Tesis sobre el tema "Health insurance claims – United States"
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Zhu, Liye. "Three essays on the United States health insurance market". Ann Arbor, Mich. : ProQuest, 2006. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3220413.
Texto completoTitle from PDF title page (viewed July 20, 2007). Source: Dissertation Abstracts International, Volume: 67-05, Section: A, page: 1847. Adviser: Daniel L. Millimet. Includes bibliographical references.
Rein, David Bruce. "Modeling the health care utilization of children in Medicaid". Diss., Available online, Georgia Institute of Technology, 2004:, 2003. http://etd.gatech.edu/theses/available/etd-06072004-131339/unrestricted/rein%5Fdavid%5Fb%5F200405%5Fphd.pdf.
Texto completoFernandez, Juan Gabriel. "Three essays on competition and health insurance markets". Thesis, Boston University, 2012. https://hdl.handle.net/2144/31552.
Texto completoPLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you.
Health care systems are complex organizations. Multiple agents interact in different settings to provide health care, each one of them with different objectives and information. How markets are organized and which actions are allowed, has a direct impact on the incentives agents face when making health care choices. In this dissertation, I study the determinants and effects of these choices on market outcomes, focusing on private health insurance markets. The first chapter provides insights about health insurance markets in which workers, rather than firms , choose insurance plans in an imperfect competition setting. Using a unique dataset that includes every person enrolled in private plans in Chile in 2009, I estimate underlying preference parameters over health insurance features. I find large heterogeneity in the valuation of t hese features across age-sex-groups and individual types. Individual characteristics play an important role on health plan choices and therefore, can be used by insurers to design plans targeted to specific groups and for patient selection. The second chapter presents a theoretical model where private insurers compete with a free public alternative to attract clients. Using a two-type model I show that if private insurance companies offer a non-rationing alternative and the public system rationing is done through random selection, an efficiency trap may exist. A marginal increase in the budget allocated to the public system can potentially reduce the expected welfare for all types. This result extends to a model with multiple types, but the negative welfare impact is offset by a crowding-in effect among the rich. Finally, the third chapter provides a general analytical framework that can be used to evaluate risk selection under different health care models. The model is based on the interactions between the four key agents present in every health care system: sponsors, health plans, providers and customers. This framework is used to review risk selection in four countries in the Americas - Canada, Chile, Colombia, and the U.S.-, showing how regulatory policies both create and ameliorate it, and in some cases are as important as risk adjustment, risk sharing and risk selection strategies for reducing risk selection.
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Lawings, Michael Anthony. "Business continuity operational strategies for national healthcare insurance companies". Thesis, Georgia Institute of Technology, 2002. http://hdl.handle.net/1853/21804.
Texto completoPalmedo, P. Christopher. "Equality, Trust and Universalism in Europe, Canada and the United States: Implications for Health Care Policy". PDXScholar, 2014. https://pdxscholar.library.pdx.edu/open_access_etds/1929.
Texto completoWelle, Derek John. "Health care in the United States: How the determinants of health insurance status differ across regions". Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/29229.
Texto completoAbel, Karin M. "Private or Public Insurance? The Institutional History of Health Care in the United States and the United Kingdom". DigitalCommons@USU, 2010. https://digitalcommons.usu.edu/etd/819.
Texto completoPotter, Emma C. "Health Insurance Experiences of Gay Father Families: Perceptions, Disclosure, and Roles". Thesis, Virginia Tech, 2013. http://hdl.handle.net/10919/23839.
Texto completoMaster of Science
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.
Texto completoPetersen, Mirella. "A retrospective analysis of autism health insurance legislation, small business closures and the percentage of small businesses offering health insurance plans in the United States". Thesis, Central Michigan University, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3596751.
Texto completoAutism is a rapidly increasing global health concern. In the United States, many families and individuals with autism find it difficult to access treatment for this condition because it is commonly excluded from health insurance plans. Apprehension about passing autism health insurance legislation includes concerns regarding the impact on small businesses. Many businesses advocates and law makers have expressed concern that passing an autism health insurance mandate will cause small businesses to close or to stop offering health insurance plans to their employees. In an effort to substantiate these concerns, this study provides an analysis of publicly available data on small business closures and small business health insurance plans to determine if a relationship exists between passing an autism health insurance mandate and a change in the number of small business closures or the percentage of small businesses that offer health insurance plans to their employees.
The methodology for this study includes testing of Pearson’s r correlation models, semipartial correlation models and analysis of variance (ANOVA) models. Findings indicate there is insufficient evidence to conclude that a relationship exists between enacting an autism health insurance mandate and an increase in the number of small business closures. In addition, findings indicate there is insufficient evidence to conclude that a relationship exists between enacting an autism health insurance mandate and a decrease in the percentage of small businesses offering health insurance to their employees.
Simuoli, Olivia. "The Impact of the State Children's Health Insurance Program on Educational Outcomes in the United States: A Two-Fold Analysis". Oberlin College Honors Theses / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=oberlin1432154845.
Texto completoOpper, Scott. "Redesigning the American healthcare system". Honors in the Major Thesis, University of Central Florida, 2000. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/400.
Texto completoBachelors
Health and Public Affairs
Social Work
Berger, Loretta Kathleen. "The effect of health insurance plan type on initial colorectal cancer screening in the United States since the inception of health care reform in Massachusetts". Thesis, Boston University, 2013. https://hdl.handle.net/2144/21124.
Texto completoThe Accountable Care Act (ACA) will expand coverage to millions of Americans. Health insurance plans designed to contain costs and incentivize patients may pose risks that deter members from utilizing recommended services despite provisions such as zero-cost-sharing intended to encourage their use. We evaluated trends (from 2007 to 2011) in health insurance plan type and initial colorectal cancer (CRCA) screening per current guidelines. We hypothesized that consumer-directed and high-deductible health plans (CDHP/HDHP) would be associated with decreased and delayed CRCA screening, and a shift toward lower-cost screening options. Using Thomson MarketScan® data, we analyzed commercial claims for 989,038 American adults (prior colectomy or CRCA excluded) over a full three-year period (starting in January of the fiftieth birthday-year) to assess for CRCA screening (colonoscopy, sigmoidoscopy, or stool test). Using logistic regression, we found that CDHP/HDHP members showed increased likelihood of having had any CRCA screening compared to Preferred Provider Organization (PPO) members, in both Massachusetts (Odds Ratio [OR] 2.321, 95% Confidence Interval [CI] 1.788-3.014) and the Nation (OR 1.640, 95% CI 1.602-1.678). Of those screened, CDHP/HDHP patients were more likely to receive colonoscopy than other recommended alternatives compared to PPO (Massachusetts OR 1.289, 95% CI 1.007-1.651; U.S. OR 1.225, 95% CI 1.192-1.259). Using linear regression, we found that CDHP/HDHP patients were only slightly older at screening compared to PPO, and the difference, while statistically significant, was likely too small to be clinically meaningful. We conclude that contrary to our expectations, CDHP/HDHP members have not been deterred from seeking and obtaining appropriate and timely initial CRCA screening, and they have not chosen lower-cost options. These findings may reflect the newly insured effect, although one limitation of this study was the inability to adjust for selection into CDHP/HDHP. Further study should determine whether CDHP/HDHP members subsequently experience unexpected financial burdens related to CRCA screening that affect future utilization of recommended care. In the pursuit of lower costs through better outcomes, attention should be paid to designing simple and affordable plans with easily understandable features that encourage both patients and providers to follow recommended guidelines while considering the cost-effectiveness of available options.
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Berry, Edmund A. "The Impact of Being Uninsured in the United States on Economic and Humanistic Outcomes: Results from the 2004-2008 Medical Expenditure Panel Surveys". University of Cincinnati / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1353154260.
Texto completoHammond, Terry Richard. "Feasible Models of Universal Health Insurance in Oregon According to Stakeholder Views". PDXScholar, 2012. https://pdxscholar.library.pdx.edu/open_access_etds/500.
Texto completoQuinn, Melane. "Long-term care insurance : a study of participation and need". Honors in the Major Thesis, University of Central Florida, 2001. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/295.
Texto completoBachelors
Health and Public Affairs
Health Services Administration
Baker, Timothy Alan. "Oregon Primary Care Physicians' Support for Health Care Reform". PDXScholar, 1994. https://pdxscholar.library.pdx.edu/open_access_etds/4755.
Texto completoMcEldowney, Rene P. "A century of democratic deliberation over American and British national health care : extending the Kingdon model /". Diss., This resource online, 1994. http://scholar.lib.vt.edu/theses/available/etd-06062008-164612/.
Texto completoMadsen, Jesse. "Doe v. Unocal: An Ambiguous Standard for Multinational Corporate Liability". Honors in the Major Thesis, University of Central Florida, 2003. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/690.
Texto completoBachelors
Health and Public Affairs
Legal Studies
Ling, Meng-Chun. "Senior health care system". CSUSB ScholarWorks, 2005. https://scholarworks.lib.csusb.edu/etd-project/2785.
Texto completoVelamuri, Malathi Rao. "Health insurance, employment-sector choices and job attachment patterns of men and women". Thesis, 2004. http://hdl.handle.net/2152/1450.
Texto completoStrong, James T. "State-sponsored health insurance plans for small business employers : political and economic factors for success". 2010. http://liblink.bsu.edu/uhtbin/catkey/1632472.
Texto completoDepartment of Political Science
"Three essays on insurance choice". Thesis, 2007. http://hdl.handle.net/2152/3117.
Texto completoKoch, Thomas Gregory 1979. "Three essays on insurance choice". 2007. http://hdl.handle.net/2152/13304.
Texto completoYEN, YU-CHIN y 游進彥. "A Comparison of Health Insurance Regulation in Taiwan and United States- A Case Study of Hospital Indemnity Insurance". Thesis, 2008. http://ndltd.ncl.edu.tw/handle/81590570835953202722.
Texto completo逢甲大學
風險管理與保險研究所
96
Due to the extension of life expectancy and improvement of medical technology, the ration on medical expenses changed dramatically, which increases premium received in health insurance. In the 2nd half of 2008, non-life insurance companies are allowed to health insurance. It is expected that health insurance market will have intense competition, and newer products. However, the regulations and Uniform Provision are not complete in Taiwan, which will affect insured’s right, and waste of resources. From the reasons above, this study will focus on health insurance products such as Hospital Indemnity Insurance’s(HII) regulation in New York State(NYS), and compare with the similar regulations in Taiwan. This study will focus on the application and policy forms as the main study since it affect the consumers the most. The study will discuss Application, Cover Page, Definitions, Form Provisions, Permissible Exclusions & Limitations, Mandatory Policy Provisions and Optional Policy Provisions. After comparing regulations in Taiwan and in NYS, there are four suggestions. 1. Regulations should construct from insured’s angle. 2. Make the regulations of the all Health Insurance’s Uniform Provisions complete in Taiwan. 3. Essentiality and selectivity are critical in new product which also helps to regulate. 4. Synchronize all necessary system to increase the speed of examination and cut the cost of administration and also transparent to the public.
Nair, Radhika Anantharaman. "Evaluation of factors related to prescription drug expenditures, prescribing trends and physican visits: the role of direct-to-consumer advertising expenditures, demographics, and health insurance coverage". Thesis, 2005. http://hdl.handle.net/2152/1642.
Texto completoGning, Ibrahima. "The effect of immigration status on racial differences in health insurance coverage, access to care, and utilization in the United States". 2008. http://proquest.umi.com.www5.sph.uth.tmc.edu:2048/pqdweb?did=1495950671&sid=1&Fmt=2&clientId=92&RQT=309&VName=PQD.
Texto completoSource: Dissertation Abstracts International, Volume: 69-02, Section: B, page: 0969. Adviser: Charles E. Begley. Includes bibliographical references.
Wang, Yun-Ting y 王韻婷. "A Comparison of Health Insurance Regulation in Taiwan and United States-A Case Study of Group Basic Hospital Insurance of the State of New York". Thesis, 2011. http://ndltd.ncl.edu.tw/handle/01482454689075924270.
Texto completo逢甲大學
風險管理與保險研究所
99
With the increase of average life expectancy and advancement of medical technology, commercial health insurance premium increases year by year. Group health insurance premium tends to be the highest premium income in the group insurance. Due to the enormous market of health insurance, to protect the interests of policyholders and to facilitate the robust development of the health insurance market, the government’s supervision over the insurance industry has become more and more important. Because of the integrity of the Taiwanese supervision on insurance industry still seem inadequate, and given the supervision regulations of the United States is more comprehensive, this study will compare the regulations of group basic hospital insurance products in New York State and the related Taiwanese regulations of group health insurance. With the extensive supervision on the contents of insurance products, it is impossible to discuss each of them. The application and the policy provisions are the main focus in this study. This study compares group basic hospital insurance of the state of New York with health insurance provisions in Taiwan. We found that provisions in New York State are formulated to protect the applicant, and important issues are listed in the application. In the comparison, we found that quantity of relevant policy provisions in New York State is greater than Taiwan and the provisions in New York State are more comprehensive. Besides, there are similar provisions about the cover page and mandates of prescription drugs are covered under this policy in Taiwan, provisions in New York State are worthy of reference for Taiwan. Lastly, in view of group basic hospital insurance of the state of New York and health insurance related provision in Taiwan, our recommendations for future establishment of provision of insurance supervision in Taiwan are as follows. For the purpose of protecting policyholders, the terms related to pre-existing conditions which would affect the validity of insurance, should be stated in the application. To improve efficiency of insurance market in Taiwan, it is necessary to establish the mandatory standard provisions and optional standard provisions and to integrate relevant policy provisions for inquiry.
Wu, Chih-Wei y 吳志偉. "A Comparison of Regulations on Health Insurance Rate-Filings in Taiwan and the United States–A Case Study of Group Basic Hospital Insurance of the State of New York". Thesis, 2012. http://ndltd.ncl.edu.tw/handle/27676614107876020153.
Texto completo逢甲大學
統計與精算所
100
With the increase of average life expectancy and the advancement of medical technology, the importance of health insurance increases every day as commercial health insurance premium increases year by year. Because the supervisory regulations of Taiwanese health insurance are still inadequate and those of the United States are more robust, and most of the health insurance of the United States is group insurance, this study will compare the regulations of group basic hospital insurance products in New York State (NYS) with the related regulations of group health insurance in Taiwan. Since the supervisory regulations of health insurance products are far too extensive to examine in full, this study mainly focuses on the rate-filing supervision. After comparing regulations of group health insurance in Taiwan and in NYS, suggestions on insurance supervision in Taiwan are proposed. 1. Enhance the regulations on coverage of mental illness and ratemaking. 2. Enhance the relevant regulations on ratemaking methodology, such as group rate manual. 3. Enhance relevant actuarial standards of practice, such as reserve standard of practice on health insurance. 4. Integrate relevant supervisory review provisions, such as product checklists of health insurance in NYS.
Eliason, Erica Linn. "The Effects of Health Insurance Eligibility Policies on Maternal Care Access and Childbirth Outcomes". Thesis, 2021. https://doi.org/10.7916/d8-bwaq-kf37.
Texto completoHoward, Steven W. "Medicare managed care : market penetration and the resulting health outcomes". Thesis, 2011. http://hdl.handle.net/1957/26133.
Texto completoGraduation date: 2012
Barnes, Stephen Ransom. "Three essays in health economics". 2008. http://hdl.handle.net/2152/17743.
Texto completotext