Medically Uninsured: Individuals or groups with no or inadequate health insurance coverage. Those falling into this category usually comprise three primary groups: the medically indigent (MEDICAL INDIGENCY); those whose clinical condition makes them medically uninsurable; and the working uninsured.Insurance Coverage: Generally refers to the amount of protection available and the kind of loss which would be paid for under an insurance contract with an insurer. (Slee & Slee, Health Care Terms, 2d ed)Insurance, Health: Insurance providing coverage of medical, surgical, or hospital care in general or for which there is no specific heading.Uncompensated Care: Medical services for which no payment is received. Uncompensated care includes charity care and bad debts.Medical Indigency: The condition in which individuals are financially unable to access adequate medical care without depriving themselves and their dependents of food, clothing, shelter, and other essentials of living.Medicaid: Federal program, created by Public Law 89-97, Title XIX, a 1965 amendment to the Social Security Act, administered by the states, that provides health care benefits to indigent and medically indigent persons.Health Services Accessibility: The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.Eligibility Determination: Criteria to determine eligibility of patients for medical care programs and services.State Health Plans: State plans prepared by the State Health Planning and Development Agencies which are made up from plans submitted by the Health Systems Agencies and subject to review and revision by the Statewide Health Coordinating Council.United StatesMedical Assistance: Financing of medical care provided to public assistance recipients.Health Care Reform: Innovation and improvement of the health care system by reappraisal, amendment of services, and removal of faults and abuses in providing and distributing health services to patients. It includes a re-alignment of health services and health insurance to maximum demographic elements (the unemployed, indigent, uninsured, elderly, inner cities, rural areas) with reference to coverage, hospitalization, pricing and cost containment, insurers' and employers' costs, pre-existing medical conditions, prescribed drugs, equipment, and services.Tax Exemption: Status not subject to taxation; as the income of a philanthropic organization. Tax-exempt organizations may also qualify to receive tax-deductible donations if they are considered to be nonprofit corporations under Section 501(c)3 of the United States Internal Revenue Code.Charities: Social welfare organizations with programs designed to assist individuals in need.Poverty: A situation in which the level of living of an individual, family, or group is below the standard of the community. It is often related to a specific income level.Aid to Families with Dependent Children: Financial assistance provided by the government to indigent families with dependent children who meet certain requirements as defined by the Social Security Act, Title IV, in the U.S.State Health Planning and Development Agencies: Agencies established under PL93-641 to coordinate, conduct, and implement state health planning activities. Two primary responsibilities are the preparation of an annual State Health Plan and giving assistance to the Statewide Health Coordinating Council.Health Care Surveys: Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.Community Health Centers: Facilities which administer the delivery of health care services to people living in a community or neighborhood.Patient Protection and Affordable Care Act: An Act prohibiting a health plan from establishing lifetime limits or annual limits on the dollar value of benefits for any participant or beneficiary after January 1, 2014. It permits a restricted annual limit for plan years beginning prior to January 1, 2014. It provides that a health plan shall not be prevented from placing annual or lifetime per-beneficiary limits on covered benefits. The Act sets up a competitive health insurance market.Child Health Services: Organized services to provide health care for children.Universal Coverage: Health insurance coverage for all persons in a state or country, rather than for some subset of the population. It may extend to the unemployed as well as to the employed; to aliens as well as to citizens; for pre-existing conditions as well as for current illnesses; for mental as well as for physical conditions.Financing, Personal: Payment by individuals or their family for health care services which are not covered by a third-party payer, either insurance or medical assistance.National Health Insurance, United StatesFees and Charges: Amounts charged to the patient as payer for health care services.Health Benefit Plans, Employee: Health insurance plans for employees, and generally including their dependents, usually on a cost-sharing basis with the employer paying a percentage of the premium.Health Expenditures: The amounts spent by individuals, groups, nations, or private or public organizations for total health care and/or its various components. These amounts may or may not be equivalent to the actual costs (HEALTH CARE COSTS) and may or may not be shared among the patient, insurers, and/or employers.Healthcare Disparities: Differences in access to or availability of medical facilities and services.CaliforniaHealth Services Needs and Demand: Health services required by a population or community as well as the health services that the population or community is able and willing to pay for.Income: Revenues or receipts accruing from business enterprise, labor, or invested capital.Health Services: Services for the diagnosis and treatment of disease and the maintenance of health.Socioeconomic Factors: Social and economic factors that characterize the individual or group within the social structure.Bankruptcy: The state of legal insolvency with assets taken over by judicial process so that they may be distributed among creditors.Private Sector: That distinct portion of the institutional, industrial, or economic structure of a country that is controlled or owned by non-governmental, private interests.FloridaPolitics: Activities concerned with governmental policies, functions, etc.State Government: The level of governmental organization and function below that of the national or country-wide government.Economics, Hospital: Economic aspects related to the management and operation of a hospital.Insurance Pools: An organization of insurers or reinsurers through which particular types of risk are shared or pooled. The risk of high loss by a particular insurance company is transferred to the group as a whole (the insurance pool) with premiums, losses, and expenses shared in agreed amounts.Income Tax: Tax on the net income of an individual, organization, or business.Patient Credit and Collection: Accounting procedures for determining credit status and methods of obtaining payment.OregonVulnerable Populations: Groups of persons whose range of options is severely limited, who are frequently subjected to COERCION in their DECISION MAKING, or who may be compromised in their ability to give INFORMED CONSENT.Managed Care Programs: Health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as HEALTH MAINTENANCE ORGANIZATIONS and PREFERRED PROVIDER ORGANIZATIONS.Health Services Research: The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)Financing, Government: Federal, state, or local government organized methods of financial assistance.Health Policy: Decisions, usually developed by government policymakers, for determining present and future objectives pertaining to the health care system.Medicare: Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976)Rate Setting and Review: A method of examining and setting levels of payments.New JerseyData Collection: Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.Insurance Benefits: Payments or services provided under stated circumstances under the terms of an insurance policy. In prepayment programs, benefits are the services the programs will provide at defined locations and to the extent needed.Hispanic Americans: Persons living in the United States of Mexican (MEXICAN AMERICANS), Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin. The concept does not include Brazilian Americans or Portuguese Americans.Insurance, Major Medical: Insurance providing a broad range of medical services and supplies, when prescribed by a physician, whether or not the patient is hospitalized. It frequently is an extension of a basic policy and benefits will not begin until the basic policy is exhausted.Federal Government: The level of governmental organization and function at the national or country-wide level.Insurance, Physician Services: Insurance providing benefits for the costs of care by a physician which can be comprehensive or limited to surgical expenses or for care provided only in the hospital. It is frequently called "regular medical expense" or "surgical expense".Emergency Service, Hospital: Hospital department responsible for the administration and provision of immediate medical or surgical care to the emergency patient.Insurance, Health, Reimbursement: Payment by a third-party payer in a sum equal to the amount expended by a health care provider or facility for health services rendered to an insured or program beneficiary. (From Facts on File Dictionary of Health Care Management, 1988)Emigration and Immigration: The process of leaving one's country to establish residence in a foreign country.Mandatory Programs: Programs in which participation is required.Economics, Medical: Economic aspects of the field of medicine, the medical profession, and health care. It includes the economic and financial impact of disease in general on the patient, the physician, society, or government.Health Care Costs: The actual costs of providing services related to the delivery of health care, including the costs of procedures, therapies, and medications. It is differentiated from HEALTH EXPENDITURES, which refers to the amount of money paid for the services, and from fees, which refers to the amount charged, regardless of cost.Public Opinion: The attitude of a significant portion of a population toward any given proposition, based upon a measurable amount of factual evidence, and involving some degree of reflection, analysis, and reasoning.Dissent and Disputes: Differences of opinion or disagreements that may arise, for example, between health professionals and patients or their families, or against a political regime.Hospitals, Voluntary: Private, not-for-profit hospitals that are autonomous, self-established, and self-supported.Community Health Planning: Planning that has the goals of improving health, improving accessibility to health services, and promoting efficiency in the provision of services and resources on a comprehensive basis for a whole community. (From Facts on File Dictionary of Health Care Management, 1988, p299)Hospitals, Proprietary: Hospitals owned and operated by a corporation or an individual that operate on a for-profit basis, also referred to as investor-owned hospitals.Ethnic Groups: A group of people with a common cultural heritage that sets them apart from others in a variety of social relationships.Catastrophic Illness: An acute or prolonged illness usually considered to be life-threatening or with the threat of serious residual disability. Treatment may be radical and is frequently costly.Cost Control: The containment, regulation, or restraint of costs. Costs are said to be contained when the value of resources committed to an activity is not considered excessive. This determination is frequently subjective and dependent upon the specific geographic area of the activity being measured. (From Dictionary of Health Services Management, 2d ed)Community Health Services: Diagnostic, therapeutic and preventive health services provided for individuals in the community.Continental Population Groups: Groups of individuals whose putative ancestry is from native continental populations based on similarities in physical appearance.Logistic Models: Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.Hospital Charges: The prices a hospital sets for its services. HOSPITAL COSTS (the direct and indirect expenses incurred by the hospital in providing the services) are one factor in the determination of hospital charges. Other factors may include, for example, profits, competition, and the necessity of recouping the costs of uncompensated care.Institutional Practice: Professional practice as an employee or contractee of a health care institution.Delivery of Health Care: The concept concerned with all aspects of providing and distributing health services to a patient population.VirginiaPrimary Health Care: Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)Censuses: Enumerations of populations usually recording identities of all persons in every place of residence with age or date of birth, sex, occupation, national origin, language, marital status, income, relation to head of household, information on the dwelling place, education, literacy, health-related data (e.g., permanent disability), etc. The census or "numbering of the people" is mentioned several times in the Old Testament. Among the Romans, censuses were intimately connected with the enumeration of troops before and after battle and probably a military necessity. (From Last, A Dictionary of Epidemiology, 3d ed; Garrison, An Introduction to the History of Medicine, 4th ed, p66, p119)Public Sector: The area of a nation's economy that is tax-supported and under government control.Accounting: System of recording financial transactions.Health Care Sector: Economic sector concerned with the provision, distribution, and consumption of health care services and related products.Cost Sharing: Provisions of an insurance policy that require the insured to pay some portion of covered expenses. Several forms of sharing are in use, e.g., deductibles, coinsurance, and copayments. Cost sharing does not refer to or include amounts paid in premiums for the coverage. (From Dictionary of Health Services Management, 2d ed)Health Status: The level of health of the individual, group, or population as subjectively assessed by the individual or by more objective measures.
HSC Research Brief No. 21Insurance Coverage & Costs Costs The Uninsured Private Coverage Employer Sponsored Individual Public Coverage Medicare Medicaid ... known as a medically underserved population, or MUP. MUA criteria currently include the percentage of people with incomes below ... Also, some clinics want to maintain their focus on the uninsured and/or not take on the administrative burdens associated with ... FQHC leaders are especially nervous about whether funding will be sufficient to care for people who remain uninsured. The law's ...
"Bibliography on Medically Uninsured or Underinsured Persons" by Journal of Law and HealthBibliography on Medically Uninsured or Underinsured Persons, Symposium: Ohioans without Health Insurance: How Big a Problem - ...
Recess Not Merely for Jollification | New Era Newspaper NamibiaFund for Medically Uninsured. September 29, 2006. ...
Healthcare for visitors in Toronto? - canada xray ohip | Ask MetaFilterI already took her to a clinic for the medically uninsured and they asked for some blood work and x-rays and told us that we ... For someone who is medically uninsured. That's not accurate if she has health insurance. I know, she doesn't have Canadian ... For someone who is medically uninsured, I need more information on (1) x-ray centers and (2) medical labs (for blood work) in ... might find x-ray centers and medical labs for the medically uninsured.... posted by cyrusw8 at 12:03 PM on July 23, 2014 ...
ArchiveThe temporary federal high-risk pools won't reach most of the medically uninsured. ...
brief interventions by www.drug-rehabs.orgReferral of medically uninsured ED patients to primary care. Academic Emergency Medicine 9:639-642, 2002. (24) Substance Abuse ... These patients tend to be uninsured and to use the ED as their primary source of medical care (23).2 (2 The terms "older" and " ...
Checklist of official North Carolina State publications :: State PublicationsMedically uninsured persons--North Carolina. Medically uninsured persons--Medical care--North Carolina. Public health--North ... Medically uninsured persons--North Carolina. Medically uninsured persons--Medical care--North Carolina. Public health--North ...
The sad facts behind Rick Perry's Texas miracle - The Washington PostTwenty-six percent of Texans have no health insurance - the highest percentage of medically uninsured residents of any state. ...
7.31.2008-Diagnosing diabetes in the ERWith 50 million medically uninsured Americans, and many more underinsured, 'what are we going to do in the meantime?' Alter ... The ER, not the doctor's office, is where the poor and medically underinsured, increasingly, are getting their healthcare, ...
Servant Evangelism | Christianity TodaySeason of Service united Portland-area churches around five community concerns: homelessness, the medically uninsured, public ...
Historically Speaking: History of the Free Medical Clinic of Oak Ridge - News - Oakridger - Oak Ridge, TN - Oak Ridge, TN... was the establishment of free medical clinics to serve the working poor and medically uninsured. Members of the group ... Kim's talk ignited a huge interest in free medical services for the uninsured poor, such that Auxier decided to attempt the ... Congress and to display a sign on the steps of the Capitol to create greater interest in the approximately 47 million uninsured ...
'I need help': Residents with health issues share stories | TheUnion...... www.helphopelive.org for my uninsured medically related expenses. Please make sure my name is on the memo section of your check ...
Tobacco War: "d0e3873"... or the state's subsidy of a health insurance program for the medically uninsured." The CMA would have ended the requirement ... to a fund to provide health insurance for uninsured workers. As a side note, it's interesting that CMA has the money to do this ... the CMA wanted all health care money from Proposition 99 to go to a health care insurance program for the working uninsured and ...
Discount Policies | BSA Health System in Amarillo, TXBSA offers discounts to the uninsured for medically necessary health services received here. The discount for uninsured ... Discounts for Uninsured Patients. In keeping with the mission and core values of BSA, patients who are uninsured will be ... Uninsured patients who are unable to pay for all or a portion of their treatment may apply for financial assistance by talking ... BSA also provides "charity" (free) care for qualified medically necessary services to patients whose family incomes are at or ...
News Archives - Page 15 of 15 - Aunt Martha'sAunt Martha'sThe expansion will target the 31,000 uninsured and medically underserved individuals in Aurora and surrounding communities. ... is the primary Federal agency for improving access to health care services for people who are uninsured, isolated, or medically ... Aunt Martha's opens preventive health care center for uninsured on Advocate South. Suburban Campus - PDF. THE GED: A STEP IN ...
League of Women Voters of the District of Columbia, The DC Voter, March 2003Those who attended learned that some 200,000 D.C. residents are uninsured, thus medically vulnerable; that emergency room ... The purpose of the HCSNA is to 'provide the oversight needed to ensure that DC's uninsured residents are provided full access ... Sharon Baskerville of DC Primary Care Association (PCA) agreed that DC coverage for the uninsured is very good. She said that ... The Alliance was formed after D.C. General Hospital was closed, as a public/private healthcare provider for for those uninsured ...
Hearing Loss Among Workers| Gateway to Health Communication | CDCMedically Uninsured. *Mental Retardation. *Mercury Poisoning. *Natural Disasters. *Obesity. *Obesity and Disability ...
Radon | Gateway to Health Communication | CDCMedically Uninsured. *Mental Retardation. *Mercury Poisoning. *Natural Disasters. *Obesity. *Obesity and Disability ...
The CareLink Foundation Volunteer Opportunities - VolunteerMatchCareLink's mission is to assist medically underserved and uninsured children and their parents in overcoming barriers to ... CareLink's mission is to assist medically underserved and uninsured children and their parents in overcoming barriers to ... The study surveyed the health care needs of Western DuPage County uninsured and underserved children, as well as the physicians ...
Organ Transplant FundThe Organ Transplant Fund was established to assist Massachusetts residents with the uninsured cost of their medically approved ...
Patricia Gabowmedically uninsured*20th century history*health insurance*drug interactions*medication errors*ambulatory care facilities* ... and uninsured children and between children before and during their enrollment period in CHIP... ...
Mark D Siegalmedically uninsured*dental care*medicaid*school dentistry*health services accessibility*rural population*dmf index*urban ...
Montgomery County assistance programs | Conroe... and to eliminate health disparities by offering quality primary and preventive health care to the uninsured and other medically ...
Network Spotlight: Rural Health Network of Oklahoma | National Rural Health Resource CenterThe Prairie Health Information Technology Network improves patient outcomes and the quality of care for the medically ... uninsured and underinsured residents, documented and undocumented of rural Kentucky. ... WI to increase health care coverage access and retention among the uninsured and underinsured. ... underserved, including the uninsured and underinsured patients of South Dakota, through the meaningful use and adoption by both ...
Contraceptive mandate (United States): A contraceptive mandate is a state or federal regulation or law that requires health insurers, or employers that provide their employees with health insurance, to cover some contraceptive costs in their health insurance plans. In 1978, the U.Association Residence Nursing HomeList of Parliamentary constituencies in Kent: The ceremonial county of Kent,Capital Assistance Program: The Capital Assistance Program is a U.S.Rock 'n' Roll (Status Quo song)Dow Lohnes: Washington, D.C.Lawrence Ting Charity Walk: Lawrence S. Ting Charity Walk is a charity walk event to raise fund for the poor and needy people in Ho Chi Minh City, Vietnam.Poverty trap: A poverty trap is "any self-reinforcing mechanism which causes poverty to persist."Costas Azariadis and John Stachurski, "Poverty Traps," Handbook of Economic Growth, 2005, 326.Combined Development Agency: The Combined Development Agency (CDA) was a defense purchasing authority established in 1948 by the governments of the United States and the United Kingdom. Its role was to ensure adequate supplies of uranium for the respective countries weapons development programmes.Northeast Community Health CentreList of largest employers: ==Largest public and private and Government employers in the world==DenplanSan Diego County, California Probation: The San Diego County Probation Department is the body in San Diego County, California responsible for supervising convicted offenders in the community, either who are on probation, such as at the conclusion of their sentences, or while on community supervision orders.Circular flow of income: The circular flow of income or circular flow is a model of the economy in which the major exchanges are represented as flows of money, goods and services, etc. between economic agents.BankruptcyPrivate healthcareMiami-Dade County Corrections and Rehabilitation Department: The Miami-Dade County Corrections and Rehabilitation Department is an agency of the government of Miami-Dade County, Florida. It has its headquarters in the Gladeview census-designated place in an unincorporated area.Opinion polling in the Philippine presidential election, 2010: Opinion polling (popularly known as surveys in the Philippines) for the 2010 Philippine presidential election is managed by two major polling firms: Social Weather Stations and Pulse Asia, and several minor polling firms. The polling firms conducted surveys both prior and after the deadline for filing of certificates of candidacies on December 1, 2009.State health agency: A state health agency (SHA), or state department of health, is a department or agency of the state governments of the United States focused on public health. The state secretary of health is a constitutional or at times a statutory official in several states of the United States.Dana GoldmanTaxation in New Mexico: Taxation in New Mexico takes several different forms. The principal taxes levied in the U.List of waterfalls in Oregon: There are at least 238 waterfalls in the U.S.Health policy: Health policy can be defined as the "decisions, plans, and actions that are undertaken to achieve specific health care goals within a society."World Health Organization.Themis MedicareNew Jersey State Park Police: The New Jersey State Park Police patrol and protect the State’s 54 parks, forests and recreation areas which encompass an excess of and are visited by more than 17 million people each year, which defines their motto, "Protecting New Jersey's Treasures and the people who visit them." All State Park Police Officers are sworn State Law Enforcement Officers who are PTC certified.Healthcare in Tanzania: Health care in Tanzania is available depending on one's income and accessibility. People in urban areas have better access to private and public medical facilities.Federal Employees Health Benefits Program: The Federal Employees Health Benefits (FEHB) Program is a system of "managed competition" through which employee health benefits are provided to civilian government employees and annuitants of the United States government.Senior Emergency Department: The senior emergency department is a recent hospital innovation to build separate geriatric emergency rooms for older adults akin to pediatric emergency rooms designed for children. The trend comes in response to the nation's rapidly growing population of older adults and overcrowding of emergency departments.List of countries that regulate the immigration of felons: This is a list of countries that regulate the immigration of felons.Inverse benefit law: The inverse benefit law states that the more a new drug is marketed, the worse it is for patients. More precisely, the ratio of benefits to harms among patients taking new drugs tends to vary inversely with how extensively a drug is marketed.Public opinion on nuclear issues: Public opinion on nuclear issues is the aggregate of attitudes or beliefs held by the adult population concerning nuclear power, nuclear weapons and uranium mining.Never Come UndoneDrumcondra Hospital: Drumcondra Hospital (originally, the Whitworth Fever Hospital, and from 1852 to 1893 the Whitworth General Hospital) was a voluntary hospital on Whitworth Road in Dublin, Ireland, that became part of the Rotunda Hospital in 1970.Healthy community design: Healthy community design is planning and designing communities that make it easier for people to live healthy lives. Healthy community design offers important benefits:For-profit hospital: For-profit hospitals, or alternatively investor-owned hospitals, are investor-owned chains of hospitals which have been established particularly in the United States during the late twentieth century. In contrast to the traditional and more common non-profit hospitals, they attempt to garner a profit for their shareholders.Catastrophic illness: A catastrophic illness is a severe illness requiring prolonged hospitalization or recovery. Examples would include coma, cancer, leukemia, heart attack or stroke.Comprehensive Rural Health Project: The Comprehensive Rural Health Project (CRHP) is a non profit, non-governmental organization located in Jamkhed, Ahmednagar District in the state of Maharashtra, India. The organization works with rural communities to provide community-based primary healthcare and improve the general standard of living through a variety of community-led development programs, including Women's Self-Help Groups, Farmers' Clubs, Adolescent Programs and Sanitation and Watershed Development Programs.Global Health Delivery ProjectHistory of Virginia Commonwealth University: The history of Virginia Commonwealth University begins in 1967, when the Medical College of Virginia and the Richmond Professional Institute merged to become one, single university in Richmond, Virginia. The earliest roots of the school trace back to 1838, when the Medical College of Virginia was founded.Halfdan T. MahlerSelf-rated health: Self-rated health (also called Self-reported health, Self-assessed health, or perceived health) refers to both a single question such as “in general, would you say that you health is excellent, very good, good, fair, or poor?” and a survey questionnaire in which participants assess different dimensions of their own health.
(1/810) Explaining the decline in health insurance coverage, 1979-1995.
The decline in health insurance coverage among workers from 1979 to 1995 can be accounted for almost entirely by the fact that per capita health care spending rose much more rapidly than personal income during this time period. We simulate health insurance coverage levels for 1996-2005 under alternative assumptions concerning the rate of growth of spending. We conclude that reduction in spending growth creates measurable increases in health insurance coverage for low-income workers and that the rapid increase in health care spending over the past fifteen years has created a large pool of low-income workers for whom health insurance is unaffordable. (+info)
(2/810) Challenges in securing access to care for children.
Congressional approval of Title XXI of the Social Security Act, which created the State Children's Health Insurance Program (CHIP), is a significant public effort to expand health insurance to children. Experience with the Medicaid program suggests that eligibility does not guarantee children's enrollment or their access to needed services. This paper develops an analytic framework and presents potential indicators to evaluate CHIP's performance and its impact on access, defined broadly to include access to health insurance and access to health services. It also presents options for moving beyond minimal monitoring to an evaluation strategy that would help to improve program outcomes. The policy considerations associated with such a strategy are also discussed. (+info)
(3/810) Why are workers uninsured? Employer-sponsored health insurance in 1997.
This study examines the number of workers in firms offering employee health plans, the number of workers eligible for such plans, and participation in employer-sponsored insurance. Data from the February 1997 Contingent Worker Supplement to the Current Population Survey indicate that 10.1 million workers are employed by firms offering insurance but are not eligible. Not all of these workers are eligible for coverage, most often because of hours of work. Our results indicate that 11.4 million workers rejected coverage when it was offered. Of those, 2.5 million workers were uninsured. Workers cited high cost of insurance most often as the primary factor for refusing coverage. (+info)
(4/810) Employer's willingness to pay: the case for compulsory health insurance in Tanzania.
This article documents employers' expenditure on the arrangements for the health care of their employees in one of the least developed countries; Tanzania. The case for compulsory health insurance is considered in the light of the fact that only 3% of the population is employed in the formal sector and could be covered at first. It is shown from a survey of larger employers, outside government, that they were spending on average 11% of payroll on health care for their employees. This demonstrated their lack of satisfaction with the government health services. Nevertheless, those who could readily be covered by insurance were making considerable use of the more expensive government hospital services. It is argued that a compulsory health insurance scheme could be introduced for the formal sector of employment which would cover a wider range of health services at lower cost. The scheme would also have the desirable economic effect of lowering employers' labour costs while making it possible to improve the standards of the government health services. (+info)
(5/810) Research note: price uncertainty and the demand for health care.
(6/810) Reform follows failure: I. Unregulated private care in Lebanon.
This first of two papers on the health sector in Lebanon describes how unregulated development of private care quickly led to a crisis situation. Following the civil war the health care sector in Lebanon is characterized by (i) ambulatory care provided by private practitioners working as individual entrepreneurs, and, to a small extent, by NGO health centres; and (ii) by a fast increase in hi-tech private hospitals. The latter is fuelled by unregulated purchase of hospital care by the Ministry of Health and public insurance schemes. Health expenditure and financing patterns are described. The position of the public sector in this context is analyzed. In Lebanon unregulated private care has resulted in major inefficiencies, distortion of the health care system, the creation of a culture that is oriented to secondary care and technology, and a non-sustainable cost explosion. Between 1991 and 1995 this led to a financing and organizational crisis that is the background for growing pressure for reform. (+info)
(7/810) The potential role of risk-equalization mechanisms in health insurance: the case of South Africa.
International agencies such as the World Bank have widely advocated the use of health insurance as a way of improving health sector efficiency and equity in developing countries. However, in developing countries with well-established, multiple-player health insurance markets, such as South Africa, extension of insurance coverage is now inhibited by problems of moral hazard, and associated cost escalation and fragmentation of insurer risk-pools. Virtually no research has been done on the problem of risk selection in health insurance outside developed countries. This paper provides a brief overview of the problem of risk fragmentation as it has been studied in developed countries, and attempts to apply this to middle-income country settings, particularly that of South Africa. A number of possible remedial measures are discussed, with risk-equalization funds being given the most attention. An overview is given of the risk-equalization approach, common misconceptions regarding its working and the processes that might be required to assess its suitability in different national settings. Where there is widespread public support for social risk pooling in health care, and government is willing and able to assume a regulatory role to achieve this, risk-equalization approaches may achieve significant efficiency and equity gains without destroying the positive features of private health care financing, such as revenue generation, competition and free choice of insurer. (+info)
(8/810) Pressures on safety net access: the level of managed care penetration and uninsurance rate in a community.
OBJECTIVE: To examine the effects of managed care penetration and the uninsurance rate in an area on access to care of low-income uninsured persons and to compare differences in access between low-income insured and uninsured persons across these different market areas. DATA SOURCES: Primarily the Community Tracking Study household survey. Other market-level data were obtained from the Community Tracking Study physician survey, American Hospital Association annual survey of hospitals, Area Resource File, HCFA Administrative Data, Bureau of Primary Care data on Community Health Centers. STUDY DESIGN: Individuals are grouped based on the level of managed care penetration and uninsurance rate in the site where they reside. Measures of managed care include overall managed care penetration in the site, and the level of Medicaid managed care penetration in the state. Uninsurance rate is defined as the percentage of people uninsured in the site. Measures of access include the percentage with a usual source of care, percentage with any ambulatory care use, and percentage of persons who reported unmet medical care needs. Estimates are adjusted to control for other confounding factors, including both individual and market-level characteristics. DATA COLLECTION: A survey, primarily telephoned, of households concentrated in 60 sites, defined as metropolitan statistical areas and nonmetropolitan areas. PRINCIPAL FINDINGS: Access to care for low-income uninsured persons is lower in states with high Medicaid managed care penetration, compared to uninsured persons in states with low Medicaid managed care penetration. Access to care for low-income uninsured persons is also lower in areas with high uninsurance rates. The "access gap" (differences in access between insured and uninsured persons) is also larger in areas with high Medicaid managed care penetration and areas with high uninsurance rates. CONCLUSIONS: Efforts to achieve cost savings under managed care may result in financial pressures that limit cross-subsidization of care to the medically indigent, particularly for those providers who are heavily dependent on Medicaid revenue. High demand for care (as reflected in high uninsurance rates) may further strain limited resources for indigent care, further limiting access to care for uninsured persons. (+info)
poor and medically
- His ambition, which permeated the group, was the establishment of free medical clinics to serve the working poor and medically uninsured. (oakridger.com)
- You can make a tax deductible donation at http://www.helphopelive.org for my uninsured medically related expenses. (theunion.com)
- The Organ Transplant Fund was established to assist Massachusetts residents with the uninsured cost of their medically approved transplants and related expenses. (mass.gov)
- Members of the group participated in a bus trip to Washington, D.C., to meet with members of Congress and to display a sign on the steps of the Capitol to create greater interest in the approximately 47 million uninsured persons in the nation. (oakridger.com)
- Twenty-six percent of Texans have no health insurance - the highest percentage of medically uninsured residents of any state. (washingtonpost.com)
- I'm not sure if this is what you're asking, or if you specifically are looking for somewhere that would treat an uninsured patient at low cost -- that might be more difficult since most people here are covered. (metafilter.com)
- CareLink's mission is to assist medically underserved and uninsured children and their parents in overcoming barriers to receiving medical care in the Dupage County, Illinois area. (volunteermatch.org)
- To examine differences in health care services utilization between children who are enrolled in the Child Health Insurance Plan (CHIP) and uninsured children and between children before and during their enrollment period in CHIP. (labome.org)
- BSA provides this discount in order to ensure that uninsured patients receive quality medical care. (bsahs.org)
- It is important to note, that the prompt pay discount cannot be used in combination with any other offer or discount, such as health care insurance contractual adjustments, uninsured patient discounts, customer service adjustments and others. (bsahs.org)
- Kim's talk ignited a huge interest in free medical services for the uninsured poor, such that Auxier decided to attempt the formation of a clinic in Oak Ridge. (oakridger.com)
- BSA offers discounts to the uninsured for medically necessary health services received here. (bsahs.org)
- This policy excludes health care services that are not emergent, not medically necessary, are cosmetic, experimental, or part of a clinical research program. (bsahs.org)
- BSA also provides "charity" (free) care for qualified medically necessary services to patients whose family incomes are at or below 200 percent of applicable federal poverty guidelines. (bsahs.org)
- The Health Resources and Services Administration (HRSA), part of the U.S. Department of Health and Human Services, is the primary Federal agency for improving access to health care services for people who are uninsured, isolated, or medically vulnerable. (auntmarthas.org)
- The study surveyed the health care needs of Western DuPage County uninsured and underserved children, as well as the physicians who serve them. (volunteermatch.org)