Three Essays in Health Economics PDF Download
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Author: Christina Ann Robinson
Publisher:
ISBN:
Category :
Languages : en
Pages : 155
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Book Description
Keywords: retiree health insurance, obesity, overweight, Food Stamp Program.
Author: Christina Ann Robinson
Publisher:
ISBN:
Category :
Languages : en
Pages : 155
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Book Description
Keywords: retiree health insurance, obesity, overweight, Food Stamp Program.
Author: Archita Banik
Publisher:
ISBN:
Category :
Languages : en
Pages : 206
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Author: Achintya Ray
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ISBN:
Category : Medical care, Cost of
Languages : en
Pages : 208
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Author: Thomas Mathiasen Selden
Publisher:
ISBN:
Category :
Languages : en
Pages : 360
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Author: Marco D. Huesch
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ISBN:
Category : Health services administration
Languages : en
Pages : 522
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Author: Lori L. Timmins
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Category :
Languages : en
Pages :
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Author: Eric E. Seiber
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ISBN:
Category :
Languages : en
Pages : 118
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Author: Robin McKnight
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Category :
Languages : en
Pages : 116
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This thesis brings together three essays on issues in the economics of health insurance. The first study considers the effects of average per-patient caps on Medicare reimbursement for home health care, which took effect in October 1997. I use regional variation in the restrictiveness of per-patient caps to identify the short-run effects of this reimbursement change on home health agency behavior, beneficiary health care utilization, and health status. The empirical evidence suggests that agencies responded to the caps by shifting the composition of their caseload towards healthier beneficiaries. In addition, I find that decreases in home care utilization were associated with an increase in outpatient care, and had little adverse impact on the health status of beneficiaries. In the second paper, I examine the impact of Medicare balance billing restrictions on physician behavior and on beneficiary spending. My findings include a significant decline in out-of-pocket expenditures for medical care by elderly households, but no impact on the quantity of care received or in the duration of office visits. The third paper (written with Jonathan Gruber) explores the causes of the dramatic rise in employee contributions to employer-provided health insurance over the past 20 years. We find that there was a large impact of falling tax rates, rising eligibility for insurance through the Medicaid system and through spouses, and deteriorating economic conditions (in the late 1980s and early 1990s). We also find more modest impacts of increased managed care penetration and rising health care costs. Overall, this set of factors can explain about one-quarter of the rise in employee contributions over the 1982-1996 period.
Author: Yan Song
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Category :
Languages : en
Pages :
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"This dissertation is composed of three studies that examine three different aspects of the health care system: health insurance, pharmacist and patient decision making, and physician and patient decision making. The first chapter discusses how the designs of New Cooperative Medical Scheme (NCMS), the health insurance for rural residents in China, vary cross counties and over time. I collect first-hand data about the details of the insurance for rural Chinese and contribute to the literature of evaluating the NCMS by providing evidence of the heterogeneity of the insurance. The second chapter studies how the regulations on pharmacist's behavior affect consumer demand for generic prescription drugs. It contributes to our understanding of how to control the expenditure growth on prescription drugs in the United States. The last chapter analyzes how physician and patient's behavior change when information about physician quality becomes more precise. It contributes to our understanding of whether report card programs on physician qualities are necessarily welfare improving. " --
Author: Erin L. Duffy
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 62
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Book Description
Patients treated at in-network facilities can involuntarily receive services from out-of-network professionals, which may result in a "surprise bill." As of June 2019, fewer than half of states protect patients from surprise out-of-network medical bills, and there are no federal policies enacted to protect patients. Moreover, payment for out-of-network medical services contribute to rising health care costs in the United States. This dissertation is comprised of three essays addressing surprise out-of-network medical bills and out-of-network health care provider payment. The first essay quantifies the prevalence and magnitude of potential surprise medical bills in ambulatory surgery centers (ASCs) and describes the characteristics of providers and health plans involved. This observational study of commercial claims identifies possible surprise out-of-network bills in one-in-twelve ASC episodes. These potential bills average $1,100 per episode and are predominately generated by anesthesiologists, registered nurse anesthetists, and independent laboratories. These findings indicate that consumer protection policies are needed to address surprise out-of-network billing in ASCs. The second essay examines the early effects of California's recent policy addressing surprise medical billing (AB-72) on the dynamics among physician, hospital, and insurer stakeholders. This case study identifies that an out-of-network payment standard set at payer-specific local average commercial negotiated rates has changed the negotiation dynamics between hospital-based physicians and payers. Leverage has shifted in favor of payers, and physicians reported that this experience of decreased leverage is exacerbating provider consolidation. Thus, this study finds that out-of-network payment limits can influence payer-provider bargaining. The third essay projects the potential impacts of an out-of-network hospital payment limit on negotiated in-network payments by private health plans. This study estimates the effects of three proposed out-of-network payment limits for hospital care - 80% of billed charges, average private prices, and 125% of Medicare - on negotiated in-network prices and total payments for hospital care in 2017. The results suggest that a strict out-of-network payment limit set at 125% of Medicare could achieve reductions in hospital payments similar to more drastic reforms, such as Medicare for All and public plan buy-in programs. This dissertation demonstrates that policies to address surprise out-of-network billing must be comprehensive in the scope of services, settings, and patient populations they cover to effectively protect patients. It also demonstrates that policies to address out-of-network billing impact the underlying contracting dynamics of the health care market and can influence the amount paid to providers both out-of-network and in-network.
