A Model of the Change, Attributable to Government Health Insurance Plans, in Location Patterns of Physicians—With Supporting Evidence from Ontario, Canada

1983 ◽  
Vol 1 (1) ◽  
pp. 45-55 ◽  
Author(s):  
G I Thrall ◽  
J G Tsitanidis
Keyword(s):  
Health Insurance ◽  
Supporting Evidence ◽  
Insurance Plan ◽  
Health Insurance Plan ◽  
Ontario Health Insurance Plan ◽  
Subsequent Change ◽  
Government Health ◽  
Geographic Accessibility ◽  
Location Patterns ◽  
Per Capita

The introduction of government health insurance programs may induce physicians to change location trends that prevailed under previous market conditions. The subsequent change in geographic accessibility of people to medical services may be measured by the change in the stock of physicians per capita across space. An example of the Ontario Health Insurance Plan suggests that following its introduction, the change in the stock of physicians per capita is most sensitive to the initial stock of physicians and whether the physician is a specialist or not.

scholarly journals Decreased Colorectal Cancer Incidence and Incidence-Based Mortality in the Screening-Age Population of Ontario

2020 ◽  
Author(s):  
Lawrence F Paszat ◽  
Rinku Sutradhar ◽  
Elyse Corn ◽  
Jill Tinmouth ◽  
Nancy N Baxter ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Health Insurance ◽  
Insurance Plan ◽  
Health Insurance Plan ◽  
Ontario Health Insurance Plan ◽  
Eligible Population ◽  
Ontario Cancer Registry ◽  
Incidence And Mortality ◽  
Colorectal Cancer Incidence ◽  
Colorectal Screening

Abstract Background and Aims We aimed to evaluate trends in Ontario, Canada, 2002 to 2016, in uptake of colorectal evaluative procedures, colorectal cancer (CRC) incidence and incidence-based mortality in the colorectal screening-age population. Methods We defined the screening age-eligible population as persons 51 to 74 years of age with ≥1 year eligibility for the Ontario Health Insurance Plan, excluding those with a diagnosis of CRC in the Ontario Cancer Registry (OCR) prior to age 50 or January 1, 2002. We computed annual up-to-date status with colorectal evaluative procedures from billing claims, and CRC incidence from the OCR. In order to compute incidence-based CRC mortality, we included persons with a first diagnosis of CRC between the ages of 51 and 74, diagnosed between January 1, 1992 and December 31, 2001, still alive and <75 years of age on January 1, 2002, based on cause of death from the OCR. Overall, age-stratified and sex-stratified trends were evaluated by Cochran–Armitage trend tests. Results Persons up to date with colorectal evaluative procedures increased from 628,214/2,782,061 (22.6%) in 2002 to 2,584,570/4,179,789 (62.2%) in 2016. CRC incidence fell from 129.3/100,000 in 2002 to 94.54/100,000 in 2016, and incidence-based CRC mortality fell from 40.8/100,000 to 24.1/100,000. Decreasing trends in overall and stratified incidence and mortality were all significant, except among persons 51 to 54 years old. Conclusions There was continued increase in persons up-to-date with colorectal evaluative procedures, and significant decrease in CRC incidence and incidence-based CRC mortality from 2002 through 2016.

Physician Satisfaction Under the Ontario Health Insurance Plan

Medical Care ◽  
1990 ◽  
Vol 28 (6) ◽  
pp. 502-512 ◽  
Author(s):  
Richard L. Kravitz ◽  
Lawrence S. Linn ◽  
Martin F. Shapiro
Keyword(s):  
Health Insurance ◽  
Physician Satisfaction ◽  
Insurance Plan ◽  
Health Insurance Plan ◽  
Ontario Health Insurance Plan

scholarly journals Ontario Health Insurance Plan.

BMJ ◽  
1978 ◽  
Vol 2 (6146) ◽  
pp. 1241-1243 ◽  
Author(s):  
K C Harvey
Keyword(s):  
Health Insurance ◽  
Insurance Plan ◽  
Health Insurance Plan ◽  
Ontario Health Insurance Plan

scholarly journals Using physician billing claims from the Ontario Health Insurance Plan to determine individual influenza vaccination status: an updated validation study

CMAJ Open ◽  
2016 ◽  
Vol 4 (3) ◽  
pp. E463-E470 ◽  
Author(s):  
Kevin L. Schwartz ◽  
Nathaniel Jembere ◽  
Michael A. Campitelli ◽  
Sarah A. Buchan ◽  
Hannah Chung ◽  
...  
Keyword(s):  
Health Insurance ◽  
Influenza Vaccination ◽  
Validation Study ◽  
Vaccination Status ◽  
Insurance Plan ◽  
Health Insurance Plan ◽  
Ontario Health Insurance Plan ◽  
Physician Billing

scholarly journals Patient Perspectives on Removing Adult Tonsillectomy and Septoplasty from the Government Health Insurance Plan in a Publicly Funded Health Care System

2021 ◽  
Vol 58 ◽  
pp. 004695802110051
Author(s):  
Elysia Grose ◽  
Sarah Chiodo ◽  
Marc Levin ◽  
Antoine Eskander ◽  
Vincent Lin ◽  
...  
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Disease Severity ◽  
Maximum Amount ◽  
Patient Perspectives ◽  
Publicly Funded ◽  
Insurance Plan ◽  
Health Insurance Plan ◽  
Government Health ◽  
The Government

In several publicly funded health care systems, including Ontario, Canada, adult tonsillectomies and septoplasties have been suggested to be removed or “delisted” from the government health insurance plan. Thus, the objective of this study was to explore patient perspectives regarding out of pocket (OOP) payment for these procedures. An anonymous survey was administered to patients consented to undergo a tonsillectomy or septoplasty at a community otolaryngology—head and neck surgery (OHNS) practice. The survey asked patients if they would pay the projected cost for their surgery OOP and the maximum amount of time they would wait for their surgery. The survey also contained questions on socioeconomic status and disease severity. Seventy-one patients were included. Overall, 21% of patients were willing to pay OOP for their surgery. Forty-nine percent of patients reported that the maximum amount of time they would be willing to wait for their surgery was 2 to 6 months. There was no significant correlation found between any of the demographic variables or disease severity and willingness to pay OOP for these surgeries. In this study, a small percentage of patients who met the clinical indications for a tonsillectomy or a septoplasty would pay for their surgery in the event that it was not covered by the government health insurance plan. These surgeries are common operations and delisting them could potentially decrease the provision of these services and have a significant impact on Canadian OHNS practices.

scholarly journals Why Westerners Are Dissatisfied: A Cross-Sectional Study Identifying State-Level Factors Associated with Variation in Private Health Insurance Satisfaction

2019 ◽  
Author(s):  
Megan McLeod ◽  
Jeffrey A. Berinstein ◽  
Calen A. Steiner ◽  
Kelly Cushing ◽  
Shirley A. Cohen Mekelburg ◽  
...  
Keyword(s):  
Health Insurance ◽  
Consumer Satisfaction ◽  
Private Health Insurance ◽  
State Level ◽  
Healthcare Spending ◽  
Cross Sectional Study ◽  
Insurance Plan ◽  
Health Insurance Plan ◽  
Cross Sectional ◽  
Per Capita

AbstractImportanceLarge regional variations in consumer satisfaction with private health insurance plans have been observed, but the factors driving this variation are unknown.ObjectiveTo identify explanatory state-level and insurance family-level predictors of satsifaction with private health insurance.DesignCross-sectional study examining regional and state variations in consumer health insurance plan satisfaction using National Committee for Quality Assurance data from 2015 to 2018, state-level health data and parent insurance family.SettingUS PopulationParticipantsPrivately insured individuals.ExposureOne of 2176 private health insurance plans.Main OutcomeConsumer satisfaction with the health insurance plan on a 0-5 scale.RESULTSConsumer satisfaction with health insurance was consistently lowest in the West (p<0.0001). Lower private health insurance plan satisfaction was associated with the percentage of the population without a place of usual medical care, the percentage of the state population that is Hispanic, and the percentage of the population reporting any mental illness. Factors associated with increasing insurance satisfaction included higher healthcare spending per capita, a higher number of for-profit beds per capita, and an increased cancer death rate. Increased consumer satisfaction was associated with the Kaiser and Anthem insurance plan families.Conclusions and RelevanceState and insurer family factors are predictive of private health insurance plan satisfaction. Potentially modifiable factors include access to primary care, healthcare spending per capita, and numbers of for-profit hospital beds. This information will help consumers hold insurance providers accountable to provide higher quality and more desirable coverage and provide actionable items to improve health insurance satisfaction.

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