Care Without Coverage

Care Without Coverage
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 213
Release: 2002-06-20
Genre: Medical
ISBN: 0309083435

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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.

Changes in the Life Insurance Industry: Efficiency, Technology and Risk Management

Changes in the Life Insurance Industry: Efficiency, Technology and Risk Management
Author: J. David Cummins
Publisher: Springer Science & Business Media
Total Pages: 388
Release: 1999-12-31
Genre: Business & Economics
ISBN: 9780792385356

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Ten chapters explore the determinants of firm performance in the life insurance industry by identifying the best practices employed by leading insurers to succeed in the changing business environment. Particular attention is devoted to strategic choices in distribution systems, information technology, mergers and acquisitions, human resources, and financial strategies. Generic strategies such as cost leadership, customer focus, and product differentiation are analyzed as well as strategic practices specific to the insurance industry. The book concludes with an analysis of the future opportunities and challenges facing managers. Annotation copyrighted by Book News, Inc., Portland, OR

Productivity and Efficiency in Insurance

Productivity and Efficiency in Insurance
Author: Douglas O. Cook
Publisher:
Total Pages: 62
Release: 2014
Genre:
ISBN:

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In this paper we have identified the major developments and issues that affect productivity and efficiency in insurance. We have used the designation quot;Lifequot; to refer to developments and issues affecting life insurers and quot;P/Cquot; for those affecting property/casualty insurers. The following is a listing of these issues: 1. Marketing, Relationship marketing, Distribution, Electronic data interchange, Market segmentation, Service centers, Point of sale policy illustrations, Unbundling of services, Innovative policies and products 2. Underwriting and expert systems 3. Data processing, General issues, Outsourcing vs. in-house, Centralization vs. decentralization, Mainframe vs. mini vs. workstations, Image systems, Technology, systems, and software, Links between mainframes and pc networks 4. Claims settlement 5. Miscellaneous, Total quality management, Reengineering, Downsizing Mergers and acquisitions, Management reporting 6. Financial risk management, Overview of risk, Balanced view of risk, Perspective on risk, Catastrophic risk, Asset-liability management, Capital budgeting, Derivatives, Regulation.

Fundamentals of Production Theory

Fundamentals of Production Theory
Author: Rolf Färe
Publisher: Springer Science & Business Media
Total Pages: 171
Release: 2013-04-17
Genre: Business & Economics
ISBN: 3642517226

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This graduate text develops production theory from a set of reasonable axioms. The theory is presented both in a primal and dual as well as in an indirect (constrained) framework. The basic model leads to a set of efficiency measures which can be readily employed in empirical work. A first draft of the text was used to teach students at Vanderbilt University. The text includes a variety of exercise problems.

The US Health Insurance Market

The US Health Insurance Market
Author: Patrick L. Brockett
Publisher:
Total Pages: 0
Release: 2023
Genre:
ISBN:

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This chapter presents an overview of the US health insurance market, reviews health insurance research literature, and examines premiums, medical expenses, medical service utilization, and data envelopment analysis (DEA) efficiency measures of health insurers from different perspectives. Results indicate that the Affordable Care Act (ACA), or Obamacare, bent the curve of medical costs. Another finding is that medical expense increase was due to medical service utilization increase instead of service price increase. Among states, we find inconsistency existed in medical service pricing. Efficiency analyses show that Medicaid managed care had the highest efficiency from both the consumer and societal perspectives, which displayed an increasing trend for the whole insurer post-ACA. Additionally, some ACA modifications by the Trump administration seemed to have helped with efficiency improvement. During the COVID-19 pandemic, societal efficiency changes suggested selection bias in delayed care and the following pick-up regarding the cost of medical services.

Coverage Matters

Coverage Matters
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 204
Release: 2001-10-27
Genre: Medical
ISBN: 0309076099

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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
Author: Amy Finkelstein
Publisher: Columbia University Press
Total Pages: 161
Release: 2014-12-02
Genre: Medical
ISBN: 0231538685

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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

Efficiency Versus Insurance

Efficiency Versus Insurance
Author: Krzysztof Makarski
Publisher:
Total Pages: 0
Release: 2022
Genre:
ISBN:

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We study the interactions between capital income tax and social security privatization in the context of rising longevity. In an economy with idiosyncratic income shocks, redistributive defined benefit social security provides some insurance against income uncertainty. This insurance comes at the expense of efficiency loss due to labor supply distortions. The existing view in the literature states that reducing this distortion by introducing (partially funded) defined contribution social security would reduce welfare because the loss of insurance and the transitory fiscal gap dominate the efficiency gains. However, prior research financed the transitory costs of the reform by taxing consumption. We show that in the context of longevity, capital income taxation provides a superior alternative: welfare gains are sufficient to outweigh the loss of insurance and transitory fiscal gap. We provide explanations for a mechanism behind this result and we reconcile our results with the earlier literature.

Theory of Cost and Production Functions

Theory of Cost and Production Functions
Author: Ronald William Shephard
Publisher: Princeton University Press
Total Pages: 321
Release: 2015-03-08
Genre: Business & Economics
ISBN: 1400871085

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A sequel to his frequently cited Cost and Production Functions (1953), this book offers a unified, comprehensive treatment of these functions which underlie the economic theory of production. The approach is axiomatic for a definition of technology, by mappings of input vectors into subsets of output vectors that represent the unconstrained technical possibilities of production. To provide a completely general means of characterizing a technology, an alternative to the production function, called the Distance Function, is introduced. The duality between cost function and production function is developed by introducing a cost correspondence, showing that these two functions are given in terms of each other by dual minimum problems. The special class of production structures called Homothetic is given more general definition and extended to technologies with multiple outputs. Originally published in 1971. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.