scholarly journals Effect of Major Illness Insurance on Vulnerability to Poverty: Evidence From China

2021 ◽  
Vol 9 ◽  
Author(s):  
Lili Zheng ◽  
Lijin Peng
Keyword(s):  
Health Insurance ◽  
Poverty Reduction ◽  
Insurance Coverage ◽  
Financial Loss ◽  
High Coverage ◽  
Vulnerability To Poverty ◽  
Using Data ◽  
Major Illness ◽  
The Impact ◽  
Cycle Of Poverty

Disease is the primary cause of poverty in China. Health insurance is an essential mechanism for managing health risks and addressing the risk of financial loss. Using data from the China Family Panel Studies (CFPS) waves from 2010 to 2016, this study develops a random forest method to assess households' vulnerability to poverty and then examines the impact of major illness insurance on vulnerability to poverty by focusing on the rollout period of a major illness insurance scheme. The research also examines the impact of increased major illness insurance coverage on poverty reduction by focusing on the change from low- to high-coverage health insurance. The findings indicate that major illness insurance and improvements in the degree of coverage significantly reduce vulnerability to poverty. In addition, major illness insurance is found to alleviate the vicious cycle of poverty and disease through the mechanism of increasing household income, and its effect has strengthened over time. Compared to other poverty reduction policies, major illness insurance has a greater influence on poverty alleviation.

Impact of Health Plan Deductibles and Health Insurance Marketplace Enrollment on Health Care Experiences

2018 ◽  
Vol 77 (5) ◽  
pp. 483-497
Author(s):  
Weiwei Chen ◽  
Timothy F. Page
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
The United States ◽  
Health Plans ◽  
Medical Needs ◽  
Care Access ◽  
Health Care Experiences ◽  
Monitoring Survey ◽  
Using Data ◽  
The Impact

High-deductible health plans (HDHPs) have become increasingly prevalent among employer-sponsored health plans and plans offered through the Health Insurance Marketplace in the United States. This study examined the impact of deductible levels on health care experiences in terms of care access, affordability, routine checkup, out-of-pocket cost, and satisfaction using data from the Health Reform Monitoring Survey. The study also tested whether the experiences of Marketplace enrollees differed from off-Marketplace individuals, controlling for deductible levels. Results from multivariable and propensity score weighted regression models showed that many of the outcomes were adversely affected by deductible levels and Marketplace enrollment. These results highlight the importance of efforts to help individuals choose the plan that fits both their medical needs and their budgets. The study also calls for more attention to improving provider acceptance of HDHPs and Marketplace plans as these plans become increasingly common over time.

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

scholarly journals Modeling a Bridge When Survey Questions Change: Evidence from the Current Population Survey Health Insurance Redesign

2019 ◽  
Vol 35 (1) ◽  
pp. 189-202
Author(s):  
Brett O’Hara ◽  
Carla Medalia ◽  
Jerry J. Maples
Keyword(s):  
Health Insurance ◽  
Current Population Survey ◽  
Time Trend ◽  
Population Survey ◽  
The United States ◽  
Community Survey ◽  
Historical Time ◽  
Current Population ◽  
Using Data ◽  
The Impact

Abstract Most research on health insurance in the United States uses the Current Population Survey Annual Social and Economic Supplement. However, a recent redesign of the health insurance questions disrupted the historical time trend in 2013. Using data from the American Community Survey, which has a parallel trend in the uninsured rate, we model a bridge estimate of the uninsured rate using the traditional questions. Also, we estimate the effect of changing the questionnaire. We show that the impact of redesigning the survey varies substantially by subgroup. This approach can be used to produce bridge estimates when other questionnaires are redesigned.

The Impact Of Health Insurance Coverage On Outcomes For U.S. Gastric Cancer Patients

2011 ◽  
Vol 165 (2) ◽  
pp. 338
Author(s):  
J.K. Smith ◽  
S. Ng ◽  
J.S. Hill ◽  
T.P. McDade ◽  
S.A. Shah ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Health Insurance ◽  
Cancer Patients ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Gastric Cancer Patients ◽  
The Impact

The impact of health insurance coverage on pediatric diabetes management

2010 ◽  
Vol 90 (1) ◽  
pp. 40-44 ◽  
Author(s):  
Kupper A. Wintergerst ◽  
Krystal M. Hinkle ◽  
Christopher N. Barnes ◽  
Adetokunbo O. Omoruyi ◽  
Michael B. Foster
Keyword(s):  
Health Insurance ◽  
Diabetes Management ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Pediatric Diabetes ◽  
The Impact

scholarly journals Impacts of the type of social health insurance on health service utilisation and expenditures: implications for a unified system in China

2018 ◽  
Vol 14 (4) ◽  
pp. 468-486 ◽  
Author(s):  
Si Ying Tan ◽  
Xun Wu ◽  
Wei Yang
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Insurance Coverage ◽  
Social Health Insurance ◽  
Rapid Expansion ◽  
Social Health ◽  
Service Utilisation ◽  
Provider Payment ◽  
Out Of Pocket Payments ◽  
The Impact

AbstractWhile moving towards unified social health insurance (SHI) is often a politically popular policy reform in countries where rapid expansion in health insurance coverage has given rise to the segmentation of SHI systems as different SHI schemes were rolled out to serve different populations, the potential impacts of reform on service utilisation and health costs have not been systematically studied. Using data from the Chinese Health and Retirement Longitudinal Study (CHARLS), we compared the mean costs incurred for both inpatient and outpatient care under different health insurance schemes, and the impact of different SHI schemes on treatment utilisation and health care costs using a two-part model. Our results show that Urban Employee Medical Insurance, which offers the most generous benefits, incurs the highest total costs prior to reimbursement when compared to other SHI schemes. Our analysis also shows that utilisation of SHI did not show significant reduction in out-of-pocket payments for outpatients. We argue that, unless effective measures are introduced to deal with perverse provider payment incentives, the move towards a unified system with more generous benefits may usher in a new wave of cost escalation for health care systems in China.

scholarly journals The Impact of Expanded National Health Insurance Coverage of Dentures and Dental Implants on Dental Care Utilization among Older Adults in South Korea: A Study Based on the Korean Health Panel Survey

2020 ◽  
Vol 17 (17) ◽  
pp. 6417 ◽  
Author(s):  
Jin-Sun Choi ◽  
Se-Hwan Jung
Keyword(s):  
Older Adults ◽  
Health Insurance ◽  
Dental Implants ◽  
National Health Insurance ◽  
Dental Care ◽  
Insurance Coverage ◽  
Care Utilization ◽  
Sociodemographic Characteristics ◽  
Panel Survey ◽  
The Impact

In South Korea, the National Health Insurance Service (NHIS) began its coverage of dentures and dental implants for older people in 2012 and 2014, respectively. This study aimed to investigate the impact of these policies on dental care utilization among people aged 65 years or older according to their sociodemographic characteristics. Data were collected from the Korea Health Panel Survey (KHP; years 2012 and 2015). The statistical significance of the relationships between sociodemographic characteristics and the use of outpatient dental care, denture, and dental implant were analyzed. Results showed an increase of 5.7%, 1.4%, and 2.8% in the use of outpatient dental care, denture, and dental implant, respectively, over the course of three years. Including dentures increased its use by 2.5–3.7 times among people aged 70 years or older. Including dental implants alleviated the disparities among older adults based on age groups and duration of education, except those among uneducated people; however, it caused inequity according to household income. Some Korean older adults remain neglected from the benefits of the expanded NHIS. Therefore, older adults’ access to dental care should be enhanced by the implementation of policies to promote oral health care utilization, dental prosthetic services, and older adults’ insurance coverage.

Forecasting climate extremes to aid decisions on multi-week timescales

2020 ◽  
Author(s):  
Catherine de Burgh-Day ◽  
Debbie Hudson ◽  
Oscar Alves ◽  
Morwenna Griffiths ◽  
Andrew Marshall ◽  
...  
Keyword(s):  
Extreme Events ◽  
Extreme Event ◽  
Heat Waves ◽  
Climate Extremes ◽  
Extended Period ◽  
Extreme Heat ◽  
Financial Loss ◽  
Defensive Responses ◽  
Using Data ◽  
The Impact

<p>Extreme events such as droughts, heat waves and floods can have significant and long lasting financial, infrastructural and environmental impacts. While probabilistic seasonal outlooks are commonplace, there are relatively few probabilistic outlooks available on multiweek timescales. Additionally, many services focus on the middle of the distribution of possible outcomes – e.g., forecasts of probability of above or below median, or probability of mean conditions exceeding some threshold. These do not encompass the types of extreme events that can be the most damaging, such as several consecutive days of extreme heat, unusually large numbers of cold days in a season, or an extended period where rainfall is in the lowest decile of historical years.</p><p>Advance warning of extreme events that impact particular industries enable managers to put in place response measures which can help to reduce their losses. This can involve:</p><ul><li>Active responses which aim to reduce the severity of the impact. For example, losses in dairy production due to extreme heat can be mitigated by adjusting grazing rotations such that cows are in shadier paddocks during these events</li> <li>Defensive responses which aim to account for any losses incurred due to an event. For example, the purchase of new farm equipment can be deferred if a forecast extreme event indicates a likely unavoidable financial loss in the near future</li> </ul><p>To meet this need, the Australian Bureau of Meteorology is developing a suite of forecast products communicating risk of extreme events using data from the Bureau’s new seasonal forecasting system ACCESS-S. Each prototype forecast product is trialed with external users through a webpage to assess usefulness and popularity.</p>

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