scholarly journals Facilitators and barriers to participation of the private sector health facilities in health insurance & government-led schemes in India

2021 ◽  
Vol 10 ◽  
pp. 100699
Author(s):  
Harsh S. Dave ◽  
Jay R. Patwa ◽  
Niraj B. Pandit
Keyword(s):  
Health Insurance ◽  
Private Sector ◽  
Health Facilities ◽  
Barriers To Participation ◽  
Facilitators And Barriers

scholarly journals Facilitators and barriers to participation of private sector health facilities in government-led schemes for maternity services in India: a qualitative study

BMJ Open ◽  
2017 ◽  
Vol 7 (6) ◽  
pp. e017092 ◽  
Author(s):  
Vikas Yadav ◽  
Somesh Kumar ◽  
Sudharsanam Balasubramaniam ◽  
Ashish Srivastava ◽  
Suranjeen Pallipamula ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Private Sector ◽  
Health Facilities ◽  
Barriers To Participation ◽  
Maternity Services ◽  
Facilitators And Barriers

scholarly journals The role of the public and private health sectors on factors associated with early essential newborn care practices among institutional deliveries in Ghana

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maxwell Tii Kumbeni ◽  
Paschal Awingura Apanga ◽  
Mary-Ann Wepiamo Chanase ◽  
John Ndebugri Alem ◽  
Nana Mireku-Gyimah
Keyword(s):  
Health Insurance ◽  
Public Sector ◽  
Private Sector ◽  
Newborn Care ◽  
Health Facilities ◽  
Essential Newborn Care ◽  
Public And Private ◽  
The Public ◽  
Factors Associated ◽  
Public Sector Health

Abstract Background Early essential newborn care is one of the important interventions developed by the World Health Organization to reduce morbidities and mortalities in neonates. This study investigated the role of the public and private sector health facilities on factors associated with early essential newborn care practices following institutional delivery in Ghana. Methods We used data from the 2017/2018 multiple indicator cluster survey for our analysis. A total of 2749 mothers aged 15–49 years were included in the study. Logistic regression analysis was used to assess the factors associated with early essential newborn care in both public and private health sectors. Results The prevalence of good early essential newborn care in the public sector health facilities was 26.4 % (95 % CI: 23.55, 29.30) whiles that of the private sector health facilities was 19.9 % (95 % CI: 13.55, 26.30). Mothers who had a Caesarean section in the public sector health facilities had 67 % lower odds of early essential newborn care compared to mothers who had a vaginal delivery [adjusted prevalence odds ratios (aPOR) = 0.33, 95 % CI: 0.20, 0.53]. Mothers without a health insurance in the public sector health facilities had 26 % lower odds of early essential newborn care compared to mothers with a health insurance (aPOR = 0.74, 95 % CI: 0.56, 0.97). However, these associations were not observed in the private sector health facilities. Conclusions The findings suggest that the prevalence of good early essential newborn care in the public sector health facilities was higher than that reported in the private sector health facilities. Child health programs on early essential newborn care needs to be prioritized in the private healthcare sector. The Government of Ghana may also need to increase the coverage of the national health insurance scheme for women in reproductive age.

The Health Insurance Crisis and Scenarios for Reform

1992 ◽  
Vol 11 (2) ◽  
pp. 277-278
Author(s):  
Laurence Thorsen
Keyword(s):  
Health Insurance ◽  
Private Sector ◽  
Fundamental Change ◽  
Health Insurance System ◽  
Insurance System ◽  
The U.S

The central message of this timely book is that the U.S. health insurance system does not work and must soon undergo fundamental change; therefore, providers and payers must plan for such change. The configuration of the change will be up to policymakers in government and the private sector, but the possibilities can be narrowed down to four scenarios, each of which the authors analyze for its impact on participants.

Union Threat Effects and the Decline in Employer-Provided Health Insurance

ILR Review ◽  
2019 ◽  
Vol 72 (2) ◽  
pp. 417-445
Author(s):  
Craig A. Olson
Keyword(s):  
Health Insurance ◽  
Private Sector ◽  
Insurance Coverage ◽  
State Level ◽  
Union Density ◽  
Health Insurance Coverage ◽  
Full Time ◽  
Non Union ◽  
Private Sector Union ◽  
Threat Effect

Employer-provided health insurance decreased by an average of almost 0.6 percentage points per year for adults aged 18 to 64 who were working full-time in the private sector between 1983 and 2007. Most of this decline was among non-union workers. This study reports estimates that suggest the decrease was caused by a decline employers faced in the threat of being unionized, as measured by the drop in state-level private-sector union density over the 25 years and across the 50 states. The author hypothesizes the decline in union density caused some non-union employers to decide not to offer health insurance. The study shows the importance of accounting for measurement error in union density when estimating the declining threat effect of unionization on non-union employer-provided health insurance coverage.

scholarly journals DRUG COST ANALYSIS ON NATIONAL HEALTH INSURANCE ERA IN HEALTH SUPPORT FACILITIES

2017 ◽  
Vol 10 (2) ◽  
pp. 119
Author(s):  
Satibi Satibi ◽  
Dewa Ayu Putu Satrya Dewi ◽  
Atika Dalili Akhmad ◽  
Novita Kaswindiarti ◽  
Dyah Ayu Puspandari
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Insurance ◽  
National Health Insurance ◽  
Drug Cost ◽  
National Health ◽  
Health Facilities ◽  
Drug Costs ◽  
Average Percentage ◽  
Primary Health

Objective: In national health insurance (JKN) era, pharmacy can play roles in the form of behind refer pharmacies, or networking pharmacy and clinic pharmacy pratama. Behind refer pharmacies drug cost can be claimed directly to BPJS, meanwhile for the other type of pharmacy have to negotiation first with the primary health care. Drug cost variations in the JKN era affect the profitability of the business pharmacies. This research aims to the drug percentage charges against capitation and variety of drug costs.Methods: This research is analytic observational cross-sectional. This research uses secondary data from a JKN prescription patient. This research was conducted on 6 affiliated pharmacies, 6 networking pharmacies, and 7 clinical pharmacy pratama in DIY. The sampling in this research is by purposive with 8.430 prescriptions. Data drug costs JKN era was analyzed by descriptive statistics and comparative test (Kruskal Wallis test).Results: The result showed that average percentage of drug costs for capitation fee in the networking pharmacy is 13.58% and primary health care is 15.91%. Pharmacy in JKN era has drug cost variations (p=0.000). Drug cost in JKN era depends on the pattern of play roles with the health facilities and BPJS. The average percentage of drug costs against capitation health facilities in networking pharmacy is lower than clinical pharmacy pratama.Conclusions: Drug costs in an era of JKN depending on the pattern of cooperation with health facilities pharmacies and BPJS. The average percentage of the cost of drugs to the pharmacy capitation health facilities in networking lower than clinic pharmacy pratama. Differences in drug costs JKN era influenced by the long days of drug administration, the number of prescription sheets, margin.Keywords: Drug cost analysis, National health insurance (JKN), Pharmacy, Primary health care, Capitation.

The funding status of retiree health plans in the public sector

2011 ◽  
Vol 10 (2) ◽  
pp. 291-314 ◽  
Author(s):  
ROBERT L. CLARK ◽  
MELINDA SANDLER MORRILL
Keyword(s):  
Labor Market ◽  
Health Insurance ◽  
Public Sector ◽  
Private Sector ◽  
Accounting Standards ◽  
Health Plans ◽  
The Public ◽  
Government Accounting ◽  
Retirement Benefit ◽  
Unfunded Liabilities

AbstractWhile no longer common in the private sector, most public sector employers offer retiree health insurance (RHI) as a retirement benefit to their employees. While these plans are thought to be an important tool for employers to attract, retain, motivate, and ultimately retire workers, they represent a large and growing cost. This paper reviews what is currently known about RHI in the public sector, while highlighting many important unanswered questions. The analysis is informed by data produced in accordance with the 2004 Government Accounting Standards Board Rule 45 (GASB 45). We consider the extent of the unfunded liabilities states face and explore what factors may explain the variation in liabilities across states. The importance and sustainability of RHI plans in the public sector ultimately depend on how workers view and value this post-retirement benefit, yet little is known about how RHI directly impacts the public sector labor market. We conclude with a discussion of the future of RHI plans in the public sector.

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