scholarly journals Economic Impact of the Health Insurance System on Slovak Medical Spas and Mineral Spring Spas

2020 ◽  
Vol 12 (8) ◽  
pp. 3384
Author(s):  
Ján Derco ◽  
Piotr Romaniuk ◽  
Michal Cehlár
Keyword(s):  
Health Insurance ◽  
Slovak Republic ◽  
Secondary Data ◽  
Financial Statements ◽  
Insurance Companies ◽  
Health Insurance System ◽  
Insurance System ◽  
Health Insurance Companies ◽  
Spa Treatment ◽  
The Individual

The article deals with the financing of spa undertakings through the health insurance system. The analysis is based on the financial statements of 28 spa undertakings operating in the Slovak Republic, their contracts with the individual health insurance companies and secondary data sources (accommodation statistics of these undertakings, the number of medical stays paid by clients themselves and of those covered by public health insurance, the spa treatment expenditure of the health insurance companies, the percentage of this expenditure out of the total expenditure spent by the health insurance companies on health care). The still significant percentage of revenues from the health insurance companies out of the total revenues of spa undertakings shows the prevalence of the medical nature of spa care. At the same time, it reflects the current tax measures related to the spa industry and shows that the introduction of a recreation allowance might influence the future development of spa care.

scholarly journals Application of preventive medicine resources in the health insurance system

2015 ◽  
Vol 13 (4) ◽  
pp. 600-603
Author(s):  
Karla Regina Dias de Oliveira ◽  
Márcia Mello Costa De Liberal ◽  
Paola Zucchi
Keyword(s):  
Health Insurance ◽  
Human Resources ◽  
Organizational Structure ◽  
Preventive Medicine ◽  
Insurance Companies ◽  
Financial Resources ◽  
Health Insurance System ◽  
Inclusion Criteria ◽  
Insurance System ◽  
Health Insurance Companies

ABSTRACT Objective To identify the financial resources and investments provided for preventive medicine programs by health insurance companies of all kinds. Methods Data were collected from 30 large health insurance companies, with over 100 thousand individuals recorded, and registered at the Agência Nacional de Saúde Suplementar. Results It was possible to identify the percentage of participants of the programs in relation to the total number of beneficiaries of the health insurance companies, the prevention and promotion actions held in preventive medicine programs, the inclusion criteria for the programs, as well as the evaluation of human resources and organizational structure of the preventive medicine programs. Conclusion Most of the respondents (46.7%) invested more than US$ 50,000.00 in preventive medicine program, while 26.7% invested more than US$ 500,000.00. The remaining, about 20%, invested less than US$ 50,000.00, and 3.3% did not report the value applied.

scholarly journals Development of medical insurance in the Russian Federation. At the crossroads. What's next?

2019 ◽  
Vol 14 (2) ◽  
Author(s):  
Igor M. Akulin ◽  
Lubov Yu. Zhiguleva
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
National Health ◽  
Insurance Companies ◽  
Health Insurance System ◽  
National Health Care ◽  
Health Insurance Companies ◽  
Compulsory Health Insurance ◽  
The Russian Federation ◽  
Additional Payment

The RF health care reform is gaining momentum. A thorough consideration should be given to the discussion on the need to exclude health insurance companies from the compulsory health insurance system (CHI). Formation of the National Health Care System of Russia is the main problem of the national health care at this stage of reforms. Additional payment for medical services in the CHI by the general public is not advisable. Changes in the regulatory framework of the CHI system is deemed to be the basis for reforming the system of compulsory and voluntary health insurance in Russia.   

OPPORTUNITIES TO INTEGRATE IN BULGARIA THE BEST PRACTICES FROM THE USA MODEL OF PRIVATE ENTERPRENEURSHIP HEALTH INSURANCE SYSTEM

2018 ◽  
Vol 28 (1) ◽  
pp. 183-188
Author(s):  
Yordanka Tasheva
Keyword(s):  
Health Insurance ◽  
Medical Care ◽  
Private Insurance ◽  
Insurance Companies ◽  
Health Insurance System ◽  
Insurance System ◽  
Medical Care Costs ◽  
The Usa ◽  
The Government ◽  
Bulgarian Population

The USA health insurance system is a model that encourages the entrepreneurship development in all kinds of medical care. The problems in USA and partly in Bulgaria concern the big difference between the actual medical care costs and the payment from the health insurance system. The private insurance companies are different in any USA state. In Bulgaria the private insurance companies must be limited and it is necessary to be integrated a central insurance system for the Bulgarian population. It must be controlled by the government state. In Bulgaria must be only one insurance government company and the population shouldn’t be divided as poor or rich, or employed or unemployed. In the present conditions the private insurance companies cannot be controlled by the Bulgarian government by giving any advices about the investments, saved by the played population health care insurances.

scholarly journals Which health-related reasons lead to prehospital emergency care and how does subjective emergency status connect to subsequent care?

2021 ◽  
Author(s):  
Silke Piedmont ◽  
Anna Katharina Reinhold ◽  
Jens-Oliver Bock ◽  
Enno Swart ◽  
Bernt-Peter Robra
Keyword(s):  
Health Insurance ◽  
Emergency Care ◽  
Third Party ◽  
Insurance Companies ◽  
Prehospital Emergency Care ◽  
Health Related ◽  
Life Threatening ◽  
Prehospital Emergency ◽  
Health Insurance Companies ◽  
Reported Data

Abstract Objectives/Background In many countries, the use of emergency medical services (EMS) increases steadily each year. At the same time, the percentage of life-threatening complaints decreases. To redesign the system, an assessment and consideration of the patients’ perspectives is helpful. Methods We conducted a paper-based survey of German EMS patients who had at least one case of prehospital emergency care in 2016. Four health insurance companies sent out the questionnaire to 1312 insured persons. We linked the self-reported data of 254 respondents to corresponding claims data provided by their health insurance companies. The analysis focuses a.) how strongly patients tend to call EMS for themselves and others given different health-related scenarios, b.) self-perceived health complaints in their own index case of prehospital emergency care and c.) subjective emergency status in combination with so-called “objective” characteristics of subsequent EMS and inpatient care. We report principal diagnoses of (1) respondents, (2) 57,240 EMS users who are not part of the survey and (3) all 20,063,689 inpatients in German hospitals. Diagnoses for group 1 and 2 only cover the inpatient stay that started on the day of the last EMS use in 2016. Results According to the survey, the threshold to call an ambulance is lower for someone else than for oneself. In 89% of all cases during their own EMS use, a third party called the ambulance. The most common, self-reported complaints were pain (38%), problems with heart and circulation (32%), and loss of consciousness (17%). The majority of respondents indicated that their EMS use was due to an emergency (89%). We could detect no or only weak associations between patients’ subjective urgency and different items for objective care. Conclusion Dispatchers can possibly optimize or reduce the disposition of EMS staff and vehicles if they spoke directly to the patients more often. Nonetheless, there is need for further research on how strongly the patients’ perceived urgency may affect the disposition, rapidness of the service and transport targets.

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