scholarly journals A Skeptic's View of Global Budget Caps

1994 ◽  
Vol 8 (3) ◽  
pp. 67-73 ◽  
Author(s):  
James M Poterba
Keyword(s):  
Health Care ◽  
Health Reform ◽  
Universal Access ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Health Care Spending ◽  
Global Budget ◽  
Medical Benefits ◽  
Spending Growth ◽  
Number Of Individuals

This brief paper explores the likely effects of government-imposed global budget caps, such as those in the Clinton administration proposal, on health care spending. It argues that health reform proposals that guarantee universal access to a basic package of medical benefits create a substantial new constituency for higher health care outlays. Political and potential legal pressures to expand rather than limit the set of guaranteed benefits, coupled with an expansion of the number of individuals with health insurance coverage, make it unlikely that global budget targets will succeed in reducing the rate of health care spending growth.

Racial Differences in Health Insurance Coverage and Medical Expenditures in the United States

2006 ◽  
Vol 30 (4) ◽  
pp. 529-550 ◽  
Author(s):  
Melissa A. Thomasson
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Racial Differences ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
The United States ◽  
Medical Expenditures ◽  
Health Care Spending ◽  
Data Set ◽  
Racial Gap

This article uses a unique data set from 1957 to examine the racial gap in health insurance coverage and the extent to which that gap influenced racial differences in health care spending. Results indicate that black households in 1957 were statistically significantly less likely to purchase health insurance than white households, even after controlling for differences in income, years of schooling, age, family size, marital status, and other personal and job-related characteristics. Findings in the article also provide weak support for the hypothesis that a racial gap in health insurance coverage contributed to racial differences in health care spending between blacks and whites; even after controlling for differences in income, education, and other characteristics, racial differences in medical expenditures were smaller for insured than for uninsured families, although the result is not statistically significant.

For Profit Enterprise in Health Care: Can it Contribute to Health Reform?

2010 ◽  
Vol 36 (2-3) ◽  
pp. 405-435 ◽  
Author(s):  
Eleanor D. Kinney
Keyword(s):  
Health Care ◽  
Health Reform ◽  
Private Insurance ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
American People ◽  
Health Coverage ◽  
Public Programs ◽  
For Profit ◽  
New Treatments

Since the demise of the last major health reform initiative in 1994, health coverage for the American people has deteriorated. Private insurance costs have risen, and coverage under private insurance became less comprehensive, with higher deductibles and copayments. Many new treatments for serious diseases and associated provider compensation have become more and more unaffordable, even for those with health insurance coverage. Recent reports document the challenges for cancer patients faced with the soaring cost of cancer treatment. Public programs, such as Medicare and Medicaid, have picked up some slack and have grown in numbers. But gaps remain. Approximately 16 percent of the U.S. population is uninsured. Annual U.S. spending for health care was $2 trillion in 2005, and is estimated to reach $4 trillion by 2015.

Improving Access to Health Care for Children, Youth, and Pregnant Women

PEDIATRICS ◽  
1990 ◽  
Vol 86 (4) ◽  
pp. 626-635
Author(s):  
PAUL W. NEWACHECK
Keyword(s):  
Health Care ◽  
Low Income ◽  
Access To Health Care ◽  
Community Health Centers ◽  
Universal Access ◽  
Insurance Coverage ◽  
The Elderly ◽  
Health Insurance Coverage ◽  
Access To Health ◽  
Low Income Families

Twenty-five years ago it seemed that America was on the verge of universal health care coverage.1 A large and growing number of workers and their dependents had gained employer-based health insurance coverage.2 Medicaid and Medicare were enacted to serve the needs of those who did not work—notably the poor and the elderly. Direct service programs, such as community health centers, maternal and infant care projects, and children and youth projects, were also established in the mid-1960s to serve low-income families. At the time, it appeared that this pluralistic approach to financing health care was leading to universal access to health care.

Evaluation of Healthcare Avoidance Behavior Using the Healthcare National Trends Survey

2020 ◽  
Vol 30 (1) ◽  
Author(s):  
Yiu Ming Chan ◽  
Clauda Laster
Keyword(s):  
Health Information ◽  
Information Overload ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Social Networking Site ◽  
Personal Health Information ◽  
Cancer Information ◽  
Psychosocial Barriers ◽  
National Trends ◽  
Number Of Individuals

As online search engines have become increasingly popular for people to use to locate necessary health information, the number of individuals choosing to avoid visiting a doctor is dramatically increasing. This study analyzed 2007 Health Information National Trends Survey (HINTS) data and found that people who avoid visiting a doctor were more likely to be male, younger, and less educated than those who do not avoid seeing a doctor. Also, individuals who have less health insurance coverage, have serious psychological distress (SPD), and suffered cancer information overload were more likely to report psychosocial barriers to care. Furthermore, the levels of trust of doctors and visiting a social networking site were significant predictors of “doctor avoidance.” In addition, individuals who felt their personal health information was not being safely guarded by doctors were more likely to avoid visiting a doctor. These findings can help healthcare professionals better understand the characteristics of persons who avoid visiting a doctor and professionals can use these conclusions to provide more effective ways to deliver health information to change healthcare behavior.

scholarly journals Health Reform and Changes in Health Insurance Coverage in 2014

2014 ◽  
Vol 371 (9) ◽  
pp. 867-874 ◽  
Author(s):  
Benjamin D. Sommers ◽  
Thomas Musco ◽  
Kenneth Finegold ◽  
Munira Z. Gunja ◽  
Amy Burke ◽  
...  
Keyword(s):  
Health Insurance ◽  
Health Reform ◽  
Insurance Coverage ◽  
Health Insurance Coverage
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