scholarly journals Assessing the Impact of Health Insurance and Other Socioeconomic Factors on Inequality in Health Care Expenditures among Farm Households

2015 ◽  
Vol 44 (1) ◽  
pp. 35-64
Author(s):  
Hisham S. El-Osta
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Socioeconomic Factors ◽  
Insurance Coverage ◽  
Positive Association ◽  
Health Care Expenditures ◽  
Health Insurance Coverage ◽  
Farm Households ◽  
Inequality In Health ◽  
The Impact

This research uses data from the 2005–2011 Agricultural Resource Management Survey and a two-part-model regression procedure to examine the impact of health insurance and other relevant socioeconomic factors on the distribution of health care expenditures among U.S. farm households. Findings show the importance of privately acquired health insurance coverage in explaining inequality in health care expenditures. The results also reveal, among other things, a statistical positive association between health care expenditures and farm operators who fall into the baby boomer age category. A similar statistical association is found for higher income levels but not for inequality of income.

scholarly journals Iran health insurance system in transition: equity concerns and steps to achieve universal health coverage

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Leila Doshmangir ◽  
Mohammad Bazyar ◽  
Arash Rashidian ◽  
Vladimir Sergeevich Gordeev
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Equity ◽  
Universal Health Coverage ◽  
Insurance Coverage ◽  
Health Care Expenditures ◽  
Health Insurance Coverage ◽  
Health Coverage ◽  
The Impact ◽  
Universal Health

Abstract Background Equity, efficiency, sustainability, acceptability to clients and providers, and quality are the cornerstones of universal health coverage (UHC). No country has a single way to achieve efficient UHC. In this study, we documented the Iranian health insurance reforms, focusing on how and why certain policies were introduced and implemented, and which challenges remain to keep a sustainable UHC. Methods This retrospective policy analysis used three sources of data: a comprehensive and chronological scoping review of literature, interviews with Iran health insurance policy actors and stakeholders, and a review of published and unpublished official documents and local media. All data were analysed using thematic content analysis. Results Health insurance reforms, especially health transformation plan (HTP) in 2014, helped to progress towards UHC and health equity by expanding population coverage, a benefits package, and enhancing financial protection. However, several challenges can jeopardize sustaining this progress. There is a lack of suitable mechanisms to collect contributions from those without a regular income. The compulsory health insurance coverage law is not implemented in full. A substantial gap between private and public medical tariffs leads to high out-of-pocket health expenditure. Moreover, controlling the total health care expenditures is not the main priority to make keeping UHC more sustainable. Conclusion To achieve UHC in Iran, the Ministry of Health and Medical Education and health insurance schemes should devise and follow the policies to control health care expenditures. Working mechanisms should be implemented to extend free health insurance coverage for those in need. More studies are needed to evaluate the impact of health insurance reforms in terms of health equity, sustainability, coverage, and access.

scholarly journals The Impact of Health Insurance Coverage on Health Care of School Children

1967 ◽  
Vol 82 (4) ◽  
pp. 323 ◽  
Author(s):  
Joy G. Cauffman ◽  
Milton I. Roemer ◽  
Carl S. Shultz
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
School Children ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
The Impact

Revisiting equity in healthcare spending through capability-approach: assessing the effectiveness of health-insurance schemes in reducing OOPE and CHE in India

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Rinshu Dwivedi ◽  
Jalandhar Pradhan
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Capability Approach ◽  
Financial Burden ◽  
Private Insurance ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Sample Survey ◽  
Content Type ◽  
The Impact

Purpose This paper aims to draw theoretical insight from Sen’s capability-approach and attempts to examine the effectiveness of health-insurance-schemes in reducing out-of-pocket-expenditure (OOPE) and catastrophic-health-expenditure (CHE) in India. Design/methodology/approach Data were extracted from the National-Sample-Survey-Organization, 71st round on Health-2014. Generalized-linear-regression-model was used to investigate the impact of social-protection-schemes on OOPE and CHE. Findings A notable segment of the Indian population is still not covered under any health-insurance-schemes. The majority of the insured population was covered by publicly-financed-health-insurance-schemes (PFHIs), with a trivial-share of private-insurance. Households from 16–59 age-group, urban, literate, richest, southern-regions, using private-facilities and having ear and skin ailments have reported higher insurance coverage. Reimbursement was higher among elderly, literates, middle-class, central-regions, using private-facilities/insurance and for infections. Access to PFHIs significantly reduces the risk of OOPE and CHE. Unavailability of reimbursement exposes the population to a higher risk of CHE. Research limitations/implications Being a study based on secondary data sources, its applicability may vary as per the other social indicators. Practical implications Extending insurance-coverage alone cannot answer the widespread inequalities in health care. Rather, an efficiently managed reimbursement-mechanism could condense OOPE and CHE by enhancing the capability of the population to confront the undue financial burden. Social implications Extending the health-insurance-coverage to the entire population requires a better understanding of the underlying-dynamics and health-care needs and must make health-care affordable by enhancing the overall capability. Originality/value This research brings a theoretical and conceptual analysis for improving the health-insurance coverage among the community as a public health strategy.

scholarly journals The impact of welfare reform on the health insurance coverage, utilization and health of low education single mothers

2017 ◽  
Vol 180 ◽  
pp. 28-35 ◽  
Author(s):  
Kimberly Narain ◽  
Marianne Bitler ◽  
Ninez Ponce ◽  
Gerald Kominski ◽  
Susan Ettner
Keyword(s):  
Health Insurance ◽  
Welfare Reform ◽  
Single Mothers ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Low Education ◽  
The Impact
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