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Journal articles on the topic 'Health insurance'

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Author: Grafiati

Published: 4 June 2021

Last updated: 29 July 2024

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1

Kullberg, Linn, Paula Blomqvist, and Ulrika Winblad. "Health insurance for the healthy? Voluntary health insurance in Sweden." Health Policy 123, no. 8 (August 2019): 737–46. http://dx.doi.org/10.1016/j.healthpol.2019.06.004.

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2

Kumar, Kiran Kanubhai, and Chetan Kumar T. M. Chetan Kumar T M. "Health Finance and Health Insurance in India." Indian Journal of Applied Research 3, no. 9 (October 1, 2011): 364–66. http://dx.doi.org/10.15373/2249555x/sept2013/108.

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3

Kryukova, I. V., and N. I. Sokolova. "VOLUNTARY HEALTH INSURANCE: CORPORATE FOCUS." European Journal of Natural History, no. 5 2021 (2021): 6–14. http://dx.doi.org/10.17513/ejnh.34199.

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4

Ren, Jiaojiao, Ding Ding, Qunhong Wu, Chaojie Liu, Yanhua Hao, Yu Cui, Hong Sun, et al. "Financial Affordability, Health Insurance, and Use of Health Care Services by the Elderly: Findings From the China Health and Retirement Longitudinal Study." Asia Pacific Journal of Public Health 31, no. 6 (September 2019): 510–21. http://dx.doi.org/10.1177/1010539519877054.

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The rapidly growing aging population has attracted global attention. This study explores the associations between 3 basic health insurances, and it identifies factors associated with health care services among the elderly populations. This study is based on multistage stratified cluster sampling method from the 2013 China Health and Retirement Longitudinal Study (CHARLS) resulting in 7589 participants. Medical Insurance for Urban Employees (MIUE) members were more likely to use inpatient health care services. Health insurance programs were associated with inpatient services usage but not outpatient services usage. There are significant disparities in medical costs and health care service usage among the 3 insurance programs. Health insurance program is only associated with inpatient care. These findings may provide some suggestions to support improvements to the Chinese health care system.

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5

Imran, Imran. "IMPLEMENTATION PROGRAME EVALUATION OF SOCIAL HEALTH SERVICE IN HEALTH INSURANCE BY FAMILY DOCTOR IN PONTIANAK." IJHCM (International Journal of Human Capital Management) 2, no. 1 (July 13, 2018): 40–47. http://dx.doi.org/10.21009/ijhcm.02.01.04.

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The purpose of the research was to evaluate the implementation of health service process, participant of social health insurance by family doctor, that consist of necessary, the background of the program, readiness of the program, realization of the program and the accomplishment of the health service program in health insurance by family doctor. The research used qualitative and quantitative approach by CIPP (Context, Input, Process, Product) evaluation model. The participants of social health insurance program by family doctor were 10.487 people. Most of them gave positive response and the satisfaction index of health service by family doctor was good. The result of the research showed the implementation of health service in health insurance by family doctor have done with the appropriate purpose and standard. The result of this evaluation research was the health service in health insurance program by family doctor could increase the participants of health insuranceâ€™s health level in Pontianak City and it can be continued by The Social Health Insurance Provider. Keywords: Social health insurance, family doctor, health service program, health level.

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6

Imran, Imran. "IMPLEMENTATION PROGRAME EVALUATION OF SOCIAL HEALTH SERVICE IN HEALTH INSURANCE BY FAMILY DOCTOR IN PONTIANAK." IJHCM (International Journal of Human Capital Management) 2, no. 1 (July 13, 2018): 40–47. http://dx.doi.org/10.21009/ijhcm.021.06.

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The purpose of the research was to evaluate the implementation of health service process, participant of social health insurance by family doctor, that consist of necessary, the background of the program, readiness of the program, realization of the program and the accomplishment of the health service program in health insurance by family doctor. The research used qualitative and quantitative approach by CIPP (Context, Input, Process, Product) evaluation model. The participants of social health insurance program by family doctor were 10.487 people. Most of them gave positive response and the satisfaction index of health service by family doctor was good. The result of the research showed the implementation of health service in health insurance by family doctor have done with the appropriate purpose and standard. The result of this evaluation research was the health service in health insurance program by family doctor could increase the participants of health insuranceâ€™s health level in Pontianak City and it can be continued by The Social Health Insurance Provider. Keywords: Social health insurance, family doctor, health service program, health level.

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7

Hanna, Thomas. "Health insurance?" BMJ 325, Suppl S4 (October 1, 2002): 0210395a. http://dx.doi.org/10.1136/sbmj.0210395a.

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8

Mariner, Wendy K. "Health Insurance is Dead; Long Live Health Insurance." American Journal of Law & Medicine 40, no. 2-3 (June 2014): 195–214. http://dx.doi.org/10.1177/009885881404000202.

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Upon the death of a king or queen, the proclamation “the king is dead, long live the king” announces a new monarch’s accession to the throne, preserving the sovereign order. As the Patient Protection and Affordable Care Act (ACA) is implemented, it is tempting to proclaim the reign of a new system of health insurance. But, will it preserve the old order or initiate a new form of governance? As states and insurers grapple with new rules and regulations being issued from the Department of Health and Human Services, the Treasury Department and the Department of Labor, one might believe an entirely new health insurance system is being built. Yet, the ACA is designed to preserve existing forms of public and private health insurance, such as Medicare and private employer group health plans, which will continue to operate much as they have in the recent past. What has changed is the role that insurance will play and how that will shape the way we think about health policy.

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9

Citrawati, Citrawati, Eko Edy Suntoro, and Erlina Puspitaloka Mahadewi. "Coordination Of Benefit (COB) Program Development Analysis: A Case Study Of Healthcare Insurance In Indonesia." International Journal of Science, Technology & Management 4, no. 4 (July 21, 2023): 742–47. http://dx.doi.org/10.46729/ijstm.v4i4.845.

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The present study reports the first comprehensive study on the coordination of benefits program in healthcare insurance in Indonesia. Every individual Indonesian citizen who works is required to have health insurance as a fulfillment of the obligation to be physically and comprehensively healthy. Ownership of health insurance can be through government programs which are mandatory government policies for every employee or health insurance managed by the services of a commercial insurance company. So that every Indonesian employee or citizen generally has 2 health insurance memberships, one is commercial insurance and the other is mandatory insurance from the government, BPJS health insurance. The use of health insurance from commercial insurance is the first choice, while BPJS health insurance is used as a backup if the coverage limit on commercial insurance has expired. With limited coverage limits provided by private insurance based on premium payments for each class registered by the company, the government facilitates a program to use the benefits of the two health insurances simultaneously, known as the Coordination of Benefits between BPJS Health and commercial insurance. This study uses a qualitative method to analyze how far this program has progressed, as well as the development of an additional health insurance benefit program in Indonesia. The end goal of this research it can be concluded that highlighting the benefits of this program that can be maximized by health insurance participants, what obstacles are faced by participants, as well as health services when using the coordination of benefits program and its development in the future.

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10

Hartono, Risky Kusuma. "Equity Level of Health Insurance Ownership in Indonesia." Kesmas: National Public Health Journal 12, no. 2 (November 30, 2017): 93. http://dx.doi.org/10.21109/kesmas.v0i0.1408.

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Social health insurance from government program are expected to be able to reduce inequalities access to health services in the middle of rising of health care cost, while private health insurance is still limited for up and middle class population. This study aimed to analyze the equity level of health insurance ownership including social and private health insurance in Indonesia. This study examined the condition of Indonesia in the middle of entering National Health Insurance (NHI) era. This study used data of Indonesian Socio-Economic Survey 2012. Data were analyzed by using econometric approach through multinomial logit analysis. The results showed that the concentration index of social health insurance ownership was 0.615, which is smaller than private health insurance ownership (0.972). It means that Indonesia social health insurace ownership will be able to increase equity access to the health services especially for poor people (pro poor). Social health insurance ownership increases the use of the health services by people.

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11

Sotivoldievich, Boltaev Mansurjon. "CONCEPT OF VOLUNTARY HEALTH INSURANCE CONTRACT." American Journal of Political Science Law and Criminology 03, no. 01 (January 1, 2022): 73–79. http://dx.doi.org/10.37547/tajpslc/volume04issue01-12.

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This article states that, unlike compulsory health insurance, voluntary health insurance is based on the freedom of contract, agreement of the parties and voluntary determination of the insured event, insurance conditions, types of medical services provided, sum insured. Therefore, the concept and features of the contract of voluntary medical insurance, the procedure for its conclusion, the importance of determining the subject of the contract are investigated. Also important is the role of the voluntary medical insurance contract in the system of insurance relations, the procedure and conditions for its application in the legislation and the formation of a special legal framework governing these relations. The article analyzes the concept and features of a medical insurance contract.

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12

Hillman, Bruce J. "Health Insurance and Health." Journal of the American College of Radiology 9, no. 12 (December 2012): 853. http://dx.doi.org/10.1016/j.jacr.2012.09.017.

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13

Addy, B. F. "Health and Health Insurance." Archives of Internal Medicine 161, no. 1 (January 8, 2001): 128. http://dx.doi.org/10.1001/archinte.161.1.128.

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14

Kuzior, Aleksandra, Dariusz Krawczyk, Iryna Didenko, Natalia Sidelnyk, and Tetiana Vasylieva. "Interaction between health insurance, household income, and public health financing in Ukraine." Problems and Perspectives in Management 20, no. 4 (December 14, 2022): 436–50. http://dx.doi.org/10.21511/ppm.20(4).2022.33.

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The most significant problems in financing the public health system in Ukraine are the permanent deficit of public spending on medicine and the shallow development of the voluntary health insurance market. The aim of study is the search of optimal interactions between stakeholders in the system of relations “state – insurance companies – households” in the context of voluntary health insurance. The study hypothesizes that households can become more active participants in health insurance only if their average monthly income reaches a certain threshold level. It is calculated based on the results of simulation games using the Brown-Robinson iterative method. According to the simulation results, this threshold level is only 7% higher than the actual value of the average monthly income of Ukrainian households during the analysis. At the same time, under this condition, the state in Ukraine will be able to transfer part of the financial burden of compensating healthcare costs to insurance companies. According to the calculations made with the help of the game theory toolkit, with the maximization of insurance payments to the population under health insurance contracts, the burden on public health financing in Ukraine could be reduced by 67.7%. The paper was conducted on the data of the ten most potent insurance companies of Ukraine as of 2021 (it is they who accumulate the lion’s share of household insurance premiums), that is, before the start of a full-scale war between the Russian Federation and Ukraine. The obtained results can be used both by insurance companies during the management of insurance premiums and payments and at the level of state management of costs in the field of public health. AcknowledgmentThis study was undertaken as a part of the research projects granted by the Ministry of Education and Science of Ukraine: “Socio-economic recovery after COVID-19: modeling the implications for macroeconomic stability, national security and local community resilience” (registration number 0122U000778); “The impact of COVID-19 on the transformation of the system of medical and social security of population: economic, financial-budgetary, institutional-political determinants” (0122U000781).

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15

Yang, Chia-Jung, Chia-Wen Lu, Chien-Hsieh Chiang, Hao-Hsiang Chang, Chien-An Yao, and Kuo-Chin Huang. "Traveler’s knowledge, attitude, and practice about travel health insurance: A community-based questionnaire study." PLOS ONE 18, no. 2 (February 9, 2023): e0281199. http://dx.doi.org/10.1371/journal.pone.0281199.

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Background Travel, especially international travel, has become one of the most popular leisure activities in the world. The risk of accidents and travel-related illnesses, including infectious and non-communicable diseases, should not be neglected. To provide a more comprehensive pre-travel consultation to international travelers, this study aimed to investigate the knowledge, attitude, and practice of travelers about travel health insurance. Methods This was a cross-sectional study. Anonymous structured questionnaires were distributed to 1000 visitors to the Taiwan International Travel Fair in May 2019. Results The top three important travel health insurances were accidental death and disablement insurance (92%), accidental medical reimbursement (90.4%), and 24-hour emergency assistance (89%). In addition to education level, travel-associated illness, and special activities during travel, a significant association was observed between the willingness to buy various travel health insurances and the willingness of pre-travel consultation. Conclusions Most travelers would buy travel health insurance; however, disproportional respondents understood the content of travel health insurance. Most travelers considered travel clinics to be the most reliable information source regarding travel health insurance. Therefore, travel medicine specialists are encouraged to offer more information about travel health insurance during pre-travel consultation.

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16

Maylia Ardini, Vita, and Erlina Puspitaloka Mahadewi. "The Development of Health Insurance and Services in Indonesia." International Journal of Health and Pharmaceutical (IJHP) 2, no. 3 (May 29, 2022): 440–46. http://dx.doi.org/10.51601/ijhp.v2i3.65.

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The study focus on the development and review of health insurance in Indonesia that is relatively new for most Indonesians because the term health insurance is not sufficient in the general vocabulary. Social health insurance is insurance that must be followed by all or part of the population (an example employees), to involved and contributions are not a nominal value but a percentage of the salary to be paid, and insurance benefits. Commercial health insurance is insurance sold by other insurance companies or institutions. The development of health insurance in Indonesia is very slow compared to the development of health insurance in several neighboring Asean countries (Associaton of South East Asian Nations). Careful research on the slow development of health insurance in Indonesia is still lacking. However, in theory, several importantfactors can be put forward as factors that influence the slow growth of health insurance in Indonesia. In this case, there are health services which, in the process of health services, there will be variations in the implementation of activities from time to time which will produce varying results. One of the efforts to reduce process variation is standardization. The normalization process includes the elaboration, implementation, follow-up, control, evaluation and revision of norms (Indonesia Government Regulations or PPnumber:102/2000). The development of public health services in Indonesia has succeeded in improving health services more evenly. Advances in science and technology have resulted in more and more educated and informed community groups so that they can choose and demand quality health services especially with health insurances coverage

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17

Kreling, David H., and Joseph B. Wiederholt. "Selecting Health Insurance." Journal of Pharmaceutical Marketing & Management 1, no. 4 (January 1987): 3–18. http://dx.doi.org/10.3109/j058v01n04_02.

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18

Lewit, Eugene M., and Linda Schuurmann Baker. "Health Insurance Coverage." Future of Children 5, no. 3 (1995): 192. http://dx.doi.org/10.2307/1602375.

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19

Dao, Amy. "Imagining Health Insurance." Journal of Vietnamese Studies 15, no. 4 (2020): 99–109. http://dx.doi.org/10.1525/vs.2020.15.4.99.

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20

Levin, Dvir. "HEALTH INSURANCE REFORM." International Journal of Advanced Research 10, no. 02 (February 28, 2022): 1292–96. http://dx.doi.org/10.21474/ijar01/14341.

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21

Griffin, Glen C. "Guaranteed Health Insurance?" Postgraduate Medicine 90, no. 8 (December 1991): 19–25. http://dx.doi.org/10.1080/00325481.1991.11701133.

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22

Kreling, David. "Selecting Health Insurance." Journal of Pharmaceutical Marketing & Management 1, no. 4 (August 17, 1987): 3–18. http://dx.doi.org/10.1300/j058v01n04_02.

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23

Derrick, Frederick W., and Charles E. Scott. "National health insurance." Health Care Management Review 20, no. 3 (1995): 55–63. http://dx.doi.org/10.1097/00004010-199522000-00010.

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24

Cooke, G. R. "Permanent health insurance." British Dental Journal 164, no. 10 (May 1988): 334. http://dx.doi.org/10.1038/sj.bdj.4806443.

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25

&NA;. "Health Insurance Sourcebook." American Journal of Nursing 98, no. 5 (May 1998): 16DD4. http://dx.doi.org/10.1097/00000446-199805000-00018.

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26

Kuttner, Robert. "Health Insurance Coverage." New England Journal of Medicine 340, no. 2 (January 14, 1999): 163–68. http://dx.doi.org/10.1056/nejm199901143400226.

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27

Pauly, Mark V. "Optimal Health Insurance." Geneva Papers on Risk and Insurance - Issues and Practice 25, no. 1 (January 2000): 116–27. http://dx.doi.org/10.1111/1468-0440.00052.

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28

ZAREMSKI, MILES J. "Rescinding Health Insurance." Family Practice News 38, no. 11 (June 2008): 42. http://dx.doi.org/10.1016/s0300-7073(08)70747-3.

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29

ROSENBAUM, SARA. "Health Insurance Exchanges." Clinical Psychiatry News 40, no. 2 (February 2012): 11. http://dx.doi.org/10.1016/s0270-6644(12)70044-9.

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30

MM. "Health insurance redux." American Journal of Surgery 166, no. 5 (November 1993): iii—iiv. http://dx.doi.org/10.1016/s0002-9610(05)81137-7.

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31

ZAREMSKI, MILES J. "Rescinding Health Insurance." Internal Medicine News 41, no. 10 (May 2008): 45. http://dx.doi.org/10.1016/s1097-8690(08)70596-1.

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32

Berdine, Gilbert. "Sustainable Health Insurance." Southwest Respiratory and Critical Care Chronicles 6, no. 25 (July 20, 2018): 63–68. http://dx.doi.org/10.12746/swrccc.v6i25.488.

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33

KRAFT, COLLEEN. "Health Insurance Exchanges." Family Practice News 41, no. 7 (April 2011): 22. http://dx.doi.org/10.1016/s0300-7073(11)70341-3.

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34

KRAFT, COLLEEN. "Health Insurance Exchanges." Pediatric News 45, no. 4 (April 2011): 14. http://dx.doi.org/10.1016/s0031-398x(11)70121-7.

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35

Woolhandler, Steffie, and David U. Himmelstein. "National Health Insurance." Health Affairs 21, no. 5 (September 2002): 299. http://dx.doi.org/10.1377/hlthaff.21.5.299.

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36

Green, D. G., A. C. Enthoven, J. Dixon, and J. Appleby. "Stakeholder health insurance." BMJ 323, no. 7304 (July 14, 2001): 107. http://dx.doi.org/10.1136/bmj.323.7304.107.

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37

MCGREGOR, A. "Swiss health insurance." Lancet 342, no. 8879 (October 1993): 1104. http://dx.doi.org/10.1016/0140-6736(93)92075-5.

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38

Grey, Michael R. "Health Insurance Cooperatives." JAMA 302, no. 23 (December 16, 2009): 2587. http://dx.doi.org/10.1001/jama.2009.1856.

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39

Mitka, Mike. "Health Insurance Caps." JAMA 301, no. 14 (April 8, 2009): 1427. http://dx.doi.org/10.1001/jama.2009.449.

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40

Hampton, Tracy. "Health Insurance Coverage." JAMA 296, no. 20 (November 22, 2006): 2429. http://dx.doi.org/10.1001/jama.296.20.2429-d.

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41

Woolhandler, Steffie, and David U. Himmelstein. "National Health Insurance." Archives of Internal Medicine 162, no. 9 (May 13, 2002): 973. http://dx.doi.org/10.1001/archinte.162.9.973.

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42

Volpintesta, E. J. "Universal Health Insurance." JAMA: The Journal of the American Medical Association 279, no. 21 (June 3, 1998): 1700–1701. http://dx.doi.org/10.1001/jama.279.21.1700.

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43

Mackay, Graham. "Permanent health insurance." Insurance: Mathematics and Economics 13, no. 2 (November 1993): 123–30. http://dx.doi.org/10.1016/0167-6687(93)90834-c.

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44

Andi, Ferry Afi. "Analysis of National Health Insurance Towards A Universal Health Insurance." Kajian Ekonomi dan Keuangan 19, no. 1 (November 1, 2016): 63–78. http://dx.doi.org/10.31685/kek.v19i1.27.

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As the implementation of Indonesian constitutional duty to provide the right for social security for all citizens, government of Republic of Indonesia provides the national health insurance program since January 1st 2014 which is operated by BPJS Kesehatan. The national insurance program is aimed to be a universal health insurance. There are some aspects that need to be analyzed to make this health insurance system to be a universal health insurance. Using meta analysis and to compare the implementation and the expected result of the program using secondary data obtained from previous iteratures, This research is trying to look at the prospect of national health insurance to be a universal health insurance. The reasearh found that the concept of National Health System has already met the criteria of a universal health insurance. However, the implementation of the concept still needs to be improved . The government needs to set a mechanism to accelerate and to ensure the participation of the people the program. Besides that the infrastructure of health service facilities need to be improved to ensure the provision of health care to the participants. The significance of this research is to bring some outlook that can be considered for improvement of the national health insurance program

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45

Yamada, Tetsuji, Chia-Ching Chen, Tadashi Yamada, Haruko Noguchi, and Matthew Miller. "Private Health Insurance and Hospitalization Under Japanese National Health Insurance." Open Economics Journal 2, no. 1 (September 8, 2009): 61–70. http://dx.doi.org/10.2174/1874919400902010061.

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46

Shet, Nagaraj, Ghulam Jeelani Qadiri, Sunita Saldanha, Gayathri Kanalli S., and Prajna Sharma. "Pattern of utilization of health insurance in two districts of South Karnataka." International Journal Of Community Medicine And Public Health 6, no. 10 (September 26, 2019): 4310. http://dx.doi.org/10.18203/2394-6040.ijcmph20194486.

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Background: Health insurance is a widely recognized and preferable mechanism to finance the health care expenditure of the individuals. It is an important mechanism in the modern world to save the individuals from the huge health shock but only a small percentage of people even from educated higher income groups are covered under any health insurance policy. This study was undertaken to know the pattern of health insurance utilization in Uttar Kannada and Udupi districts of Karnataka.Methods: A descriptive study was conducted among 550 household of Uttar Kannada and Udupi districts. Household were selected using multistage sampling technique.Results: Of the 550 study participants, 348 (63.27%) were aware and also subscribed for any type of the health insurance and of these only 89 (25.57%) utilized them. 190 (34.55%) had availed Rashtriya Swastya Bima Yojana, 42 (7.64%) for Yashasvini, 6 (1.09%) forESI, 12 (2.18%) for Sampoorna Suraksha and 15 (27.27%) had private insurances. Reasons for not availing health insurances other than being unaware were complicated process 85 (42.08%) and provides only partial coverage 49 (24.26%). The main reasons for not using the health insurance were non availability of empaneled hospital 84 (74.34%), disease not being under the scope of scheme 60 (23.17%) and 32 (12.36%) were unaware about the process of availing.Conclusions: Health insurances being are the best way to help people reduce their financial burden has to be made aware and the drawbacks have to be addressed.

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47

Georgakopoulos, Nicholas. "An Insurance Structure to Encourage Investment in Preventative Health Care." University of Michigan Journal of Law Reform, no. 46.2 (2013): 477. http://dx.doi.org/10.36646/mjlr.46.2.insurance.

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The incentives for investments in Americans' health are poorly aligned. Health insurers are not sufficiently motivated to invest for the long term. The structure of health insurance does not compensate insurers for investments in lasting health, such as measures preventing chronic disease. If an American changes insurers, the new insurer reaps the benefits of the good health the prior insurer's investment produced. This Essay explores insurers' incentives to invest in health, illustrates how those incentives fail, explores possible improvements, and shows that subsequent insurers should have an obligation to compensate the prior insurer for the averted expenses of expected diseases that did not emerge. This gives insurers the full incentive to prevent chronic disease while strengthening the incentives to develop cures.

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48

Michalski, Henryk. "Insurance and Insurance Risks in Health Economics." Number-3, March 2019 2, no. 3 (March 31, 2019): 12–20. http://dx.doi.org/10.35935/tax/23.2012.

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Health Economics is a significant field of economy. Development of a nation is crucially connected with the condition of health of its people, and health is now been accepted as an important determinant of economic development of a nation. Here, we will discuss about many topics of Health Economics.

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49

Ito, Takeshi. "The Insurance Theory of Social Health Insurance." Hokengakuzasshi (JOURNAL of INSURANCE SCIENCE), no. 606 (2009): 173–90. http://dx.doi.org/10.5609/jsis.2009.606_173.

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50

Arslanova, Ralina. "The calculation of insurance rates health insurance." Актуальные направления научных исследований XXI века: теория и практика 3, no. 7 (December 10, 2015): 85–89. http://dx.doi.org/10.12737/14809.

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