scholarly journals The effect of cost-sharing in private health insurance on the utilization of health care services between private insurance purchasers and non-purchasers: a study of the Korean health panel survey (2008–2012)

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Young Choi ◽  
Jae-Hyun Kim ◽  
Ki-Bong Yoo ◽  
Kyoung Hee Cho ◽  
Jae-Woo Choi ◽  
...  
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Cost Sharing ◽  
Health Care Services ◽  
Private Health Insurance ◽  
Private Insurance ◽  
Panel Survey ◽  
Care Services

scholarly journals What Counselors Need to Know About Health Care Reform

2010 ◽  
Vol 43 (1) ◽  
Author(s):  
Scott Barstow
Keyword(s):  
United States ◽  
Health Care ◽  
Health Insurance ◽  
Health Care Services ◽  
Private Insurance ◽  
Insurance Coverage ◽  
Health Sector ◽  
The United States ◽  
Care Services ◽  
The Law

More than 60 years after President Truman wrote those words and nearly 100 years since health insurance was proposed by Teddy Roosevelt, the United States has joined the rest of the developed nations in initiating a health care system aimed at establishing universal insurance coverage. President Barack Obama and his colleagues in the House and Senate succeeded where many, many others failed, but just barely. The legislation, described as "similar in scope to Great Society and New Deal programs," was enacted "without the benefit of the congressional majorities of those eras" (Oberlander, 2010). For some health care advocates, the law was a disappointment, as it missed opportunity to establish a "public option" for health insurance, a publicly financed and operated program similar to Medicare to provide broad coverage. For others, the legislation constituted the transformation of the United States into a socialist state, somehow endangering America's "freedoms." The reality is that the new law keeps the predominant role of private insurance coverage and welds it to a new framework of rules, investments in improving the effectiveness and efficiency of care, and a strengthened public health sector to establish a more rational system. The law will have a significant impact oi:i counselors as both consumers and providers of health care services, and its enactment has implications for counselor advocacy.

International Trade and Health Care in Brazil: An Unpredicted Tale Threatening Health Care Entitlement?

2019 ◽  
Vol 49 (2) ◽  
pp. 343-359
Author(s):  
Milton Santos ◽  
Jonathan Filippon ◽  
Áquilas Mendes ◽  
Elias Kondilis
Keyword(s):  
Health Care ◽  
International Trade ◽  
Health Insurance ◽  
Health Care Services ◽  
Private Health Insurance ◽  
International Competition ◽  
Constitutional Change ◽  
Health Care Market ◽  
Policy Document ◽  
Care Services

The General Agreement on Trade in Services (GATS), established in 1994, has been a key element of market liberalization of health care services. Brazil had the provision of health care services partially protected from international competition until 2015, when a constitutional change opened the national health care market to international provision. We performed a retrospective and prospective policy analysis based on a systematic policy document review, general literature review, and secondary data analysis mapping, describing and analyzing the international trade agreements signed by Brazil with the World Trade Organization (WTO) and the available legislation relevant to health care services. The provision of health care services was not included in the WTO commitments signed by Brazil during the analyzed period (1994–2018). Financing of private health insurance was part of the agreement since 1994. There was a mild liberalization of the private health insurance sector, while provision of health care services was forbidden to foreign investors until 2015. The mode 3 of GATS presents the greatest potential impact as it exposes health care provision to international competition. The international liberalization of the provision of health care services in Brazil is now legal and an observable consequence of the pressure to gradually lift trade barriers in the health and health care sector.

scholarly journals What Counselors Need to Know About Health Care Reform

2010 ◽  
Vol 43 (1) ◽  
Author(s):  
Scott Barstow
Keyword(s):  
United States ◽  
Health Care ◽  
Health Insurance ◽  
Health Care Services ◽  
Private Insurance ◽  
Insurance Coverage ◽  
Health Sector ◽  
The United States ◽  
Care Services ◽  
The Law

More than 60 years after President Truman wrote those words and nearly 100 years since health insurance was proposed by Teddy Roosevelt, the United States has joined the rest of the developed nations in initiating a health care system aimed at establishing universal insurance coverage. President Barack Obama and his colleagues in the House and Senate succeeded where many, many others failed, but just barely. The legislation, described as "similar in scope to Great Society and New Deal programs," was enacted "without the benefit of the congressional majorities of those eras" (Oberlander, 2010). For some health care advocates, the law was a disappointment, as it missed opportunity to establish a "public option" for health insurance, a publicly financed and operated program similar to Medicare to provide broad coverage. For others, the legislation constituted the transformation of the United States into a socialist state, somehow endangering America's "freedoms." The reality is that the new law keeps the predominant role of private insurance coverage and welds it to a new framework of rules, investments in improving the effectiveness and efficiency of care, and a strengthened public health sector to establish a more rational system. The law will have a significant impact oi:i counselors as both consumers and providers of health care services, and its enactment has implications for counselor advocacy.

Cost-Sharing under Consumer-Driven Health Care Will Not Reform U.S. Health Care

2012 ◽  
Vol 40 (3) ◽  
pp. 574-581 ◽  
Author(s):  
John P. Geyman
Keyword(s):  
United States ◽  
Health Care ◽  
Health Insurance ◽  
Cost Sharing ◽  
Health Care Services ◽  
The United States ◽  
Basic Premise ◽  
Care Services ◽  
Actual Experience ◽  
Outcomes Of Care

Various kinds of consumer-driven reforms have been attempted over the last 20 years in an effort to rein in soaring costs of health care in the United States. Most are based on a theory of moral hazard, which holds that patients will over-utilize health care services unless they pay enough for them. Although this theory is a basic premise of conventional health insurance, it has been discredited by actual experience over the years. While ineffective in containing costs, increased cost-sharing as a key element of consumer-driven health care (CDHC) leads to restricted access to care, underuse of necessary care, lower quality and worse outcomes of care. This paper summarizes the three major problems of U.S. health care urgently requiring reform and shows how cost-sharing fails to meet that goal.

scholarly journals Health Care System Financing And Design: Convergent Trends In North America And Europe

2011 ◽  
Vol 7 (10) ◽  
Author(s):  
Adora Holstein ◽  
Patrick Litzinger
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Cost Containment ◽  
Health Care Services ◽  
Private Health Insurance ◽  
Health Care Cost ◽  
Health Care Systems ◽  
State Level ◽  
Care Services ◽  
Care Systems

A study of the evolution of health care systems in Canada and Europe shows that the earlier effort at making health care services available to everybody was followed by reform measures focused on cost containment. In the U.S., the rapid rise in health care cost and low access are widely recognized as twin problems. Health care reform in this country first focused on cost containment through managed care to make health insurance affordable, and then shifted to expanding access to coverage at the state level without doing away with the private health insurance market.

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