Catastrophic Health Costs

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Health Equity and Financial Protection

Author : Anonim
Publisher : World Bank Publications
Page : 139 pages
File Size : 50,8 Mb
Release : 2011-01-01
Category : Medical
ISBN : 9780821387962

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Health Equity and Financial Protection by Anonim Pdf

Two key policy goals in the health sector are equity and financial protection. New methods, data and powerful computers have led to a surge of interest in quantitative analysis that permits monitoring progress toward these objectives, and comparisons across countries. ADePT is a new computer program that streamlines and automates such work, ensuring that results are genuinely comparable and allowing them to be produced with a minimum of programming skills. This book provides a step-by-step guide to the use of ADePT for quantitative analysis of equity and financial protection in the health sect

Catastrophic Care

Author : David Goldhill
Publisher : Vintage
Page : 386 pages
File Size : 46,5 Mb
Release : 2013-01-08
Category : Medical
ISBN : 9780307961556

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Catastrophic Care by David Goldhill Pdf

A visionary investigation that will change the way we think about health care: how and why it is failing, why expanding coverage will actually make things worse, and how our health care can be transformed into a transparent, affordable, successful system. In 2007, David Goldhill’s father died from infections acquired in a hospital, one of more than two hundred thousand avoidable deaths per year caused by medical error. The bill was enormous—and Medicare paid it. These circumstances left Goldhill angry and determined to understand how world-class technology and personnel could coexist with such carelessness—and how a business that failed so miserably could be paid in full. Catastrophic Care is the eye-opening result. Blending personal anecdotes and extensive research, Goldhill presents us with cogent, biting analysis that challenges the basic preconceptions that have shaped our thinking for decades. Contrasting the Island of health care with the Mainland of our economy, he demonstrates that high costs, excess medicine, terrible service, and medical error are the inevitable consequences of our insurance-based system. He explains why policy efforts to fix these problems have invariably produced perverse results, and how the new Affordable Care Act is more likely to deepen than to solve these issues. Goldhill steps outside the incremental and wonkish debates to question the conventional wisdom blinding us to more fundamental issues. He proposes a comprehensive new way, where the customer (the patient) is first—a system focused on health and maintaining it, a system strong and vibrant enough for our future. If you think health care is interesting only to institutes and politicians, think again: Catastrophic Care is surprising, engaging, and brimming with insights born of questions nobody has thought to ask. Above all it is a book of new ideas that can transform the way we understand a subject we often take for granted.

Paying for Health Care

Author : Adam Wagstaff,Eddy K. A. van Doorslaer
Publisher : World Bank Publications
Page : 56 pages
File Size : 50,9 Mb
Release : 2024-05-26
Category : Electronic
ISBN : 8210379456XXX

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Paying for Health Care by Adam Wagstaff,Eddy K. A. van Doorslaer Pdf

Egalitarian concepts of fairness in health care payments (requiring that payments be linked to ability to pay) are compared with minimum standards approaches (requiring that payments not exceed a prescribed share of prepayment income or not drive households into poverty). The arguments and methods are illustrated using data and out-of-pocket health spending in Vietnam in 1993 and 1998.

Catastrophic Health Insurance

Author : United States. Congressional Budget Office
Publisher : Unknown
Page : 92 pages
File Size : 54,9 Mb
Release : 1977
Category : Catastrophic health insurance
ISBN : UCSD:31822019301274

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Catastrophic Health Insurance by United States. Congressional Budget Office Pdf

Decomposing Social Indicators Using Distributional Data

Author : Martin Ravallion
Publisher : World Bank Publications
Page : 32 pages
File Size : 49,6 Mb
Release : 1999
Category : Electronic
ISBN : 8210379456XXX

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Decomposing Social Indicators Using Distributional Data by Martin Ravallion Pdf

July 1995 Cross-country comparisons suggest that poor people tend to be in worse health than others, and that their health responds more to differences in public health spending. Are the poor less healthy? Does public health spending matter more to them? Bidani and Ravallion decompose aggregate health indicators using a random coefficients model in which the aggregates are regressed on the population distribution by subgroups, taking account of the statistical properties of the error term and allowing for other determinants of health status, including public health spending. This also allows them to test possible determinants of the variation in the underlying subgroup indicators. They implement the approach with data on health outcomes and poverty measures for 35 developing countries. Bidani and Ravallion find that poor people have appreciably worse health status on average than others--and that differences in public health spending tend to matter more to the poor. This is probably because the nonpoor are in a better position to buy private health care. This paper--a product of the Poverty and Human Resources Division, Policy Research Department--is part of a larger effort in the department to understand the interlinkage between poverty and human development.

Measuring Financial Protection in Health

Author : Adam Wagstaff
Publisher : World Bank Publications
Page : 34 pages
File Size : 49,8 Mb
Release : 2008
Category : Electronic
ISBN : 8210379456XXX

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Measuring Financial Protection in Health by Adam Wagstaff Pdf

Abstract: Health systems are not just about improving health: good ones also ensure that people are protected from the financial consequences of receiving medical care. Anecdotal evidence suggests health systems often perform badly in this respect, apparently with devastating consequences for households, especially poor ones and near-poor ones. Two principal methods have been used to measure financial protection in health. Both relate a household's out-of-pocket spending to a threshold defined in terms of living standards in the absence of the spending: the first defines spending as catastrophic if it exceeds a certain percentage of the living standards measure; the second defines spending as impoverishing if it makes the difference between a household being above and below the poverty line. The paper provides an overview of the methods and issues arising in each case, and presents empirical work in the area of financial protection in health, including the impacts of government policy. The paper also reviews a recent critique of the methods used to measure financial protection.

Analyzing Health Equity Using Household Survey Data

Author : Adam Wagstaff,Owen O'Donnell,Eddy van Doorslaer,Magnus Lindelow
Publisher : World Bank Publications
Page : 165 pages
File Size : 40,8 Mb
Release : 2007-11-02
Category : Medical
ISBN : 0821369342

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Analyzing Health Equity Using Household Survey Data by Adam Wagstaff,Owen O'Donnell,Eddy van Doorslaer,Magnus Lindelow Pdf

Have gaps in health outcomes between the poor and better off grown? Are they larger in one country than another? Are health sector subsidies more equally distributed in some countries than others? Are health care payments more progressive in one health care financing system than another? What are catastrophic payments and how can they be measured? How far do health care payments impoverish households? Answering questions such as these requires quantitative analysis. This in turn depends on a clear understanding of how to measure key variables in the analysis, such as health outcomes, health expenditures, need, and living standards. It also requires set quantitative methods for measuring inequality and inequity, progressivity, catastrophic expenditures, poverty impact, and so on. This book provides an overview of the key issues that arise in the measurement of health variables and living standards, outlines and explains essential tools and methods for distributional analysis, and, using worked examples, shows how these tools and methods can be applied in the health sector. The book seeks to provide the reader with both a solid grasp of the principles underpinning distributional analysis, while at the same time offering hands-on guidance on how to move from principles to practice.

Disease Control Priorities, Third Edition (Volume 9)

Author : Dean T. Jamison,Hellen Gelband,Susan Horton,Prabhat Jha,Charles N. Mock,Rachel Nugent
Publisher : World Bank Publications
Page : 426 pages
File Size : 47,6 Mb
Release : 2017-12-06
Category : Medical
ISBN : 9781464805288

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Disease Control Priorities, Third Edition (Volume 9) by Dean T. Jamison,Hellen Gelband,Susan Horton,Prabhat Jha,Charles N. Mock,Rachel Nugent Pdf

As the culminating volume in the DCP3 series, volume 9 will provide an overview of DCP3 findings and methods, a summary of messages and substantive lessons to be taken from DCP3, and a further discussion of cross-cutting and synthesizing topics across the first eight volumes. The introductory chapters (1-3) in this volume take as their starting point the elements of the Essential Packages presented in the overview chapters of each volume. First, the chapter on intersectoral policy priorities for health includes fiscal and intersectoral policies and assembles a subset of the population policies and applies strict criteria for a low-income setting in order to propose a "highest-priority" essential package. Second, the chapter on packages of care and delivery platforms for universal health coverage (UHC) includes health sector interventions, primarily clinical and public health services, and uses the same approach to propose a highest priority package of interventions and policies that meet similar criteria, provides cost estimates, and describes a pathway to UHC.

Catastrophic Medical Expenses

Author : Daniel M. Koretz
Publisher : Unknown
Page : 136 pages
File Size : 43,6 Mb
Release : 1982
Category : Health insurance
ISBN : UOM:39015008528161

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Catastrophic Medical Expenses by Daniel M. Koretz Pdf

The World Bank Research Observer

Author : Anonim
Publisher : Unknown
Page : 300 pages
File Size : 49,7 Mb
Release : 2003
Category : Computer network resources
ISBN : MINN:31951P00897009O

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The World Bank Research Observer by Anonim Pdf

The World Health Report 2000

Author : World Health Organization
Publisher : World Health Organization
Page : 244 pages
File Size : 49,8 Mb
Release : 2000
Category : Business & Economics
ISBN : 924156198X

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The World Health Report 2000 by World Health Organization Pdf

Includes table of health system attainment and performance in all member states (191), ranked by eight measures.

The Impact of Health Insurance in Low- and Middle-Income Countries

Author : Maria-Luisa Escobar,Charles C. Griffin,R. Paul Shaw
Publisher : Rowman & Littlefield
Page : 239 pages
File Size : 48,8 Mb
Release : 2011-01-01
Category : Political Science
ISBN : 9780815705611

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The Impact of Health Insurance in Low- and Middle-Income Countries by Maria-Luisa Escobar,Charles C. Griffin,R. Paul Shaw Pdf

Over the past twenty years, many low- and middle-income countries have experimented with health insurance options. While their plans have varied widely in scale and ambition, their goals are the same: to make health services more affordable through the use of public subsidies while also moving care providers partially or fully into competitive markets. Colombia embarked in 1993 on a fifteen-year effort to cover its entire population with insurance, in combination with greater freedom to choose among providers. A decade later Mexico followed suit with a program tailored to its federal system. Several African nations have introduced new programs in the past decade, and many are testing options for reform. For the past twenty years, Eastern Europe has been shifting from government-run care to insurance-based competitive systems, and both China and India have experimental programs to expand coverage. These nations are betting that insurance-based health care financing can increase the accessibility of services, increase providers' productivity, and change the population's health care use patterns, mirroring the development of health systems in most OECD countries. Until now, however, we have known little about the actual effects of these dramatic policy changes. Understanding the impact of health insurance–based care is key to the public policy debate of whether to extend insurance to low-income populations—and if so, how to do it—or to serve them through other means. Using recent household data, this book presents evidence of the impact of insurance programs in China, Colombia, Costa Rica, Ghana, Indonesia, Namibia, and Peru. The contributors also discuss potential design improvements that could increase impact. They provide innovative insights on improving the evaluation of health insurance reforms and on building a robust knowledge base to guide policy as other countries tackle the health insurance challenge.

The Cost of Catastrophic Illness

Author : Howard Birnbaum,Michael Schwartz
Publisher : Great Source Education Group
Page : 140 pages
File Size : 47,7 Mb
Release : 1978
Category : Education
ISBN : UOM:39015020573898

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The Cost of Catastrophic Illness by Howard Birnbaum,Michael Schwartz Pdf

Monograph on the cost and financing of medical care with regard to serious and prolonged disease in the USA - reviews illnesses involving heavy expenditure, assesses the number of persons spending large amounts by income and age, etc. Analyses health insurance, considers health policy measures needed to improve health care and includes research methodology. Bibliography pp. 95 to 104, diagrams and statistical tables.

Health Systems Performance Assessment

Author : Christopher J. L. Murray,David B. Evans
Publisher : World Health Organization
Page : 919 pages
File Size : 48,8 Mb
Release : 2003-11-06
Category : Health & Fitness
ISBN : 9789241562454

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Health Systems Performance Assessment by Christopher J. L. Murray,David B. Evans Pdf

The World Health Report 2000 has generated considerable media attention, controversy in some countries, and debate in academic journals. This volume brings together in one place the substance of many of these key debates and reports, methodological advances, and new empiricism reflecting the evolution of the WHO approach since the year 2000. Specifically, the volume presents many differing regional and technical perspectives on key issues, major new methodological developments, and a quantum increase in the empirical basis for cross-country performance assessment. It also gives the full report of the Scientific Peer Review Group's exhaustive assessment of these new approaches.

Moral Hazard in Health Insurance

Author : Amy Finkelstein
Publisher : Columbia University Press
Page : 161 pages
File Size : 43,6 Mb
Release : 2014-12-02
Category : Medical
ISBN : 9780231538688

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Moral Hazard in Health Insurance by Amy Finkelstein Pdf

Addressing the challenge of covering heath care expenses—while minimizing economic risks. Moral hazard—the tendency to change behavior when the cost of that behavior will be borne by others—is a particularly tricky question when considering health care. Kenneth J. Arrow’s seminal 1963 paper on this topic (included in this volume) was one of the first to explore the implication of moral hazard for health care, and Amy Finkelstein—recognized as one of the world’s foremost experts on the topic—here examines this issue in the context of contemporary American health care policy. Drawing on research from both the original RAND Health Insurance Experiment and her own research, including a 2008 Health Insurance Experiment in Oregon, Finkelstein presents compelling evidence that health insurance does indeed affect medical spending and encourages policy solutions that acknowledge and account for this. The volume also features commentaries and insights from other renowned economists, including an introduction by Joseph P. Newhouse that provides context for the discussion, a commentary from Jonathan Gruber that considers provider-side moral hazard, and reflections from Joseph E. Stiglitz and Kenneth J. Arrow. “Reads like a fireside chat among a group of distinguished, articulate health economists.” —Choice