health-Care Utilization as a Proxy in Disability Determination

Health-Care Utilization as a Proxy in Disability Determination PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 030946921X
Category : Medical
Languages : en
Pages : 161

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Book Description
The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

The Triumph of Injustice: How the Rich Dodge Taxes and How to Make Them Pay

The Triumph of Injustice: How the Rich Dodge Taxes and How to Make Them Pay PDF Author: Emmanuel Saez
Publisher: W. W. Norton & Company
ISBN: 1324002735
Category : Business & Economics
Languages : en
Pages : 267

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Book Description
“The most important book on government policy that I’ve read in a long time.” —David Leonhardt, New York Times Even as they have become fabulously wealthy, the ultra-rich have seen their taxes collapse to levels last seen in the 1920s. Meanwhile, working-class Americans have been asked to pay more. The Triumph of Injustice presents a forensic investigation into this dramatic transformation, written by two economists who have revolutionized the study of inequality. Blending history and cutting-edge economic analysis, Emmanuel Saez and Gabriel Zucman offer a comprehensive view of America’s tax system alongside a visionary, democratic, and practical reinvention of taxes.

Market Structure of the Health Insurance Industry

Market Structure of the Health Insurance Industry PDF Author: D. Andrew Austin
Publisher: DIANE Publishing
ISBN: 1437926460
Category : Business & Economics
Languages : en
Pages : 65

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Book Description


The Impact of Health Insurance in Low- and Middle-Income Countries

The Impact of Health Insurance in Low- and Middle-Income Countries PDF Author: Maria-Luisa Escobar
Publisher: Rowman & Littlefield
ISBN: 0815705611
Category : Political Science
Languages : en
Pages : 239

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Book Description
Over the past twenty years, many low- and middle-income countries have experimented with health insurance options. While their plans have varied widely in scale and ambition, their goals are the same: to make health services more affordable through the use of public subsidies while also moving care providers partially or fully into competitive markets. Colombia embarked in 1993 on a fifteen-year effort to cover its entire population with insurance, in combination with greater freedom to choose among providers. A decade later Mexico followed suit with a program tailored to its federal system. Several African nations have introduced new programs in the past decade, and many are testing options for reform. For the past twenty years, Eastern Europe has been shifting from government-run care to insurance-based competitive systems, and both China and India have experimental programs to expand coverage. These nations are betting that insurance-based health care financing can increase the accessibility of services, increase providers' productivity, and change the population's health care use patterns, mirroring the development of health systems in most OECD countries. Until now, however, we have known little about the actual effects of these dramatic policy changes. Understanding the impact of health insurance–based care is key to the public policy debate of whether to extend insurance to low-income populations—and if so, how to do it—or to serve them through other means. Using recent household data, this book presents evidence of the impact of insurance programs in China, Colombia, Costa Rica, Ghana, Indonesia, Namibia, and Peru. The contributors also discuss potential design improvements that could increase impact. They provide innovative insights on improving the evaluation of health insurance reforms and on building a robust knowledge base to guide policy as other countries tackle the health insurance challenge.

Employment and Health Benefits

Employment and Health Benefits PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309048273
Category : Medical
Languages : en
Pages : 381

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Book Description
The United States is unique among economically advanced nations in its reliance on employers to provide health benefits voluntarily for workers and their families. Although it is well known that this system fails to reach millions of these individuals as well as others who have no connection to the work place, the system has other weaknesses. It also has many advantages. Because most proposals for health care reform assume some continued role for employers, this book makes an important contribution by describing the strength and limitations of the current system of employment-based health benefits. It provides the data and analysis needed to understand the historical, social, and economic dynamics that have shaped present-day arrangements and outlines what might be done to overcome some of the access, value, and equity problems associated with current employer, insurer, and government policies and practices. Health insurance terminology is often perplexing, and this volume defines essential concepts clearly and carefully. Using an array of primary sources, it provides a store of information on who is covered for what services at what costs, on how programs vary by employer size and industry, and on what governments doâ€"and do not doâ€"to oversee employment-based health programs. A case study adapted from real organizations' experiences illustrates some of the practical challenges in designing, managing, and revising benefit programs. The sometimes unintended and unwanted consequences of employer practices for workers and health care providers are explored. Understanding the concepts of risk, biased risk selection, and risk segmentation is fundamental to sound health care reform. This volume thoroughly examines these key concepts and how they complicate efforts to achieve efficiency and equity in health coverage and health care. With health care reform at the forefront of public attention, this volume will be important to policymakers and regulators, employee benefit managers and other executives, trade associations, and decisionmakers in the health insurance industry, as well as analysts, researchers, and students of health policy.

The Economics of Imperfect Labor Markets

The Economics of Imperfect Labor Markets PDF Author: Tito Boeri
Publisher: Princeton University Press
ISBN: 0691158932
Category : Business & Economics
Languages : en
Pages : 464

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Book Description
Most labor economics textbooks pay little attention to actual labor markets, taking as reference a perfectly competitive market in which losing a job is not a big deal. The Economics of Imperfect Labor Markets is the only textbook to focus on imperfect labor markets and to provide a systematic framework for analyzing how labor market institutions operate. This expanded, updated, and thoroughly revised second edition includes a new chapter on labor-market discrimination; quantitative examples; data and programming files enabling users to replicate key results of the literature; exercises at the end of each chapter; and expanded technical appendixes. The Economics of Imperfect Labor Markets examines the many institutions that affect the behavior of workers and employers in imperfect labor markets. These include minimum wages, employment protection legislation, unemployment benefits, active labor market policies, working-time regulations, family policies, equal opportunity legislation, collective bargaining, early retirement programs, education and migration policies, payroll taxes, and employment-conditional incentives. Written for advanced undergraduates and beginning graduate students, the book carefully defines and measures these institutions to accurately characterize their effects, and discusses how these institutions are today being changed by political and economic forces. Expanded, thoroughly revised second edition New chapter on labor-market discrimination New quantitative examples New data sets enabling users to replicate key results of the literature New end-of-chapter exercises Expanded technical appendixes Unique focus on institutions in imperfect labor markets Integrated framework and systematic coverage Self-contained chapters on each of the most important labor-market institutions

Varieties of Capitalism

Varieties of Capitalism PDF Author: Peter A. Hall
Publisher: Oxford University Press
ISBN: 0199247749
Category : Business & Economics
Languages : en
Pages : 557

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Book Description
Applying the new economics of organisation and relational theories of the firm to the problem of understanding cross-national variation in the political economy, this volume elaborates a new understanding of the institutional differences that characterise the 'varieties of capitalism' worldwide.