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Overcoming resistance against managed care : insights from a bargaining model

Ehlert, Andree; Wein, Thomas; Zweifel, Peter - In: Health economics review 7 (2017) 19, pp. 1-9

Recent healthcare reforms have sought to increase efficiency by introducing managed care (MC) while respecting consumer preferences by admitting choice between MC and conventional care. This article proposes an institutional change designed to let German consumers choose between the two settings...

Persistent link: https://www.econbiz.de/10011668893

Forgone care and financial burden due to out-of-pocket payments within the German health care system

Bremer, Patrick - In: Health economics review 4 (2014) 36, pp. 1-9

Background: The amount of out-of-pocket (OOP) payments within the German health care system has risen steadily within the last years. OOP payments aim to strengthen patients' cost awareness and try to restrict the demand on medical necessary treatments. However, besides the intended decline of...

Persistent link: https://www.econbiz.de/10010526631

Patient dumping, outlier payments, and optimal healthcare payment policy under asymmetric information

Takahara, Tsuyoshi - In: Health economics review 6 (2016) 57, pp. 1-11

We analyze a rationale for official authorization of patient dumping in the prospective payment policy framework. We show that when the insurer designs the healthcare payment policy to let hospitals dump high-cost patients, there is a trade-off between the disutility of dumped patients (changes...

Persistent link: https://www.econbiz.de/10011587193

Advancing universal health coverage in the COVID-19 era : an assessment of public health services technical efficiency and applied cost allocation in Cambodia

Kolesar, Robert J.; Bogetoft Pedersen, Peter; Chea, Vanara - In: Health economics review 12 (2022) 1, pp. 1-20

Background: Achieving universal health coverage (UHC) is a global priority and a keystone element of the 2030 Sustainable Development Goals. However, COVID-19 is causing serious impacts on tax revenue and many countries are facing constraints to new investment in health. To advance UHC progress,...

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Preferences for health insurance in Germany and the Netherlands : a tale of two countries

Leukert-Becker, Karolin; Zweifel, Peter - In: Health economics review 4 (2014) 22, pp. 1-11

Background: This contribution seeks to measure preferences for health insurance in Germany and the Netherlands, using two Discrete Choice Experiments (DCE). Since the Dutch DCE was carried out right after the 2006 health reform, which made citizens explicitly choose a health insurance contract,...

Persistent link: https://www.econbiz.de/10010526906

Factors associated with geographic variation in cost per episode of care for three medical conditions

Hadley, Jack; Reschovsky, James D.; O’Malley, James A.; … - In: Health economics review 4 (2014) 8, pp. 1-19

degeneration) with multiple treatment options. Methods: We use 2004 - 2006 Medicare claims data for elderly beneficiaries from … episode of care as a function local market factors, including Medicare physician reimbursement for surgical versus non …) software to group claims into episodes for the three conditions (n = 540,874 episodes). Results: Higher Medicare reimbursement …

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Hepatocellular carcinoma after prior sorafenib treatment: incidence, healthcare utilisation and costs from German statutory health insurance claims data

Clouth, Johannes; Liepa, Astra M.; Moeser, Guido; … - In: Health economics review 8 (2018) 18, pp. 1-10

Objective: To estimate both the number of patients with hepatocellular carcinoma (HCC) eligible annually for second-line therapy following sorafenib in Germany and the healthcare costs accrued by patients meeting eligibility criteria. Methods: Patients with an HCC diagnosis and one or more...

Persistent link: https://www.econbiz.de/10011896545

The national health insurance scheme : perceptions and experiences of health care providers and clients in two districts of Ghana

Dalinjong, Ayizem Philip; Laar, Alexander Suuk - In: Health economics review 2 (2012) 13, pp. 1-13

Background: Prepayments and risk pooling through social health insurance has been advocated by international development organizations. Social health insurance is seen as a mechanism that helps mobilize resources for health, pool risk, and provide more access to health care services for the...

Persistent link: https://www.econbiz.de/10009752883

The impact of social, national and community-based health insurance on health care utilization for mental, neurological and substance-use disorders in low- and middle-income countries: a systematic review

Docrat, Sumaiyah; Besada, Donela; Cleary, Susan; Lund, Crick - In: Health economics review 10 (2020) 11, pp. 1-23

Background: Whilst several systematic reviews conducted in Low- and Middle-Income Countries (LMICs) have revealed that coverage under social (SHI), national (NHI) and community-based (CBHI) health insurance has led to increased utilization of health care services, it remains unknown whether, and...

Persistent link: https://www.econbiz.de/10012291158

Comparative study of the effect of National Health Insurance Scheme on use of delivery and antenatal care services between rural and urban women in Ghana

Kofinti, Raymond Elikplim; Asmah, Emmanuel Ekow; … - In: Health economics review 12 (2022) 1, pp. 1-19

Background: Despite the focus of the National Health Insurance Scheme (NHIS) to bridge healthcare utilisation gap among women in Ghana, recent evidence indicates that most maternal deaths still occur from rural Ghana. The objective of this study was to examine the rural-urban differences in the...

Persistent link: https://www.econbiz.de/10013092930