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7,706 persons are participating in a controlled trial of alternative health insurance policies. Interim results indicate that persons fully covered for medical services spend around 50 percent more than similar persons insured with an income-related catastrophic plan. Full coverage leads to more people using services and increased hospital admissions. Once patients are admitted to the hospital, however, expenditure per person does not differ significantly among the experimental insurance plans. Hospital admissions for children also do not vary by insurance plan. The income-related cost sharing in the experimental plans affects expenditure by different income groups similarly, but adults' total expenditure varies more than children's. Sufficient data are not yet available on whether higher utilization by those with free care reflects overutilization, or whether lower utilization by those with income-related catastrophic coverage reflects underutilization. Both may well be true.
Medical care, Cost of --- Medical care --- Health insurance --- Utilization
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This report contains a statistical and economic analysis of data on the demand for medical care from the Health Insurance Experiment (HIE). The report presents methods and interim results for medical care spending data organized by episodes, a powerful and fairly new approach to the study of demand. Chapter 2 describes the data, and Chap. 3 describes the assumptions and procedures used to group claims into episodes. Chapter 4 gives the analysis of the effects of price and other covariates on the cost per episode, and the number of episodes per year. Chapter 5 shows how occurrence rates change over the year. Finally, Chap. 6 discusses the consequences of these results for economic and health services research.
Medical care, Cost of --- Medical care --- Health insurance --- Utilization
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Health insurance --- Medical care, Cost of --- Medical care --- Medical care --- Medical policy --- Social security --- Cost control
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Economics, Medical --- Economics, Medical --- Medical care, Cost of --- Medical care, Cost of --- Medical care --- Medical care --- Soins médicaux --- Soins médicaux --- Soins médicaux --- Soins médicaux --- Finance. --- Finance. --- Coût --- Coût --- Finances --- Finances
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This report analyzes the possible distributional consequences of several government policies for controlling health care costs. Drawing on the results of RAND's Health Insurance Study, it evaluates the potential savings from policies designed to increase cost sharing--deductibles and copayments--in both government and employer financed health insurance programs. It then examines how the cost of realizing these savings is distributed among major actors in the health care system--patients, doctors, hospitals, suppliers, insurers, and state and federal governments. The study assesses consequences of specific proposals to increase income taxation of employer financed insurance programs and to increase copayments in Medicaid.
Medical care, Cost of --- Health insurance --- Medical care --- Cost control. --- Deductibles and coinsurance. --- Health services --- Health insurance --- Cost control. --- Economics. --- Economics.
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Si la force croissante des dépenses de santé est un phénomène qui s'inscrit dans une évolution de longue durée débutant dans les pays développés au cours des années 50, ce n'est que vingt ans plus tard environ que, pour ces mêmes pays, sont apparus des efforts d'enregistrement et de comptabilisation systématiques des flux financiers dans ces cadres relativement rigoureux. Ainsi, depuis une dizaine d'années, peut-on observer que presque partout les responsables du système de santé "tiennent leurs comptes". Il était donc logique qu'au cours des années 80 apparaisse le besoin de faire un bilan provisoire de toutes ces tentatives et de les confronter. C'est à ce bilan et à cette confrontation qu'est consacré le présent ouvrage, composé d'une vingtaine de textes présentés par le professeur Emile Levy.
Economic policy and planning (general) --- Third World: economic development problems --- Algeria --- Information storage and retrieval systems --- Medical care, Cost of --- Medical statistics --- Congresses --- Statistical services --- Economic conditions --- From 1962 --- Developing countries: economic development problems --- Congresses. --- Medical care, Cost of - Statistical services - Congresses --- Information storage and retrieval systems - Medical statistics - Congresses
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