scholarly journals Access to health insurance coverage among sub-Saharan African migrants living in France: Results of the ANRS-PARCOURS study

PLoS ONE ◽  
2018 ◽  
Vol 13 (2) ◽  
pp. e0192916 ◽  
Author(s):  
Nicolas Vignier ◽  
Annabel Desgrées du Loû ◽  
Julie Pannetier ◽  
Andrainolo Ravalihasy ◽  
Anne Gosselin ◽  
...  
Keyword(s):  
Health Insurance ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
African Migrants ◽  
Access To Health ◽  
Sub Saharan

Women with Disabilities

2019 ◽  
pp. 259-278
Author(s):  
Leslie Francis ◽  
Anita Silvers ◽  
Brittany Badesch
Keyword(s):  
Health Insurance ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Legal Issues ◽  
Structural Barriers ◽  
Women With Disabilities ◽  
Ability To Pay ◽  
Physician Competence ◽  
Access To Health ◽  
Reproductive Services

Women with disabilities face challenges related to their disabilities of access and accommodation for infertility care. This chapter explores the societal and structural barriers to infertility care these women experience, including legal issues, training and attitudes of physicians, ability to pay, lack of adaptive equipment, inexperience of providers in treating these patient populations, and lack of access to health insurance coverage for infertility care. Ethical arguments respond to providers’ concerns about offering reproductive care to women with disabilities, including concerns about physician competence, physician choice, risks to the woman, inability to consent, risks to any offspring, conscientious objection, and ability to pay. It concludes that there is at best limited and partial justification for many of these concerns, especially in the context of background injustice. The chapter ends with an account of reasonable modifications and accommodations to allow women with disabilities to enjoy reproductive services on equal terms with other women.

Sex, Lies, and Health Insurance: Employer-Provided Health Insurance Coverage of Abortion and Infertility Services and the ADA

1996 ◽  
Vol 22 (1) ◽  
pp. 51-84
Author(s):  
D'Andra Millsap
Keyword(s):  
Health Insurance ◽  
Private Health Insurance ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
The United States ◽  
Infertility Treatment ◽  
Insurance Contracts ◽  
Access To Health ◽  
Infertility Treatments ◽  
Infertile Couples

Employer-provided health insurance is the backbone of the American healthcare system. Approximately four of five workers in the United States rely on health insurance provided in the workplace. Many commentators view access to health insurance as the doorway to the entire health care system. Thus, the benefits covered in employer-provided health insurance plans significantly impact millions of Americans.While private health insurance usually covers abortion, it traditionally has not covered infertility services. Eventually, courts began interpreting insurance contracts to include infertility treatments, leading insurers to specifically exclude infertility treatments from coverage. In response, a few states have passed mandated benefit laws requiring coverage of some or all infertility services. Nonetheless, current insurance coverage of infertility services is “erratic” at best. These exclusions are significant because abortion and infertility services can be quite expensive for the millions of infertile couples seeking some sort of infertility treatment and the millions of women who have abortions each year.

Serious Illness and Private Health Coverage: A Unique Problem Calling for Unique Solutions

1997 ◽  
Vol 25 (2-3) ◽  
pp. 180-191 ◽  
Author(s):  
Eleanor D. Kinney ◽  
Deborah A. Freund ◽  
Mary Elizabeth Camp ◽  
Karen A. Jordan ◽  
Marion Christopher Mayfield
Keyword(s):  
Health Insurance ◽  
Private Health Insurance ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Health Coverage ◽  
Unique Problem ◽  
Serious Illness ◽  
Access To Health ◽  
Catastrophic Disease ◽  
Seriously Ill

Having a serious illness like breast cancer is a calamity for individuals and families. Along with the pain, discomfort, and dislocation comes the issue of how to pay the medical expenses for the care and treatment of the disease. If the seriously ill person has inadequate or no insurance, these problems are aggravated.Stories abound about seriously ill people losing private health insurance following diagnosis with a catastrophic disease, remaining in jobs just to maintain health insurance, or facing financial hardship because of gaps in coverage. Yet surprisingly little research has focused on the problems that people with serious illness face with health coverage and, in particular, how concerns about access to health insurance coverage shape their lives.Further, despite profoundly moving anecdotes of cancer victims and other seriously ill people about their problems with health insurance and despite recent federal and state efforts to reform the private health insurance market in ways discussed below, neither the federal government, states, nor the private sector has crafted comprehensive strategies to enhance health coverage for the seriously ill.

scholarly journals Disability Insurance and Health Insurance Reform: Evidence from Massachusetts

2014 ◽  
Vol 104 (5) ◽  
pp. 329-335 ◽  
Author(s):  
Nicole Maestas ◽  
Kathleen J. Mullen ◽  
Alexander Strand
Keyword(s):  
Health Insurance ◽  
Affordable Care Act ◽  
Insurance Coverage ◽  
Disability Insurance ◽  
Health Insurance Coverage ◽  
Insurance Reform ◽  
Health Insurance Reform ◽  
Access To Health ◽  
Social Security Disability ◽  
The Cost

As health insurance becomes available outside of the employment relationship as a result of the Affordable Care Act (ACA), the cost of applying for Social Security Disability Insurance (SSDI)—potentially going without health insurance coverage during a waiting period totaling 29 months from disability onset —will decline for many people with employer-sponsored health insurance. At the same time, the value of SSDI and Supplemental Security Income (SSI) participation will decline for individuals who otherwise lacked access to health insurance. We study the 2006 Massachusetts health insurance reform to estimate the potential effects of the ACA on SSDI and SSI applications.

scholarly journals Examining the level and inequality in health insurance coverage in 36 sub-Saharan African countries

2021 ◽  
Vol 6 (4) ◽  
pp. e004712
Author(s):  
Edwine Barasa ◽  
Jacob Kazungu ◽  
Peter Nguhiu ◽  
Nirmala Ravishankar
Keyword(s):  
Health Insurance ◽  
Concentration Index ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Sub Saharan Africa ◽  
Demographic And Health Surveys ◽  
Population Coverage ◽  
Financial Barriers ◽  
Inequality In Health ◽  
Sub Saharan

IntroductionLow/middle-income countries (LMICs) in sub-Saharan Africa (SSA) are increasingly turning to public contributory health insurance as a mechanism for removing financial barriers to access and extending financial risk protection to the population. Against this backdrop, we assessed the level and inequality of population coverage of existing health insurance schemes in 36 SSA countries.MethodsUsing secondary data from the most recent Demographic and Health Surveys, we computed mean population coverage for any type of health insurance, and for specific forms of health insurance schemes, by country. We developed concentration curves, computed concentration indices, and rich–poor differences and ratios to examine inequality in health insurance coverage. We decomposed the concentration index using a generalised linear model to examine the contribution of household and individual-level factors to the inequality in health insurance coverage.ResultsOnly four countries had coverage levels with any type of health insurance of above 20% (Rwanda—78.7% (95% CI 77.5% to 79.9%), Ghana—58.2% (95% CI 56.2% to 60.1%), Gabon—40.8% (95% CI 38.2% to 43.5%), and Burundi 22.0% (95% CI 20.7% to 23.2%)). Overall, health insurance coverage was low (7.9% (95% CI 7.8% to 7.9%)) and pro-rich; concentration index=0.4 (95% CI 0.3 to 0.4, p<0.001). Exposure to media made the greatest contribution to the pro-rich distribution of health insurance coverage (50.3%), followed by socioeconomic status (44.3%) and the level of education (41.6%).ConclusionCoverage of health insurance in SSA is low and pro-rich. The four countries that had health insurance coverage levels greater than 20% were all characterised by substantial funding from tax revenues. The other study countries featured predominantly voluntary mechanisms. In a context of high informality of labour markets, SSA and other LMICs should rethink the role of voluntary contributory health insurance and instead embrace tax funding as a sustainable and feasible mechanism for mobilising resources for the health sector.

The Effect of Access to Post-Retirement Health Insurance on the Decision to Retire Early

ILR Review ◽  
1994 ◽  
Vol 48 (1) ◽  
pp. 103-123 ◽  
Author(s):  
Lynn A. Karoly ◽  
Jeannette A. Rogowski
Keyword(s):  
Health Insurance ◽  
Early Retirement ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Program Participation ◽  
Retirement Decision ◽  
Probit Models ◽  
Access To Health ◽  
Retirement Behavior ◽  
Using Data

The authors analyze the effect of the availability of post-retirement health insurance on early retirement behavior of men using data from the 1984, 1986, and 1988 panels of the Survey of Income and Program Participation (SIPP). They extend previous static models of retirement to account for access to health insurance as a factor in the retirement decision. The estimates from probit models of retirement during the SIPP panel period show that the offer of continued employer-provided health insurance coverage after retirement increased the likelihood of retirement before age 65. Also, the authors find evidence that the presence before retirement of retirement insurance coverage through a source in addition to the employer increased the likelihood of early retirement.

National Health Care Reform and the Public's Health

2011 ◽  
Vol 39 (S1) ◽  
pp. 65-68 ◽  
Author(s):  
Corey S. Davis ◽  
Sarah Somers
Keyword(s):  
Health Insurance ◽  
Access To Care ◽  
Insurance Coverage ◽  
Population Level ◽  
Health Insurance Coverage ◽  
President Obama ◽  
National Health Care ◽  
Patient Protection ◽  
Access To Health ◽  
Title Iv

On March 23, 2010, President Obama signed the Patient Protection and Affordable Care Act (ACA or the Act) into law. ACA aims to improve access to care and health outcomes through a number of mechanisms, including requiring most individuals to carry health insurance, prohibiting insurers from denying health insurance coverage based on pre-existing conditions, and creating exchanges through which individuals and families not eligible for employer- or government-sponsored health insurance may purchase coverage. While the Act is aimed primarily at improving individual health by increasing access to health insurance, it also contains a number of provisions targeted directly at improving health at the population level. Most of these provisions, which encompass a variety of disease prevention and access-to-care initiatives, are found in ACA Title IV.

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