Thematische Bibliographien / Health insurance rights

Auswahl der wissenschaftlichen Literatur zum Thema „Health insurance rights“

Autor: Grafiati

Veröffentlicht am 25. Juli 2024

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Zeitschriftenartikel zum Thema "Health insurance rights"

Jeong, Byungseok. „Joint Tortfeasor's Right of Contribution in Overlapping Liability Insurance: A Critical Review of Supreme Court Decision of 2009. 12. 24., 2009Da42819“. Institute for Legal Studies Chonnam National University 43, Nr. 3 (31.08.2023): 243–78. http://dx.doi.org/10.38133/cnulawreview.2023.43.3.243.

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As indicated in the ruling at issue, the contribution right arising from the underlying torts and the right of contribution arising out of overlapping insurance coverage coexist and can be exercised simultaneously, in competition, or successively. However, once one contribution right is satisfied, the other is proportionately diminished. The decision at issue, clarifying these legal principles and providing a specific method for calculating the amount of subrogation claims, is significant as a case of first impression on these issues. This paper’s main arguments can be summarized as follows: 1. In liability insurance, it is crucial to consider concepts such as the insurable interests, the sum insured, and the amount of insurance coverage. Especially when unlimited liability insurance is one of the overlapping insurances, or when both are unlimited in liability, determining the amount to be paid respectively by the insurers, which serves as the basis for apportioning compensation liability among insurers, becomes unfeasible. 2. It is questionable whether the direct contribution rights among insurers are acquired from the subrogation of the right of insured or from the direct claim rights of the victim. The author maintains that this contribution right among the insurers arises from the internal relations among multiple obligors liable to the victim. This right therefore is sui generis. 3. The exercise of contribution rights among insurers involves separating the portion of liability attributable to the fault of the other party, and claiming the share of the overlapping insurance portion remaining after the first contribution. However, the result of the calculation remains the same, whether the proportion of overlapping insurance is applied first to the entire compensation liability or not. 4. The right of contribution concerning the torts and the right concerning overlapping insurances are independent and separate causes of action, however, they should be treated and managed in litigation process without any contradiction.

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Parmet, Wendy, und Simon Fischer. „Human rights and immigrants’ access to care“. Salud Pública de México 55, Nr. 6 (07.11.2013): 631. http://dx.doi.org/10.21149/spm.v55i6.7309.

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Although the human right to health is well established under international law, many states limit non-citizens’ participation in public insurance programs. In the United States, immigrants face especially high barriers due to the lack of recognition of a broad right to health as well as federal statutes restricting many immigrants’ eligibility to federally-funded insurance. High rates of uninsurance among immigrants have a detrimental effect on their health, as well as on the health of citizens who live in their communities. Finch vs. Commonwealth Health Insurance Connector, a recent case decided by the Supreme Judicial Court of Massachusetts, recognized the rights of legal immigrants in Massachusetts to state-supported health care, and demonstrates the importance of insuring immigrants in broadly-based, rather than immigrant-specific, programs.

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Silvers, Anita, und Leslie Francis. „Human Rights, Civil Rights: Prescribing Disability Discrimination Prevention in Packaging Essential Health Benefits“. Journal of Law, Medicine & Ethics 41, Nr. 4 (2013): 781–91. http://dx.doi.org/10.1111/jlme.12089.

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Health care insurance schemes, whether private or public, are notoriously unaccommodating to individuals with disabilities. While most nonelderly nondisabled persons in the U.S. are insured through private sources, coverage sources for nonelderly persons with disabilities have traditionally been a mix of private and public coverage. For all age groups, the employment-to-population ratio is much lower for persons with a disability than for those with no disability. Moreover, employed persons with a disability were more likely to be self-employed than those with no disability. As a group, therefore, nonelderly people with disabilities have not been as well positioned as others to obtain private health care insurance because in the U.S., acquiring such coverage usually is employer based.

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Elman oğlu Zamanov, Ceyhun. „Social insurance of the population in Azerbaijan“. SCIENTIFIC WORK 15, Nr. 3 (24.03.2021): 109–11. http://dx.doi.org/10.36719/2663-4619/64/109-111.

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Throughout history, people have felt the need to secure themselves and their families against possible risks in their lives. These demands developed the concept of social security and brought up the social rights to be offered to people. In every society, states form an integrity of practices aimed at meeting the basic needs of their citizens. The concept of social security includes many applications, from all kinds of rights related to health expenses from birth to death, to the rights during the periods they work and retire. Since having healthy individuals is the most important issue in the development of societies, the health rights offered take the first place in social security. Countries should make very good planning in the health services they provide. Since healthcare services also require a serious financial resource, when societies are examined, they continuously improve themselves, make reforms, and try other country model applications to meet their health needs from the first day until today. Keywords: insurance, Azerbaijan, social, economy

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Strapazzon, Carlos Luiz, und Robison Tramontina. „Constitutional social rights without a social security philosophy“. Revista Brasileira de Direitos Fundamentais & Justiça 10, Nr. 35 (30.12.2016): 227–51. http://dx.doi.org/10.30899/dfj.v10i35.101.

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Brazilian constitutional law has a broad and multidimensional conception of fundamental rights. The so-called Welfare Rights are part of them. They are not only formally grounded on Title II, the Bill of Fundamental Rights, but are also protected by particular Constitutional Actions established as means for judicial implementation thereof. Welfare Rights as healthcare, social insurance and social care services for the most vulnerable, enjoy, therefore, a preferential position within the Brazilian system of constitutional rights. This article maintains that in spite of adopting a strong constitutional framework for healthcare, social insurance and socialcare services, the lack of a consistent and coherent political philosophy for welfare state seriously undermine the progressive implementation of these constitutional rights. In the first part the manuscript seeks to clarify the causes of this circumstance of recognition of health, socialcare and social insurance as fundamental rights without equivalent recognition of social security as a proper human right. Afterwards, the article is particularly concerned with the features of the judicialization of social rights. As a matter of conclusion, the article points out this situationas a paradox by addressing the lack of a proper philosophy of social security in a context of strong constitutional protection for health, social insurance and social care services.

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Diep, Dao Mong, Nguyen Dao Mai Khanh und Dao The Dong. „rights to enjoy benefit from social insurance of the femalelabor“. Linguistics and Culture Review 6 (09.01.2022): 114–25. http://dx.doi.org/10.21744/lingcure.v6ns4.2096.

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Social insurance is the mainstay of the social security policy associated with the employee. The right to have social insurance is the basic and specific right associated with a female worker. This group right includes the right to enjoy the sickness benefit, maternity benefit, Work Injury, Occupational Disease Benefit, Old-age Benefit, Survivor’s Benefit, Medical Benefit (Health Insurance). The state has promulgated the Labor Code, the Law on Social Insurance, and other legal documents to create an implementation guide in order to build an effective legal corridor to protect the rights of female employees in enjoying social insurance. However, in reality, the right to enjoy social insurance of female employees is violated, and there is a gap between legal provisions and practical applications. This scientific paper evaluates the current status of legal provisions on the right to enjoy social insurance of female employees and the practical application of the law. From there, this paper proposes some solutions to improve the law on the right to enjoy social insurance of female employees.

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Nmehielle, Vincent O. „Genomics, Insurance and Human Rights: Is there a Place for Regulatory Frameworks in Africa?“ African Journal of Legal Studies 2, Nr. 1 (2006): 20–34. http://dx.doi.org/10.1163/221097312x13397499736381.

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AbstractThis article examines the human rights dimension of genetic discrimination in Africa, exploring the place of regulatory frameworks while taking into account the disadvantaged position of the average African. This is in response to the tendency of insurance companies toward making health insurance decisions on the basis of individual genetic information, which could result in genetic discrimination or health insurance discrimination based on a person's genetic profile. The author considers such questions as the intersection between human rights (right to life, health, privacy, human dignity and against genetic discrimination) in relation to the insurance industry, as well as the obligations of state and non-state actors to promote, respect, and protect the enjoyment of these rights. The article argues that African nations should not stand aloof in trying to balance the competing interests (scientific, economic and social) presented by the use of genetic information in the health care context and that ultimately it is the responsibility of states to develop domestic policies to protect their most vulnerable citizens and to prevent entrenched private discrimination based on an individual's genes.

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Chisari-Rurak, Aliona. „Mandatory insurance within the framework of employment relations“. Supremacy of Law, Nr. 1 (Januar 2023): 159–65. http://dx.doi.org/10.52388/2345-1971.2022.e1.14.

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The right to work is one of the fundamental human rights stated in both local and international acts. It is usually realized on the basis of an individual employment contract, resulting in the formation of a legal relationship between the employer and the employee. The relevance of mandatory social insurance and mandatory health insurance organizations cannot be overstated. Obligatory insurance in work relationships strives to give socio-economic assurances to employees who are legally required to be insured by both the public social security system and the compulsory health insurance system. The monthly payment of the social insurance contribution by the employer and the health insurance premium by the employee generates the right to multiple benefits and services established by law.

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Manullang, Sardjana Orba. „Understanding of the health insurance program in the perspective of human rights in Indonesia“. International journal of health sciences 6, S1 (21.03.2022): 1646–60. http://dx.doi.org/10.53730/ijhs.v6ns1.4921.

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This paper discusses the public's understanding of the health insurance program from the perspective of human rights in Indonesia. The author believes that the public needs to understand the health insurance program from the point of view of law and human rights as citizens living in Indonesia and democracy. A series of data searches on some insurance and health literature databases were reviewed from a legal perspective. The data that has been collected is then analyzed under a phenomenological approach, a study model that seeks to understand a phenomenon that exists in a context to be described and studied for re-understanding. The data search was carried out by keyword on the Google Scholar search engine in many publications published from 2010 to 2022. Based on the data and research results, we believe that all of these have met the requirements for validity and accuracy of the data to answer the problem. The results, among others, are that based on regulatory law number 24 of 2011, every citizen has the right to get assistance in health and social insurance like life insurance from the state.

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Chumenko, Nikolay Leonidovich. „Health managers: insurance representatives in medical organizations“. Glavvrač (Chief Medical Officer), Nr. 2 (20.01.2022): 40–42. http://dx.doi.org/10.33920/med-03-2202-02.

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Many citizens are still not sufficiently informed about their rights in the field of obtaining medical care under compulsory medical insurance. The SOGAZ-Med insurance representatives, the employees of the insurance medical organization with special training who represent the interests and provide individual support in the provision of medical care guaranteed by law, will be able to help them.

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Dissertationen zum Thema "Health insurance rights"

Mambulasa, Mandala D. „(Non)-regulation of the health insurance industry and its potential impact on the rights to health and life : a comparative analysis of Malawi and South Africa“. Diss., University of Pretoria, 2011. http://hdl.handle.net/2263/16767.

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Malawi reverted to multiparty politics in 1993.1 A new Republican Constitution,2 (the Constitution) with a Bill of Rights was provisionally adopted on 18 May 1994 and it entered into force on 18 May 1995.3 Chapter 3 thereof deals with fundamental principles upon which the Constitution is founded and Principles of National Policy (PNP). Section 13(c) of the Constitution which falls under the PNP deals with health. It is to the effect that ‘the State shall actively promote the welfare and development of the people of Malawi by progressively adopting and implementing policies and legislation aimed at achieving adequate healthcare, commensurate with the health needs of Malawian society and international standards of healthcare’. According to section 14 of the Constitution, PNP are only directory in nature. Courts are obliged to have regard to them in the interpretation and application of the Constitution or any other law or in the determination of the validity of executive decisions. In the light of the foregoing, arguably, the right to health is not justiciable under the Constitution.
Thesis (LLM (Human Rights and Democratisation in Africa)) -- University of Pretoria, 2010.
A dissertation submitted to the Faculty of Law University of Pretoria, in partial fulfilment of the requirements for the degree Masters of Law (LLM in Human Rights and Democratisation in Africa). Prepared under the supervision of Prof. Ben K. Twinomugisha of the Faculty of Law, University of Makerere. 2010.
http://www.chr.up.ac.za/
Centre for Human Rights
LLM

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Lima, Leonardo Franco de. „A justicialidade dos direitos fundamentais nos contratos privados de assistência à saúde“. Pontifícia Universidade Católica de São Paulo, 2016. https://tede2.pucsp.br/handle/handle/19389.

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Submitted by Marlene Aparecida de Souza Cardozo (mcardozo@pucsp.br) on 2016-11-24T12:02:28Z No. of bitstreams: 1 Leonardo Franco de Lima.pdf: 1848980 bytes, checksum: 38d6622485cd27b397a7809b5477bf8b (MD5)
Made available in DSpace on 2016-11-24T12:02:29Z (GMT). No. of bitstreams: 1 Leonardo Franco de Lima.pdf: 1848980 bytes, checksum: 38d6622485cd27b397a7809b5477bf8b (MD5) Previous issue date: 2016-10-10
Many were the battles fought for all humanity throughout the ages for recognition of various human rights. The 1988 Federal Constitution, inspired by other European legal systems, especially the Portuguese, brought great progress in the recognition of numerous social rights, aside from concern to confer instruments so these rights could be implemented by the state and the whole society in order that the precepts planted in the constitution were not relegated to mere promises. The health rights is among those the constitutional legislator leaned more concern, not limited to grant it as a public subjective right, but also organized a unique system through regionalized and hierarchical network, involving all political federation entities and the society as responsible for its implementation. This paper assumes that health is a public subjective right, allowing this way its judicial protection. Inclusive, from this point of view, the pact's preamble that established the World Health Organization conceives health as a state of complete physical, mental and social well-being, obliging the Brazilian State to guarantee its citizens all means for health preservation or re-establishment. However, the 1988 Federal Constitution opened to private sector the pportunity to participate in the health system, both in its complementary form, working with the public health system through the execution of public contract or celebrating agreement with the administration, as in supplemental way through private services provided by contracting health insurance providers. This pact should be analyzed from the perspective of another fundamental right, as elected by the 1988 Letter, the consumer right. This way, it is essential to establish the distinction between public and private orms for health rights exercise, through harmonisation between the principles of human dignity and the right to health with other constitutional principles as those who consecrate the private autonomy, legal certainty, the property, free enterprise, the separation of powers, among others. This interpretative task with its various technical analysis allows you to extract from the current laws the conformation between the rules and principles that establish the limits of each legal relationship, private and public, demonstrating an improper intervention of judiciary in fields given for legislators
Inúmeras foram as batalhas travadas por toda a humanidade ao longo dos tempos para reconhecimento dos mais diversos direitos do homem. A Constituição Federal de 1988, inspirada em outros ordenamentos europeus, especialmente o português, trouxe imenso avanço no reconhecimento de inúmeros direitos sociais, além de se preocupar em conferir instrumentos para que estes direitos pudessem ser concretizados pelo Estado e por toda a sociedade, a fim de que os preceitos fincados no Texto Maior não fossem relegados a meras promessas. O direito à saúde está dentre aqueles que o legislador constitucional se debruçou com maior preocupação, não se limitando a outorgá-lo como um direito subjetivo público, mas foi além, organizou um sistema único através de rede regionalizada e hierarquizada, envolvendo todos os entes políticos da federação e a sociedade como responsáveis por sua implementação. Este trabalho parte da premissa da saúde como direito subjetivo público, viabilizando, dessa forma, a sua tutela jurisdicional. Inclusive, sob esse prisma, o preâmbulo do pacto que instituiu a Organização Mundial de Saúde concebe a saúde como o estado completo de bem-estar físico, mental e social, obrigando ao Estado Brasileiro assegurar aos seus cidadãos todos os meios para a preservação ou restabelecimento da saúde. No entanto, a Constituição Federal de 1988 franqueou à iniciativa privada participar do sistema de saúde, tanto em sua forma complementar, atuando junto ao sistema público de saúde, através de celebração de contrato público ou convênio com a Administração, quanto de maneira suplementar, através de serviços privados prestados por intermédio da contratação de operadoras de planos de saúde, pacto este que deve ser analisado sob a perspectiva de outro direito fundamental, assim eleito pela Carta de 1988, o direito do consumidor. Dessa forma, é indispensável estabelecer a distinção existente entre as formas pública e privada do exercício ao direito à saúde, através de harmonização entre os princípios da dignidade humana e do direito à saúde com outros preceitos constitucionais como aqueles que consagram a autonomia privada, a segurança jurídica, a propriedade, a livre-iniciativa, a separação de poderes, dentre outros. Essa tarefa interpretativa com a análise de suas diversas técnicas permite extrair do ordenamento vigente a conformação entre as regras e princípios que estabelecem os limites de cada relação jurídica, pública e privada, demonstrando indevida a intervenção do Judiciário em searas afetas ao legislador

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Keevy, Daniel Matthew John. „A critical analysis of the doctor-patient relationship in context of the right to adequate health care“. Diss., University of Pretoria, 2012. http://hdl.handle.net/2263/25086.

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The purpose of this thesis is to prove the existence of the right to adequate healthcare through a critical analysis of the law of obligations, constitutional law and international law framed in the wider focal point of South African medical law. The Constitution only makes provision for the right to access to health care. Conclusively this thesis will have to establish a link between a minimum standard in health care and the Constitution. It is submitted that the most efficacious method of establishing this link is with the duty of care, which is intrinsically linked to the doctor-patient relationship. If a critical analysis of the doctor-patient relationship can establish a clear link between the duty of care and state liability then such a link can successfully be applied to the Constitution. If this link is transposed onto the Constitution, a critical evaluation of the rights in the Bill of Rights will then reveal the most applicable right that can house the right to an adequate standard of health care. Such an analysis is only part of the solution however. In order to make this right effective, the international body of medical laws must be critically analysed and juxtaposed against this adequate standard. This carries the dual purpose of adding normative content as well as determining the current state of South Africa’s obligations under international human rights law, and to what extent those obligations have been discharged. Finally, and most significantly, the right to adequate healthcare, as it was forged in the international legal analysis, will be transposed onto the current South African jurisprudence of socio-economic rights. This practical application will then be reflected onto the new National Health Care Insurance to show conclusively that the current governmental approach of effecting health care is wholly inoperable and will ultimately result in significant harm and extensive human rights violations. This is based on the government only considering access to health care sufficient to discharge its duties and being totally incapable of effectively managing its resources. The core outcome for this thesis is to prove the existence of the right to adequate healthcare. Secondary outcomes are tracing the history of medicine to illustrate the creation and evolution of the doctor-patient relationship, a critical analysis of the application of medical ethics to South African law of obligations, a critical analysis of the Constitution and its fundamentals, an exhaustive evaluation of South Africa’s duties and accomplishments under its international obligations and effectively applying the right to adequate healthcare which is diametrically opposed to the current course South Africa is taking to provide health care.
Dissertation (LLM)--University of Pretoria, 2012.
Public Law
unrestricted

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Strauss, Zannelize. „Die rol wat die reg op toegang tot gesondheidsorgdienste speel in armoedevermindering in Suid–Afrika / Z. Strauss (Kruger)“. Thesis, North-West University, 2010. http://hdl.handle.net/10394/4933.

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Section 27(1)(a) of the Constitution of the Republic of South Africa, 1996, entrenches everyone's right of access to health care services. The purpose of this dissertation is to determine the manner in which this right must be interpreted and implemented in order to alleviate poverty to the optimal extent possible, in South Africa. As a point of departure, the relationship between poverty and health, as well as the theoretical basis of poverty, is addressed in terms of soft law. Thereafter, the theoretical basis of the right of access to health care service is analysed and explained from both an international and a South African perspective. This is followed by an investigation into international law. The manner in which the United Nations International Covenant on Economic, Social and Cultural Rights is interpreted and implemented and whether or not this contributes to poverty alleviation, is investigated. This is followed by an analysis of the right in terms of the Constitution and case law. Particular attention is paid to the manner in which the courts interpret the right of access to health care services. It is then determined whether the state is implementing the right in such a manner as to contribute to the optimal alleviation of poverty, in South Africa. Finally, a conclusion is reached and recommendations are made as to ways in which the right can be interpreted and implemented to reduce poverty to the optimal extent possible, in South Africa.
Thesis (LL.M.)--North-West University, Potchefstroom Campus, 2010.

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Fontaine, Marie. „Les droits et les obligations du patient face à l'assurance maladie“. Thesis, Sorbonne Paris Cité, 2016. http://www.theses.fr/2016USPCB201.

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Acteur essentiel du droit de la santé, le patient est au cœur du système de santé français. Néanmoins, l'assurance maladie, financeur du système de santé, est très souvent éludée lorsqu'il s'agit de s'interroger sur le patient. Or, c'est la figure même du patient assuré social qui émerge du système de santé. Aussi, les articulations entre le droit de la santé et de l'assurance maladie soulèvent des questions. Par ailleurs, le patient assuré social est également titulaire de droits qui semblent avoir pour corollaire des obligations. La compréhension de l'articulation de ces droits au regard du droit de la santé et de l'assurance maladie paraît inéluctable tout comme la nécessaire recherche et qualification d'obligations. C'est ainsi une certaine vision de notre système de santé qui se dégage de la recherche de ces normes applicables
As an essential character in the health care law, the patient is the cornerstone of the French health care system. But the French Health Insurance, which is the financial base of this system, is often ignored in the studies dedicated to the patient. Nevertheless, a real concept of an insured patient has emerged from the French health care system. Consequently, the connections between health care law and health insurance law have to be questioned. Furthermore, the rights owned by this insured patient seem to have corollary duties ; understanding the combinations between these rights under the health care law and health insurance law is unavoidable, as well as the necessary research and qualification of related duties. In the end, it appears that the research of these rules reveals a particular conception of the health care system

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Hadjimaleki, Sohayla K. „Replacing health insurance with health assurance establishing the right to health care and the need for reform in the United States /“. [Denver, Colo.] : Regis University, 2009. http://165.236.235.140/lib/SHadjimaleki2009.pdf.

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Cheng, Sin Ying. „Health Insurance Portability and Accountability Act (HIPAA)-compliant privacy access control model for Web services /“. View abstract or full-text, 2006. http://library.ust.hk/cgi/db/thesis.pl?COMP%202006%20CHENGS.

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Wisdo, Nancy E. „Canons 231 and 1286 the responsibility of the Church to provide health insurance for its employees /“. Theological Research Exchange Network (TREN), 2006. http://www.tren.com/search.cfm?p029-0657.

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Trettel, Daniela Batalha. „Planos de saúde na Justiça: o direito à saúde está sendo efetivado?: estudo do posicionamento dos Tribunais Superiores na análise dos conflitos entre usuários e operadoras de planos de saúde“. Universidade de São Paulo, 2009. http://www.teses.usp.br/teses/disponiveis/2/2140/tde-24112009-164837/.

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Através do presente estudo analisou-se as decisões judiciais proferidas pelos Tribunais Superiores do Brasil - Supremo Tribunal Federal (STF) e Superior Tribunal de Justiça (STJ) - acerca dos conflitos entre usuários e operadoras de planos de saúde, a fim de verificar se nos julgamentos tem sido considerada a necessidade de preservação do direito à saúde. Na Parte I foram apresentados os pressupostos de compreensão do setor de planos de saúde, colocando-se à disposição informações sobre as denominações e classificações adotadas, histórico de formação e atual configuração. Ainda na primeira parte dissertou-se sobre o foco escolhido para a análise jurisprudencial: o direito à saúde. Evidenciou-se o processo histórico de reconhecimento dos direitos humanos e como o direito à saúde nele se inseriu, a natureza desse direito e sua consagração na legislação internacional e brasileira. Considerada a abordagem contratual que é dada aos planos de saúde, também se discorreu, ainda que brevemente, sobre o Código de Defesa do Consumidor (Lei nº 8.078/90) e a Lei de Planos de Saúde (Lei nº 9.656/98). A pesquisa jurisprudencial, apresentada nos capítulos da Parte II, abrangeu decisões sobre conflitos entre usuários e operadoras de planos de saúde disponíveis nos endereços eletrônicos dos Tribunais Superiores até 3 de junho de 2008 - data em que a Lei de Planos de Saúde completou 10 anos. Verificou-se que o STF não analisou o mérito dos recursos que lhe foram apresentados. A fundamentação adotada para tanto tem relevância na análise do impacto das decisões dos Tribunais Superiores na efetivação do direito à saúde em planos de saúde, mas prejudicou análises complementares. Assim sendo, no capítulo 5 as decisões do STJ e do STF foram analisadas no que diz respeito ao direito à saúde, e ao capítulo seguinte reservou-se a apresentação de aspectos complementares dos Recursos Especiais (STJ), como a natureza dos conflitos, a autoria das ações e os principais procedimentos, insumos e doenças negados aos usuários
Health insurance at Justice: is the right to health being effectived? studies how the Brazilian Superior Courts judge conflicts between health insurance companies and their users/clients. The objective of the study is to investigate whether and how the right to health takes part in the sentences. In the first part of the study the specific characteristics of the health insurance sector are introduced, including its development and its nowadays configuration and data. In the second part the judments of the Superior Courts (Superior Tribunal de Justiça and Supremo Tribunal federal) are presented and analysed.

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Guazzelli, Amanda Salis. „A busca da justiça distributiva no judiciário por meio das relações contratuais: uma análise a partir dos planos de saúde“. Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/2/2133/tde-28112013-142249/.

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A partir da Constituição Federal de 1988, são introduzidos novos contornos ao ordenamento jurídico brasileiro. O texto constitucional incorpora diversos direitos sociais e dá caráter normativo a princípios de justiça social. No direito privado, verifica-se, também, a introdução de um conteúdo social por meio da inserção de cláusulas gerais na legislação infraconstitucional, especialmente no que diz respeito aos contratos. Nesse novo quadro institucional, o Poder Judiciário passa a ocupar lugar de destaque, pois há um deslocamento de decisões políticas e sociais dos Poderes Legislativo e Executivo para o Judiciário. Observa-se um crescimento exponencial da judicialização de casos envolvendo os direitos sociais, principalmente no que tange a questões relacionadas à saúde. A judicialização tem atingido também as relações contratuais entre particulares. Todavia, nessa atuação do Judiciário podem ser identificados problemas, como a falta de preocupação com os impactos produzidos pelas decisões na sociedade. Dentro desse contexto, o objetivo do presente trabalho é analisar empiricamente a forma como os ministros do Superior Tribunal de Justiça decidem conflitos contratuais no campo da saúde suplementar. Para tanto, a primeira parte do trabalho é dedicada à caracterização e contextualização do setor da saúde suplementar brasileiro. Após, relato de forma breve o histórico de sua regulamentação. A segunda parte do trabalho aborda os principais aspectos jurídicos e econômicos que envolvem os contratos de plano de saúde. Na terceira parte, são apresentados os resultados quantitativos obtidos a partir de coleta e sistematização de dados das decisões judiciais analisadas. Por fim, na quarta e última parte do trabalho, é feito um esforço de reflexão crítica acerca dos argumentos trazidos pelos ministros do STJ, a luz, principalmente, da literatura de análise econômica do direito, sendo verificado se há alguma relação, ainda que hipotética, entre a forma de decidir dos juízes e possíveis efeitos socioeconômicos apontados pela doutrina.
From the 1988 Brazilian Constitution, are introduced alterations in the Brazilian legal system. The Constitution incorporates many social rights and gives normative character to principles of social justice. In private law, there is also the introduction of a social content through insertion of general terms in the infra-constitutional legislation, especially as regards contracts. In this new institutional framework, the Judiciary holds a prominent place, because there is a shift of political and social decisions of the Legislative and Executive to the Judiciary. There is an exponential growth of judicialization of cases involving social rights, especially in regard to health issues. The judicialization has also reached the contractual relations among individuals. However, problems can be identified in this proceeding of the Judiciary, such as lack of concern about the impacts of the decisions in society. In this context, the aim of this study is to analyze empirically how the justices of the Superior Court of Justice decide contract disputes in the private healthcare sector. In order to do such, the first part of the work is dedicated to the characterization and contextualization of Brazilian private healthcare sector. After, it is briefly presented the history of its regulation. The second part addresses the main legal and economic aspects involving health insurance contracts. In the third part, I present the quantitative results obtained from data collection and systematization of judicial decisions analyzed. Finally, in the fourth and final part of the work, a critic effort is made to analyze the arguments brought by justices of the Superior Court of Justice, in the light of the economic analysis of law, and also examined whether there is any relationship, even though hypothetical, between how the judges decide possible socioeconomic effects pointed by doctrine.

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Bücher zum Thema "Health insurance rights"

Community Health Law Project (N.J.), Hrsg. To your health: Your consumer rights in managed health care. [South Orange, N.J.]: Community Health Law Project, 2000.

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United States. Dept. of Labor, Hrsg. Work changes require heath choices: Protect your rights. [Washington, D.C.]: U.S. Dept. of Labor, 1998.

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Office, Massachusetts Attorney General's. Your new health insurance rights: A guide to new laws that improve your access to health insurance coverage. Boston, Mass: Office of the Attorney General, 1997.

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Rosenfeld, S. Stephen. Denied health care: New rights and remedies. Boston, MA (10 Winter Pl., Boston 02108-4751): MCLE, 1997.

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United States. Congress. Senate. Committee on Health, Education, Labor, and Pensions. Patients' Bill of Rights Act of 1999: Report together with additional, minority, and supplemental views (to accompany S. 326). [Washington, D.C: U.S. G.P.O., 1999.

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United States. Dept. of Health and Human Services. Office of Inspector General, United States. Health Care Financing Administration und United States. Dept. of Health and Human Services, Hrsg. What Medicare beneficiaries need to know about Health Maintenance Organizations (HMO) arrangements: Know your rights. [Washington, D.C.]: Dept. of Health and Human Services, 1996.

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United States. Department of Labor. Employee Benefits Security Administration. Workers' right to health plan information. Washington, D.C.]: U.S. Dept. of Labor, Employee Benefits Security Administration, 2011.

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United States. Congress. Senate. Committee on the Judiciary. Subcommittee on Antitrust, Monopolies, and Business Rights. Problems in the small business insurance market: Hearing before the Subcommittee on Antitrust, Monopolies, and Business Rights of the Committee on the Judiciary, United States Senate, One Hundred First Congress, second session ... June 5, 1990. Washington: U.S. G.P.O., 1991.

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United States. Congress. Senate. A bill entitled the "Patients' Bill of Rights". Washington, D.C: U.S. G.P.O., 1999.

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Massachusetts. General Court. Senate. Committee on Post Audit and Oversight. Acquired Immune Deficiency Syndrome (AIDS) in Massachusetts: Prevention, patient care, and cost. [Boston, MA] (Room 314, State House, Boston 02133): The Bureau, 1987.

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Buchteile zum Thema "Health insurance rights"

Duska, Ronald. „On the “Rights” to Health Care and Health Insurance“. In Issues in Business Ethics, 291–94. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-73928-7_21.

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Kováč, Jaroslav. „Migrants’ Access to Social Protection in the Slovak Republic“. In IMISCOE Research Series, 379–90. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-51241-5_25.

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Abstract This chapter discusses the accces to social benefits and social rights for nationals and foreigners in the Slovak Republic. The transformation of the social welfare system in the new republic has been a lengthy process. The current social security system is based on fairness, personal participation and solidarity. The Slovak social security system is not based on nationality and its main part builds on the social insurance system including the health insurance. The direct financial support especially for families with children and the assistance scheme for those in need also represent important parts of the welfare system in Slovakia.

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Špadina, Helga. „Migrants’ Access to Social Protection in Croatia“. In IMISCOE Research Series, 81–94. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-51241-5_5.

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Abstract This chapter focuses on migrants’ access to social protection in Croatia by providing an in-depth analysis of social entitlements in the area of family benefits, pension insurance, unemployment benefits, health care and social welfare benefits. By highlighting the partial harmonization of the national social legislation to the EU acquis, the chapter puts forward the still limited scope of social rights of EU nationals, even several years after Croatia’s accession to the EU. Non-EU nationals have even more limited access to social rights, and they do not enjoy the full scope of family benefits, the right to social housing or other specific social rights, including unemployment benefits and contributory pensions. The chapter also sheds light to on-going discussions on reform of the social system in Croatia, with possible changes of the entitlement to the national pension and family benefits reform.

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Giesinger, Carola. „Impacts of Patients’ Rights of Free Access to Health Care abroad on Public Health Spending: the Example of the Statutory Health Insurance“. In Unionsbürgerschaft und Patientenfreizügigkeit Citoyenneté Européenne et Libre Circulation des Patients EU Citizenship and Free Movement of Patients, 429–32. Berlin, Heidelberg: Springer Berlin Heidelberg, 2014. http://dx.doi.org/10.1007/978-3-642-41311-7_38.

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Sandy, Linn Sofarina, Riris Ardhanariswari, Manunggal Kusuma Wardaya und Tenang Haryanto. „National Health Insurance Participation Obligations in the Implementation of Land Sale and Purchase from a Human Rights Perspective“. In Advances in Social Science, Education and Humanities Research, 778–87. Paris: Atlantis Press SARL, 2023. http://dx.doi.org/10.2991/978-2-38476-164-7_71.

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Kerschen, Nicole. „Migrants’ Access to Social Protection in Luxembourg“. In IMISCOE Research Series, 285–98. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-51241-5_19.

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Abstract For over 100 years, Luxembourg has been an immigration country. In 2019, 93% of the resident population are European citizens. Luxembourg nationals represent 53% of the entire population, nationals from other European Union (EU) Member States 40% and non-EU foreigners 7%. These three groups have different rights regarding residence and access to work in Luxembourg. All persons engaged in a professional activity in Luxembourg, whatever their nationality or residence, are covered by a compulsory social security system. The essence of the Welfare State, whose origins date back to the Customs Union with Germany, is Bismarckian. It protects workers against the following social risks: unemployment, sickness and maternity, long-term care needs, family, invalidity and old age. Family members are entitled to derived rights. Regarding health-care and old age pensions, it is possible to subscribe a voluntary insurance under specific conditions. A guaranteed minimum income, recently reformed, is accessible to everybody residing legally in Luxembourg under specific conditions. For non-EU foreigners, a residence for at least 5 years during the last 20 years or the possession of a long-term resident status is required.

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Lee, Po-Chang, Yu-Chuan Liu, Yu-Hsuan Chang, Joyce Tsung-Hsi Wang, Shu-Ching Chiang und Hsueh-Yung Mary Tai. „Pursuing Health Equity“. In Digital Health Care in Taiwan, 85–110. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-05160-9_5.

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AbstractThis chapter explains why National Health Insurance Administration (NHIA) decoupled the premium payment and right to health care to safeguard the medical right of the financially disadvantaged. Furthermore, various programs have been carried out to improve the accessibility and comprehensiveness of medical care for residents of remote and offshore islands. The National Health Insurance (NHI) has also progressively covered orphan drugs to meet the medical needs of patients with rare diseases.In addition to eliminating geographic and economic health disparity, the NHIA strives to improve health literacy and knowledge of the health insurance system of the public. “My Health Bank” was launched to enable its users to query personal medical and health information in real time to encourage self-health management and enhance the safety and quality of medical care. The NHI was introduced to elementary school pupils to acquaint the younger generation with its concept and have a more profound influence.

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Ho, Christina S. „Health Reinsurance as a Human Right“. In AIDA Europe Research Series on Insurance Law and Regulation, 85–112. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-82704-5_4.

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Rahman, Andaleeb, und Prabhu Pingali. „Public Health Insurance: Reducing Poverty or Access to Equitable Health Care?“ In The Future of India's Social Safety Nets, 203–44. Cham: Springer International Publishing, 2024. http://dx.doi.org/10.1007/978-3-031-50747-2_7.

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AbstractTax-financed public health insurance programs are a newer, but increasingly important form of social policy across developing countries, including India. With the scope of stemming the flow of people into poverty, public health insurance focuses on the vulnerable and provides them an avenue to seek quality health care without incurring exorbitant costs. Although enrollment in the program and its effectiveness in reducing out-of-pocket health expenditures remain low, it is expected that the importance of health insurance will increasingly become recognized everywhere. As the demand for health care increases, the key to its effectiveness could reside in the prioritizing of health as an important policy goal—recognizing health as a citizenship “right,” increasing budgetary allocation for health, improving the quality of health care infrastructure, and putting into place effective regulations to check unscrupulous practices by private health care providers—with the scope of equitable access to universal health care and overall improved health outcomes.

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Popova, Daria. „Access to Social Protection by Immigrants, Emigrants and Resident Nationals in the Russian Federation“. In IMISCOE Research Series, 247–61. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-51237-8_14.

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AbstractThis chapter discusses the general legal framework regulating Russia’s welfare system and access for national citizens, foreigners residing in the country, and national citizens residing abroad to social benefits in five policy areas: unemployment, health care, family benefits, pensions, and guaranteed minimum resources. Our analysis shows that the eligibility of Russian nationals for social benefits depends either on their employment status and contribution record (for pensions and other social insurance benefits), or their residence status (for social assistance and healthcare). The overall level of social protection of citizens residing in different parts of the country may differ substantially due to the decentralized structure of the social protection system in Russia. The rights of foreign residents to social security benefits are essentially the same as those of the nationals, as long as they are legally employed and make social security contributions. However, there are two major exceptions: pensions and unemployment benefits. Social assistance benefits provided at the regional level are typically available to all legal residents, foreigners included, with few exceptions. When deciding to permanently move abroad, Russian citizens lose their entitlement to claim social benefits from Russia, apart from acquired contributory public pensions.

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Konferenzberichte zum Thema "Health insurance rights"

Primorac, Željka. „COVID - 19 AS A “SIGNIFICANT CIRCUMSTANCE” FOR RISK ASSESSMENT IN LIFE INSURANCE (IN AND AFTER THE PANDEMIC)“. In EU 2021 – The future of the EU in and after the pandemic. Faculty of Law, Josip Juraj Strossmayer University of Osijek, 2021. http://dx.doi.org/10.25234/eclic/18311.

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The data on the health status of a policyholder represent a significant circumstance for risk assessment and concluding a life insurance contract, and are also legally relevant circumstances for exercising the rights from that contract. The author starts from a theoretical analysis of the perception of data on the health status of policyholders as personal data, comparing the right to confidentiality of such data with the duty to report them (before concluding a life insurance contract) in terms of reporting all circumstances relevant to the insurance risk assessment. In order to properly fulfil the obligation of pre-contractual nature, the paper analyses the legal norms governing this issue and also provides a comparative overview of the Croatian and German insurance legislation with special emphasis on the scope of health data that the insurer is authorised to require, the clarity of legal standards and legal insurance norms contained in the insurance questionnaires and the life insurance offer. Presenting the importance of COVID-19 infection and possible chronic consequences for human health, the author indicates the extent to which COVID-19 infection (mild or severe form of disease, possible need for hospital treatment) will have an impact on the design of new insurance questionnaires and the relevance of genetic testing results in the context of concluding future life insurance contracts.

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Triono, Agus, und Bayu Sujadmiko. „National Health Insurance: Realizing A Better Public Service and Guaranteeing the Citizens' Constitutional Rights“. In Proceedings of the 2nd International Conference on Fundamental Rights, I-COFFEES 2019, 5-6 August 2019, Bandar Lampung, Lampung, Indonesia. EAI, 2021. http://dx.doi.org/10.4108/eai.5-8-2019.2308552.

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Sutrisno, Endang, Junaedi Junaedi und Nina Nur Ainy Syarief. „The Protection of Rights to Healthcare for People with Mental Illness in Stocks in the Era of National Health Insurance“. In International Conference on Agriculture, Social Sciences, Education, Technology and Health (ICASSETH 2019). Paris, France: Atlantis Press, 2020. http://dx.doi.org/10.2991/assehr.k.200402.063.

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Baybora, Dilek. „The Work Accidents and Occupational Diseases in Turkey and Its Place in the Social Security System“. In International Conference on Eurasian Economies. Eurasian Economists Association, 2013. http://dx.doi.org/10.36880/c04.00668.

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The work accidents and occupational diseases are very important especially in the industrializing countries. According to the International Labour Organization (ILO) every 15 seconds, a worker dies from a work-related accident or disease. Every 15 seconds, 160 workers have a work-related accident. Every day, 6.300 people die as a result of occupational accidents or work-related diseases–more than 2,3 million deaths per year. The economic burden of poor occupational safety and health practices is estimated at 4 per cent of global Gross Domestic Product each year. In Turkey, work accidents’ figures are very high but occupational diseases’ figures are not very high. There are several causes of this condition. In Turkey, the Work Accidents, Occupational Diseases and Maternity Act No. 4772 was accepted in 1947. The Social Security and General Health Insurance Act No.5510 was accepted in 2006. There are regulations about the work accident and occupational disease insurance in the Act. According to the Act, insured and the rights holders can obtain some assistance.

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Barreto Sampaio Júnior, Rodolpho, und Thiago Penido Martins. „The efficacy of the fundamental right to health in private legal relations established between health insurance companies and their customers“. In XXVI World Congress of Philosophy of Law and Social Philosophy. Initia Via, 2015. http://dx.doi.org/10.17931/ivr2013_sws69_05.

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Orak, Berna. „DIGITALIZATION IN THE GERMAN HEALTH CARE SYSTEM“. In SECURITY HORIZONS. Faculty of Security- Skopje, 2021. http://dx.doi.org/10.20544/icp.2.5.21.p12.

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The German health care system will have to overcome big challenges in the following years. According to a study on the digital-health-index by the BertelsmannStiftung in 2018, Germany is placed last but one out of 17 states. The processing of health data is too bureaucratic and administrations have to deal with piles of paperwork every day. To counteract this development, the government extends investments in innovation funds and passes laws that enable the use of digital technologies. The benefits of digitalizing the health care system are expected to be high, e.g., reducing the costs of statutory health insurances by preventing diseases and improved findings in health services research. These are a few of the many expected values. But what about the risks and dangers? Are we neglecting important rights and freedoms to accelerate the process of digitalization for the advantage of health institutions potentially? How can we assure that digitalization serves the interests of the common good and of vulnerable patients? By testing the latest developments in the German health care system, the article concentrates on potential risks in regard to data protection. Due to the sensitivity of health data, fitting technical premises and persistent supervision by independent authorities need to be developed. To ensure consumer and patient safety it is of utmost importance that applied health care tools are of high quality and guarantee data security and privacy. However, it remains the challenge of the policymakers to avoid overregulation and enable innovation. Key words: health data, digitalization, data protection, privacy

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Sunkanmi Adeyemi, Benjamen, Clinton Aigbavboa und Wellington D Thwala. „Legal Factors in the Nigerian Construction Industry“. In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1002361.

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The purpose of this study was to review literature on various legal factors in the Nigerian construction industry (NCI). This research utilised various sources of information from previous studies on conference papers, articles in journals, and so on. Various keywords were utilised to search for the information related to the subject matter of this study. Moreover, some of the legal factors revealed from literature are regulations regarding the environment, professional codes of practices, health and safety regulations, permit, tax and insurance, interpretation of contractual documents, fiduciary relations, misrepresentation, incapability of procurement system, right of clients to change design, avoidance of responsibility, and ambiguity of work legislation. The study likewise discusses legal theories such as natural legal and legal positivism theory. Thereafter, the legal principles in the NCI were discussed. However, this study increases the knowledge of construction stakeholders. It is highly recommended that all factors that can result to legal issues should be avoided, in order to improve the efficiency of the NCI.

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Sinchevici-Chistruga, Inga. „Particularități în implementarea concediului paternal în Republica Moldova“. In Economic growth in the conditions of globalization: International Scientific-Practical Conference, XVIth edition. National Institute for Economic Research, 2022. http://dx.doi.org/10.36004/nier.cdr.2022.16.7.

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Paternity leave belongs exclusively to the father, is of short duration and is granted after the birth of a child, intended to allow the father to spend time with his partner and the newborn child. In the Republic of Moldova, this leave lasts 14 days and is granted in the first months after the birth of the child. During paternity leave, the employee benefits from a paternity allowance that cannot be lower than the average monthly insured income and is paid from the state social insurance budget. The article was developed on the basis of the qualitative study "Attitudes and practices applied in the implementation of paternity leave" in which fathers who have children up to 3 years of age and experts involved in family policies were interviewed, conducted in September 2022. The research method was the semi-structured sociological interview. The study data revealed that paternity leave influences the well-being of the child and the couple. The main difficulties in the implementation of paternity leave are: correlating the right to paternity allowance with the work situation and the contribution period; lack of encouragement from employers; poor information of parents regarding the right to paternity leave; discrimination by employers, and colleagues; constraints related to time and circumstances at work; failure to take into account specific circumstances (birth of twins, premature birth, disability or health status of mother or child). The article concludes with recommendations regarding the improvement of policies for granting paternity leave in the Republic of Moldova. The article was elaborated within the State Program Project (2020-2023) 20.80009.0807.21 „Migration, demographic changes, and situation stabilisation policies”.

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