Care Without Coverage

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Publisher : National Academies Press
ISBN 13 : 0309083435
Total Pages : 213 pages
Book Rating : 4.3/5 (9 download)

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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.

Relating Patient Satisfaction to Insurance Coverage

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Publisher :
ISBN 13 :
Total Pages : 11 pages
Book Rating : 4.:/5 (13 download)

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Book Synopsis Relating Patient Satisfaction to Insurance Coverage by : Josef Bohm

Download or read book Relating Patient Satisfaction to Insurance Coverage written by Josef Bohm and published by . This book was released on 2014 with total page 11 pages. Available in PDF, EPUB and Kindle. Book excerpt: It is generally accepted that satisfaction with health care is multidimensional and includes many factors removed from the direct delivery of medical services. The analysis seeks to determine if patient satisfaction with health care varies by type of insurance coverage held and whether overall satisfaction is higher within market based health care systems as found in the United States. Using the National Center for Health Statistic's Joint Canadian United States Survey of Health, 8700 participants (61% American 39% Canadian) made available self-reported information on their health care utilization and health status. Comparison are made between MEDICARE, MEDICAID, employer based insurance, and the National Health Insurance of Canada. The results indicate that there is significant variation with satisfaction depending on type of insurance. When compared to the national Canadian system, American patients with employer based insurance report higher levels of satisfaction.

Crossing the Global Quality Chasm

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Publisher : National Academies Press
ISBN 13 : 0309477891
Total Pages : 399 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Crossing the Global Quality Chasm by : National Academies of Sciences, Engineering, and Medicine

Download or read book Crossing the Global Quality Chasm written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-01-27 with total page 399 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.

The Patient and Health Care System: Perspectives on High-Quality Care

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Author :
Publisher : Springer Nature
ISBN 13 : 3030465675
Total Pages : 205 pages
Book Rating : 4.0/5 (34 download)

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Book Synopsis The Patient and Health Care System: Perspectives on High-Quality Care by : Pranavi V. Sreeramoju

Download or read book The Patient and Health Care System: Perspectives on High-Quality Care written by Pranavi V. Sreeramoju and published by Springer Nature. This book was released on 2020-07-19 with total page 205 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book focuses on the interface between the patient and the healthcare system as the entryway to high-quality care and improved outcomes. Unlike other texts, this book puts the patient back in the center of care while integrating the various practices and challenges. Written by interdisciplinary experts, the book begins by evaluating the entire quality landscape before giving voice to all parties involved, including physicians, nurses, administrators, patients, and families. The text then focuses on how to develop a structure that meets needs of all of these groups, effectively addressing common threats to positive outcomes and patient satisfaction. The text tackles the most common challenges clinicians face in a hospital setting, including infection prevention, medication error and stewardship that may jeopardize recovery, complex care, and employee-patient engagement. The Patient and Healthcare System: Perspectives on High-Quality Care is an excellent resource for physicians across broad specialties, nurses, hospital administrators, social workers, patient caregivers and all healthcare professionals concerned with infection prevention, quality and safety of care delivery, and patient satisfaction.

Satisfaction with Health Coverage and Care

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Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (137 download)

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Book Synopsis Satisfaction with Health Coverage and Care by : Paul Fronstin

Download or read book Satisfaction with Health Coverage and Care written by Paul Fronstin and published by . This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This paper examines satisfaction with various aspects of health care by type of health plan among three groups of health-plan enrollees: those with a consumer-driven health plan (CDHP), those with a high-deductible health plan (HDHP), and those with traditional coverage. The findings presented in this paper are derived from the 2011 EBRI/MGA Consumer Engagement in Health Care Survey, an online survey that examines issues surrounding consumer-directed health care, including the cost of insurance, the cost of care, satisfaction with health care, satisfaction with health care plans, reasons for choosing a plan, and sources of health information. This paper also incorporates findings from the 2011 survey as well as findings from the 2005, 2006, and 2007 EBRI/Commonwealth Fund Consumerism in Health Care Survey, and the 2008, 2009, and 2010 EBRI/MGA Consumer Engagement in Health Care Survey. Satisfaction levels have been trending up among CDHP enrollees, and trending down among traditional-plan enrollees. Satisfaction levels with getting doctor appointments were high relative to other aspects of health care, regardless of plan type. Individuals in consumer-driven health plans (CDHPs) and high-deductible health plans (HDHPs) were less likely than those in traditional plans both to recommend their health plan or to stay with their current plan, if they had the opportunity to switch. Dissatisfaction with out-of-pocket costs may be driving overall satisfaction trends. The PDF for the above title, published in the August 2012 issue of EBRI Notes, also contains the fulltext of another August 2012 EBRI Notes article abstracted on SSRN: “Is Working to Age 70 Really the Answer for Retirement Income Adequacy?”

Affordability, Utilization and Satisfaction with Care

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Publisher :
ISBN 13 :
Total Pages : 174 pages
Book Rating : 4.:/5 (1 download)

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Book Synopsis Affordability, Utilization and Satisfaction with Care by : Anushree Vichare

Download or read book Affordability, Utilization and Satisfaction with Care written by Anushree Vichare and published by . This book was released on 2017 with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt: Disparate healthcare experiences continue to pose a challenge; vulnerable populations such as low-income and racial and ethnic minorities may not be able to afford or utilize care when needed or receive quality care. The sources of disparities are complex and multi-factorial, which include health care system-level factors such as insurance and health care workforce. It is relatively less known to what extent these contribute to disparities related to a patient's overall health care experience across three important domains -- affordability, utilization and satisfaction with care. This dissertation has three objectives. First, to assess how insurance benefit design affects health care utilization among poorest adults. Second, examine the role of insurance in addressing racial and ethnic disparities in access to preventive care. Finally, examine the role of health care providers in differences related to satisfaction with care among low-income patients. To answer questions posed in this dissertation, two different types of datasets are used: a unique hospital administrative data from a coverage program for low-income adults and 2008-2014 Medical Expenditure Panel Survey (MEPS). To examine the role of insurance and health care providers in disparities related to different outcomes of patient experience, several models are estimated; including mixed effects linear probability and negative binomial regressions, decomposition and multivariate linear probability models. Several efforts are being made to address inequalities through coverage expansions, removal of financial barriers for preventive services and incentivizing health care providers to improve patient satisfaction. The findings suggest that differences in utilization and satisfaction with care continue to persist among low-income and racial and ethnic minorities. However, policy levers and system-level reforms including value-based insurance designs that may curb healthcare costs without shifting the cost burden to poorer adults, continued reforms to expand coverage and improve access to a usual of care, and policy interventions that extend beyond improving workforce diversity and enhance provider skills to elicit patient communication preferences may foster positive patient experiences and ameliorate existing disparities. Improving patient experiences of care will thus require policy efforts with a comprehensive multi-level strategy that targets broad sectors - including payers, health care providers and society at large.

Essential Health Benefits

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Publisher : National Academies Press
ISBN 13 : 0309219140
Total Pages : 256 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Essential Health Benefits by : Institute of Medicine

Download or read book Essential Health Benefits written by Institute of Medicine and published by National Academies Press. This book was released on 2012-02-17 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2010, an estimated 50 million people were uninsured in the United States. A portion of the uninsured reflects unemployment rates; however, this rate is primarily a reflection of the fact that when most health plans meet an individual's needs, most times, those health plans are not affordable. Research shows that people without health insurance are more likely to experience financial burdens associated with the utilization of health care services. But even among the insured, underinsurance has emerged as a barrier to care. The Patient Protection and Affordable Care Act (ACA) has made the most comprehensive changes to the provision of health insurance since the development of Medicare and Medicaid by requiring all Americans to have health insurance by 2016. An estimated 30 million individuals who would otherwise be uninsured are expected to obtain insurance through the private health insurance market or state expansion of Medicaid programs. The success of the ACA depends on the design of the essential health benefits (EHB) package and its affordability. Essential Health Benefits recommends a process for defining, monitoring, and updating the EHB package. The book is of value to Assistant Secretary for Planning and Evaluation (ASPE) and other U.S. Department of Health and Human Services agencies, state insurance agencies, Congress, state governors, health care providers, and consumer advocates.

Health-Care Utilization as a Proxy in Disability Determination

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Publisher : National Academies Press
ISBN 13 : 030946921X
Total Pages : 161 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Health-Care Utilization as a Proxy in Disability Determination by : National Academies of Sciences, Engineering, and Medicine

Download or read book Health-Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Health Insurance is a Family Matter

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Publisher : National Academies Press
ISBN 13 : 0309169054
Total Pages : 296 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Health Insurance is a Family Matter by : Institute of Medicine

Download or read book Health Insurance is a Family Matter written by Institute of Medicine and published by National Academies Press. This book was released on 2002-09-18 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Insurance is a Family Matter is the third of a series of six reports on the problems of uninsurance in the United Sates and addresses the impact on the family of not having health insurance. The book demonstrates that having one or more uninsured members in a family can have adverse consequences for everyone in the household and that the financial, physical, and emotional well-being of all members of a family may be adversely affected if any family member lacks coverage. It concludes with the finding that uninsured children have worse access to and use fewer health care services than children with insurance, including important preventive services that can have beneficial long-term effects.

Consumer Satisfaction with Prepaid and Fee-for-service Medical Care

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Publisher :
ISBN 13 :
Total Pages : 488 pages
Book Rating : 4.:/5 (311 download)

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Book Synopsis Consumer Satisfaction with Prepaid and Fee-for-service Medical Care by : Allyson Ross Davies

Download or read book Consumer Satisfaction with Prepaid and Fee-for-service Medical Care written by Allyson Ross Davies and published by . This book was released on 1983 with total page 488 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The ... Guide to Federal Employees Health Benefits Plans for Federal Retirees and Their Survivors

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Publisher :
ISBN 13 :
Total Pages : 62 pages
Book Rating : 4.:/5 (319 download)

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Book Synopsis The ... Guide to Federal Employees Health Benefits Plans for Federal Retirees and Their Survivors by :

Download or read book The ... Guide to Federal Employees Health Benefits Plans for Federal Retirees and Their Survivors written by and published by . This book was released on 2004 with total page 62 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Health Insurance Coverage and Satisfaction

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Publisher :
ISBN 13 :
Total Pages : 20 pages
Book Rating : 4.:/5 (181 download)

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Book Synopsis Health Insurance Coverage and Satisfaction by : Metropolitan Health Planning Board (Minn.)

Download or read book Health Insurance Coverage and Satisfaction written by Metropolitan Health Planning Board (Minn.) and published by . This book was released on 1988 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Ensuring Fairness in Health Care Coverage

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Publisher : AMACOM/American Management Association
ISBN 13 : 9780814473849
Total Pages : 254 pages
Book Rating : 4.4/5 (738 download)

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Book Synopsis Ensuring Fairness in Health Care Coverage by : Matthew K. Wynia

Download or read book Ensuring Fairness in Health Care Coverage written by Matthew K. Wynia and published by AMACOM/American Management Association. This book was released on 2007 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Choosing a health care plan that is both ethically sound and financially prudent is one of the biggest challenges facing businesses today. Many people think that high-quality, compassionate health care plans are prohibitively expensive. But in reality, purely cost-driven decisions end up costing businesses more in the long run. Fair health care coverage decisions are actually good for business! Studies show that employees who see their benefits as fair are more likely to stay with their employer, be more productive, and refrain from legal action. Fairness is the best policy -- but employers are uncertain how to reconcile doing what is right with doing what is cost-effective. Ensuring Fairness in Health Care Coverage provides employers with a solid ethical framework for making even the most challenging benefits decisions. Based on a study by the Ethical Force Program, led by the Institute for Ethics at the American Medical Association, this book enables employers to make difficult decisions about the fairness -- and perceived fairness -- of the health benefits they provide, such as: Whether to provide benefits to domestic partners. Whether to give lower coverage for mental than for physical illnesses. Whether to charge employees who smoke or who are obese more for health care coverage. How to differentiate between the various types of health care coverage -- from HMOs to Health Savings Accounts -- and how to determine which will benefit the most employees. Whether to index employee contributions to their salaries, with higher-paid employees paying more for the same benefits. This groundbreaking book provides five ethical guideposts to help employers make such decisions. The guideposts were developed by the Ethical Force Program's extensive interviews with a national expert advisory board representing the perspectives of all major participants in the health care system, including employers, insurance companies, physicians, patients, and regulators, followed by focus groups to further refine the principles. As this book explains, fair decision making should be: Transparent -- being completely open and honest about what decisions are made and why Participatory -- including employees in the decision process Sensitive to value -- providing coverage that is both efficient and effective Consistent -- avoiding favoritism Compassionate -- offering flexibility for special circumstances Authors Matthew Wynia and Abraham Schwab show how to apply these guideposts to practical dilemmas employers face every day. Using real-world examples from their extensive research, they bring the principles to life and provide concrete steps for taking action on sensitive and complex issues. Their analyses of case examples, showing how employers have dealt with specific problems, are particularly enlightening. Creative and compassionate, Ensuring Fairness in Health Care Coverage will help employers design and administer plans for the benefit of their employees and their businesses."

Utilization of Health Care

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Publisher :
ISBN 13 :
Total Pages : 116 pages
Book Rating : 4.:/5 (574 download)

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Book Synopsis Utilization of Health Care by : Stephanie L. Ayers

Download or read book Utilization of Health Care written by Stephanie L. Ayers and published by . This book was released on 2004 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Trends in Satisfaction and Confidence in Health Care, by Insurance and Health Status

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Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (137 download)

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Book Synopsis Trends in Satisfaction and Confidence in Health Care, by Insurance and Health Status by : Paul Fronstin

Download or read book Trends in Satisfaction and Confidence in Health Care, by Insurance and Health Status written by Paul Fronstin and published by . This book was released on 2009 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In general, Americans support concepts that are on the table for health reform. For instance, a majority either strongly or somewhat support health insurance market reform, the availability of a public plan option, mandates on employers and individuals, and expansion of public programs to cover more of the uninsured. When the implications of health reform are raised in public opinion polls, support for health reform drops. This paper examines public opinion by insurance status and health status, using data from the 2009 EBRI/Mathew Greenwald & Associates Health Confidence Survey. It finds that the uninsured are more likely than individuals with insurance coverage to be dissatisfied with the quality of health care received and they are less confident in various aspects of health care. The gap in satisfaction and confidence has also grown over time. Similar differences in satisfaction and confidence are found by health status. While these sharp differences in attitudes are not surprising, shoring up the system for the uninsured and individuals with chronic conditions means changing the health care system for everyone - notably for those with insurance coverage and in good health. Ultimately, will the needs of the few outweigh the satisfaction of the many? The PDF for the above title, published in the September 2009 issue of EBRI Notes, also contains the fulltext of another September 2009 EBRI Notes article abstracted on SSRN: "Social Security Reform: How Different Options Might Affect Future Funding."

The ... Guide to Federal Employees Health Benefits Plans for TCC and Former Spouse Enrollees

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Author :
Publisher :
ISBN 13 :
Total Pages : 52 pages
Book Rating : 4.:/5 (319 download)

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Book Synopsis The ... Guide to Federal Employees Health Benefits Plans for TCC and Former Spouse Enrollees by :

Download or read book The ... Guide to Federal Employees Health Benefits Plans for TCC and Former Spouse Enrollees written by and published by . This book was released on 2003 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Redefining Health Care

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Publisher : Harvard Business Press
ISBN 13 : 1422133362
Total Pages : 540 pages
Book Rating : 4.4/5 (221 download)

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Book Synopsis Redefining Health Care by : Michael E. Porter

Download or read book Redefining Health Care written by Michael E. Porter and published by Harvard Business Press. This book was released on 2006-04-24 with total page 540 pages. Available in PDF, EPUB and Kindle. Book excerpt: The U.S. health care system is in crisis. At stake are the quality of care for millions of Americans and the financial well-being of individuals and employers squeezed by skyrocketing premiums—not to mention the stability of state and federal government budgets. In Redefining Health Care, internationally renowned strategy expert Michael Porter and innovation expert Elizabeth Teisberg reveal the underlying—and largely overlooked—causes of the problem, and provide a powerful prescription for change. The authors argue that competition currently takes place at the wrong level—among health plans, networks, and hospitals—rather than where it matters most, in the diagnosis, treatment, and prevention of specific health conditions. Participants in the system accumulate bargaining power and shift costs in a zero-sum competition, rather than creating value for patients. Based on an exhaustive study of the U.S. health care system, Redefining Health Care lays out a breakthrough framework for redefining the way competition in health care delivery takes place—and unleashing stunning improvements in quality and efficiency. With specific recommendations for hospitals, doctors, health plans, employers, and policy makers, this book shows how to move health care toward positive-sum competition that delivers lasting benefits for all.