Bibliografias temáticas / Health insurance claims – United States

Literatura científica selecionada sobre o tema "Health insurance claims – United States"

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Publicado: 26 de julho de 2024

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Artigos de revistas sobre o assunto "Health insurance claims – United States"

Farrow, Freeman L. "The Anti-Patient Psychology of Health Courts: Prescriptions from a Lawyer-Physician". American Journal of Law & Medicine 36, n.º 1 (março de 2010): 188–220. http://dx.doi.org/10.1177/009885881003600104.

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Critics of the current medical malpractice tort system claim that adjudication of malpractice claims before generalist judges and lay juries contributes to rising costs of medical malpractice insurance premiums and medical care. They claim that properly deciding issues in this realm requires specialized knowledge of medicine and medical technology that juries, and even judges of general jurisdiction, do not possess. One lobbying group alleges there is a continuing medical malpractice litigation crisis in the United States, evidenced by increasing medical costs, deaths from needless medical errors, departure of physicians from the practice of medicine due to increasing medical malpractice insurance premiums, and random medical justice in medical malpractice cases. Whether there is a direct, causal correlation between the increasing cost of medical malpractice insurance premiums and medical malpractice litigation is debatable.

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Parker, Christine W. "Practice Guidelines and Private Insurers". Journal of Law, Medicine & Ethics 23, n.º 1 (1995): 57–61. http://dx.doi.org/10.1111/j.1748-720x.1995.tb01331.x.

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Practice guidelines are an increasingly relevant feature of health insurance. One hundred and seventy-eight million people in the United States have some form of private health insurance coverage; coverage for 150 million of them is employment-related. Traditionally, this coverage was provided by employers purchasing a group contract under which an insurance carrier provided indemnity coverage for employees—that is, the insurance company paid all usual, customary, and reasonable charges incurred by an employee for medical care, subject in some cases to an annual deductible and to a percentage of covered expenses, co-paid by the employee, for each service. In recent years, however, employers in greater numbers have switched to so-called self-insurance plans in which employees’ health care claims are paid directly by the employer (although an insurance company or other third party may be retained to administer the claim payment process).

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Williams, Jackson. "Health Insurance in an Era of Declining Social Capital". World Affairs 183, n.º 4 (17 de novembro de 2020): 343–58. http://dx.doi.org/10.1177/0043820020964220.

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Putnam’s seminal work on social capital focused on early forms of health insurance as both a result, and accelerator, of the norms of reciprocity and social trust that foster cooperation. Yet, while social capital has been studied as a factor supporting community-based health insurance in developing countries, there has been no analysis of its role in U.S. health insurance. With repeal of the mandate to carry health insurance, this product is once again a purely voluntary purchase, and bears analysis as a cooperation problem. Putnam later documented a sharp decline in social capital in the United States. If social capital undergirds participation in health insurance, we can expect reduced reciprocity to lower willingness to cross-subsidize the sick. Waning social capital could also manifest itself in reduced trust that other healthy people will purchase insurance and lack of trust in the providers and manufacturers who make claims on the insurance pool.

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Heller, Thomas Allan. "An Overview of Medical Malpractice Law in the United States Including Legislative and the Health Care Industry’s Responses to Increased Claims". Medicine, Law & Society 10, n.º 2 (25 de outubro de 2017): 139–63. http://dx.doi.org/10.18690/2463-7955.10.2.139-163.2017.

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Medical Malpractice claims are frequently asserted in the United States. At various time and places, an extraordinarily high number of claims and payouts led to what some have called medical malpractice crises. Consequently, in some geographical locations physicians either could not purchase malpractice insurance as carriers withdrew from the market, or, insurance became increasingly expensive and the overall costs associated with the delivery of health care continued to rise. Other undesirable consequences of these crises included a shortage of qualified physicians in certain parts of the country. Many of the states responded to these problems legislatively through a long series of tort reform measures. The health care industry itself has evolved in numerous ways. In particular, many health care providers have turned away from traditional private insurance models to self-insured models such as captives. Further, the industry has continued to consolidate, with fewer, but larger hospitals and clinics, and with an increasing number of physicians employed directly by hospitals and large clinics. The results of all of these changes have had mixed results.

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Unalp-Arida, Aynur, e Constance E. Ruhl. "Burden of gallstone disease in the United States population: Prepandemic rates and trends". World Journal of Gastrointestinal Surgery 16, n.º 4 (27 de abril de 2024): 1130–48. http://dx.doi.org/10.4240/wjgs.v16.i4.1130.

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BACKGROUND Gallstone disease is one of the most common digestive disorders in the United States and leads to significant morbidity, mortality, and health care utilization. AIM To expand on earlier findings and investigate prepandemic rates and trends in the gallstone disease burden in the United States using national survey and claims databases. METHODS The National Ambulatory Medical Care Survey, National Inpatient Sample, Nationwide Emergency Department Sample, Nationwide Ambulatory Surgery Sample, Vital Statistics of the United States, Optum Clinformatics® Data Mart, and Centers for Medicare and Medicaid Services Medicare 5% Sample and Medicaid files were used to estimate claims-based prevalence, medical care including cholecystectomy, and mortality with a primary or other gallstone diagnosis. Rates were age-adjusted (for national databases) and shown per 100000 population. RESULTS Gallstone disease prevalence ( claims-based, 2019) was 0.70% among commercial insurance enrollees, 1.03% among Medicaid beneficiaries, and 2.09% among Medicare beneficiaries and rose over the previous decade. Recently, in the United States population, gallstone disease contributed to approximately 2.2 million ambulatory care visits, 1.2 million emergency department visits, 625000 hospital discharges, and 2000 deaths annually. Women had higher medical care rates with a gallstone disease diagnosis, but mortality rates were higher among men. Hispanics had higher ambulatory care visit and hospital discharge rates compared with Whites, but not mortality rates. Blacks had lower ambulatory care visit and mortality rates, but similar hospital discharge rates compared with whites. During the study period, ambulatory care and emergency department visit rates with a gallstone disease diagnosis rose, while hospital discharge and mortality rates declined. Among commercial insurance enrollees, rates were higher compared with national data for ambulatory care visits and hospitalizations, but lower for emergency department visits. Cholecystectomies performed in the United States included 605000 ambulatory laparoscopic, 280000 inpatient laparoscopic, and 49000 inpatient open procedures annually. Among commercial insurance enrollees, rates were higher compared with national data for laparoscopic procedures. CONCLUSION The gallstone disease burden in the United States is substantial and increasing, particularly among women, Hispanics, and older adults with laparoscopic cholecystectomy as the mainstay treatment. Current practice patterns should be monitored for better health care access.

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Hodge, James G., Erin C. Fuse Brown, Daniel G. Orenstein e Sarah O'Keefe. "Congress, Courts, and Commerce: Upholding the Individual Mandate to Protect the Public's Health". Journal of Law, Medicine & Ethics 39, n.º 3 (2011): 394–400. http://dx.doi.org/10.1111/j.1748-720x.2011.00609.x.

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Despite historic efforts to enact the Patient Protection and Affordable Care Act (PPACA) in 2010, national health reform is threatened by multiple legal challenges grounded in constitutional law. Premier among these claims is the premise that PPACA’s “individual mandate” (requiring all individuals to obtain health insurance by 2014 or face civil penalties) is constitutionally infirm. Attorneys General in Virginia and Florida (joined by 25 other states) allege that Congress’ interstate commerce powers do not authorize federal imposition of the individual mandate because Congress lacks the power to regulate commercial “inactivity.” Stated simply, Congress cannot regulate individuals who choose not to obtain health insurance because they are not engaged in a commercial venture. Several courts initially considering this argument have rejected it, but two federal district courts in Virginia and Florida have concurred, leading to numerous appeals and the near promise of United States Supreme Court review.

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Nelson, Lorene M., Mitchell T. Wallin, Ruth Ann Marrie, W. J. Culpepper, Annette Langer-Gould, Jon Campbell, Stephen Buka et al. "A new way to estimate neurologic disease prevalence in the United States". Neurology 92, n.º 10 (15 de fevereiro de 2019): 469–80. http://dx.doi.org/10.1212/wnl.0000000000007044.

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ObjectiveConsiderable gaps exist in knowledge regarding the prevalence of neurologic diseases, such as multiple sclerosis (MS), in the United States. Therefore, the MS Prevalence Working Group sought to review and evaluate alternative methods for obtaining a scientifically valid estimate of national MS prevalence in the current health care era.MethodsWe carried out a strengths, weaknesses, opportunities, and threats (SWOT) analysis for 3 approaches to estimate MS prevalence: population-based MS registries, national probability health surveys, and analysis of administrative health claims databases. We reviewed MS prevalence studies conducted in the United States and critically examined possible methods for estimating national MS prevalence.ResultsWe developed a new 4-step approach for estimating MS prevalence in the United States. First, identify administrative health claim databases covering publicly and privately insured populations in the United States. Second, develop and validate a highly accurate MS case-finding algorithm that can be standardly applied in all databases. Third, apply a case definition algorithm to estimate MS prevalence in each population. Fourth, combine MS prevalence estimates into a single estimate of US prevalence, weighted according to the number of insured persons in each health insurance segment.ConclusionsBy addressing methodologic challenges and proposing a new approach for measuring the prevalence of MS in the United States, we hope that our work will benefit scientists who study neurologic and other chronic conditions for which national prevalence estimates do not exist.

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Xu, Xiao, Stephen J. Spurr, Bin Nan e A. Mark Fendrick. "The effect of medical malpractice liability on rate of referrals received by specialist physicians". Health Economics, Policy and Law 8, n.º 4 (26 de março de 2013): 453–75. http://dx.doi.org/10.1017/s1744133113000157.

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AbstractUsing nationally representative data from the United States, this paper analyzed the effect of a state's medical malpractice environment on referral visits received by specialist physicians. The analytic sample included 12,839 ambulatory visits to specialist care doctors in office-based settings in the United States during 2003–2007. Whether the patient was referred for the visit was examined for its association with the state's malpractice environment, assessed by the frequency and severity of paid medical malpractice claims, medical malpractice insurance premiums and an indicator for whether the state had a cap on non-economic damages. After accounting for potential confounders such as economic or professional incentives within practices, the analysis showed that statutory caps on non-economic damages of $250,000 were significantly associated with lower likelihood of a specialist receiving referrals, suggesting a potential impact of a state's medical malpractice environment on physicians’ referral behavior.

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Eppink, Samuel T., Sagar Kumar, Kathryn Miele e Harrell W. Chesson. "Lifetime Medical Costs of Genital Herpes in the United States: Estimates From Insurance Claims". Sexually Transmitted Diseases 48, n.º 4 (26 de janeiro de 2021): 266–72. http://dx.doi.org/10.1097/olq.0000000000001371.

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Owusu-Edusei, Kwame, Camille E. Introcaso e Harrell W. Chesson. "Hospitalization Cost of Congenital Syphilis Diagnosis From Insurance Claims Data in the United States". Sexually Transmitted Diseases 40, n.º 3 (março de 2013): 226–29. http://dx.doi.org/10.1097/olq.0b013e31827c5b9f.

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Teses / dissertações sobre o assunto "Health insurance claims – United States"

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.

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Thesis (Ph.D. in Economics)--S.M.U.
Title 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.

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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.

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Fernandez, Juan Gabriel. "Three essays on competition and health insurance markets". Thesis, Boston University, 2012. https://hdl.handle.net/2144/31552.

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Thesis (Ph.D.)--Boston University
PLEASE 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.
2031-01-01

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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.

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Palmedo, 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.

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A number of theoretical explanations seek to describe the factors that have led to the position of the United States as the last industrialized Western nation without a universal health care program. Theories focus on institutional arrangement, historic precedent, and the influence of the private sector and market forces. This study explores another factor: the role of underlying social values. The research examines differences in values among ten European countries, the United States and Canada, and analyzes the associations between the values that have been seen to contribute the individualism-collectivism dynamic in the United States. The hypothesis that equality and generalized trust are positively associated with universalism is only partially true. Equality is positively associated (B = .301, p < .001), while generalized trust is negatively associated with universalism (B = -.052, p < .001). Not only do Americans show lower levels of support for income equality and universalism than Europeans, but the effect of being American holds even after controlling for socio-demographic and religious variables (B = .044, p < .01). When the model tests the association of equality and trust on universalism in each region, it explains approximately 17 percent of the variance of universalism for the United States, and approximately 13 percent in Europe and Canada.

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Welle, 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.

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Using a nationally representative sample of individuals across all fifty United States from the 2016 American Community Survey (ACS), this research explores differences in the incidence and predictors of health insurance status across region (i.e. West, Midwest, South, and Northeast) for individuals age 18 and older. The data suggests that: 1) Individuals from the Northeast are the most likely to have some form of health insurance, while individuals from the South are the least likely; 2) The factors which influence health insurance status are relatively similar across all regions, though they often differ substantially in magnitude; 3) In some cases region can play a significant role in determining the type of insurance an individual has (i.e. Public versus Private). Policy makers will find these results useful to target specific factors within regions that may prove to increase the number of insured individuals. Furthermore, researchers may choose to use this paper as a current reference and starting point for further in-depth analysis on targeted factors within specific regions.

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Abel, 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.

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The primary question at issue in this paper is the following: given the similarities between the two countries with regard to welfare state institutions, why have the United States and the United Kingdom diverged on the issue of health care? Drawing on sociological institutionalism, a branch of the new institutionalist paradigm, this paper provides an answer to this question: during the formative years of the health care stories in the two countries, variations in institutional and cultural conditions produced contrasting policy outcomes. More specifically, this paper discusses how the combination of institutions (political, labor, and medical) and culture led to private insurance in the United States and public insurance in the United Kingdom. Of course, this paper has implications for several areas of scholarship, as well as for current policy debates on a wide range of issues.

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Potter, Emma C. "Health Insurance Experiences of Gay Father Families: Perceptions, Disclosure, and Roles". Thesis, Virginia Tech, 2013. http://hdl.handle.net/10919/23839.

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Recent developments in public debate, health policy, and research on nontraditional families have brought gay-parent families, especially gay fathers, into the cultural and political spotlight. Existing research and literature on LGBT families and gay fatherhood have emphasized relationship dynamics within the families but there are gaps in the literature regarding the health and well-being of these families, specifically as it relates to health insurance. Using symbolic interactionism, life course theory, and grounded theory methodology, I conducted a qualitative pilot study to investigate gay fathers\' health insurance experiences. I collected responses from 10 White, gay fathers across the United States and asked questions about access to health insurance, the process of providing insurance for their families, access and use of community resources, and unique factors of their health insurance story. This research adds to the same-sex parent knowledge based by (a) gaining an understanding of the family decisions gay fathers make around health insurance, (b) identifying obstacles and subsequent solutions to health insurance problems, (c) discussing issues of disclosure and outness in gay father families, and (d) uncovering continued gender associations with the division of labor. This study has more broad implications for theoretical concepts like intersectionality and agency, but also provides insights into policy inequalities that continue in the United States.
Master of Science

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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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Petersen, 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.

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Autism 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.

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Livros sobre o assunto "Health insurance claims – United States"

Rowell, Jo Ann C. Understanding medical insurance: A step-by-step guide. 2^a ed. Albany, N.Y: Delmar Publishers, 1994.

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Rowell, Jo Ann C. Understanding medical insurance: A step-by-step guide. 3^a ed. Albany, N.Y: Delmar Publishers, 1996.

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Rowell, Jo Ann C. Understanding medical insurance: A step-by-step guide. Albany, N.Y: Delmar Publishers, 1989.

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Wickert, Gary L. ERISA and health insurance subrogation: In all 50 states. Huntington, New York: Juris Publishing, 2013.

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Wickert, Gary L. ERISA and health insurance subrogation: In all 50 states. 4^a ed. Huntington, N.Y: Juris Pub., 2010.

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Wickert, Gary L. ERISA and health insurance subrogation: In all 50 states. 3^a ed. Huntington, N.Y: Juris Pub., 2008.

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Wickert, Gary L. ERISA and health insurance subrogation: In all 50 states. 2^a ed. Huntington, N.Y: Juris Pub., 2006.

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United, States Congress Senate Committee on Commerce Science and Transportation. Delivering better health care value to consumers: The first three years of the medical loss ratio : hearing before the Committee on Commerce, Science, and Transportation, United States Senate, One Hundred Thirteenth Congress, second session, May 21, 2014. Washington: U.S. Government Printing Office, 2014.

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Rowell, Jo Ann C., 1934-, ed. Understanding health insurance: A guide to billing and reimbursement. Clifton Park, NY: Delmar Cengage Learning, 2013.

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United States. Congress. Senate. Committee on Appropriations. Subcommittee on Departments of Labor, Health and Human Services, Education, and Related Agencies. ERISA preemption, remedies for denied or delayed health claims: Hearing before a subcommittee of the Committee on Appropriations, United States Senate, One Hundred Fifth Congress, second session, special hearing. Washington: U.S. G.P.O., 1999.

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Capítulos de livros sobre o assunto "Health insurance claims – United States"

Morrisey, Michael A. "Health Insurance in the United States". In Handbook of Insurance, 957–95. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-0155-1_33.

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Sanders, Mary Ellen. "Substantiating Health Benefit Claims for Probiotics in the United States". In Probiotics and Health Claims, 88–101. Oxford, UK: Wiley-Blackwell, 2010. http://dx.doi.org/10.1002/9781444329384.ch6.

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Lichtenstein, Alice H. "Health Claims and Dietary Guidance in the United States: Case “Reduced Cardiovascular Disease Risk”". In Probiotics and Health Claims, 102–17. Oxford, UK: Wiley-Blackwell, 2010. http://dx.doi.org/10.1002/9781444329384.ch7.

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Giaimo, Susan. "Germany: Modernizing Social Health Insurance to Meet New Challenges". In Reforming Health Care in the United States, Germany, and South Africa, 95–142. New York: Palgrave Macmillan US, 2016. http://dx.doi.org/10.1057/9781137107176_3.

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Castro, Jose Eduardo Cabrero, e Brian Downer. "Health Insurance Coverage and Forgoing Care in Mexico: The Role of Seguro Popular". In Older Mexicans and Latinos in the United States, 265–81. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-48809-2_15.

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Dickinson, Annette. "Health Claims for Foods and Dietary Supplements in the United States and Japan". In Primary and Secondary Preventive Nutrition, 397–411. Totowa, NJ: Humana Press, 2001. http://dx.doi.org/10.1007/978-1-59259-039-1_22.

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Kestenbaum, Bert. "Semi-supercentenarians in the United States". In Demographic Research Monographs, 191–201. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-49970-9_13.

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AbstractThis chapter discusses in detail the procedure followed to identify a 1-in-10 sample of persons born between 1870 and 1899 who resided in the United States at the time of their death at ages 105–109 for men and 108 or 109 for women. We tabulate the characteristics of these “semi-supercentenarians” and offer some observations about the level of their mortality. The procedure for identifying semi-supercentenarians consists of (1) casting a net to find candidates and then (2) determining for which candidates can both date of birth and date of death be validated. The net used to find candidates in the United States is different from the nets typically used in other counties: in the United States we use the file of enrollments in the federal government’s Medicare health insurance program. Some of the information needed for the verification step comes from another administrative file – the Social Security Administration’s file of applications for a new or replacement social security card. Verification of the date of death is accomplished by querying the National Death Index. Dates of birth are verified by using online resources to access the records of several censuses conducted many decades earlier.

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Smith, Mitchell P. "Health Claims on Food Labels: Protecting Free Commercial Speech Versus Completing the Single Market". In Environmental and Health Regulation in the United States and the European Union, 61–89. New York: Palgrave Macmillan US, 2012. http://dx.doi.org/10.1057/9780230337763_3.

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Kestenbaum, Bert. "Mortality of Centenarians in the United States". In Demographic Research Monographs, 57–66. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-49970-9_6.

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AbstractIn the United States, we have not yet reached the point where unedited numerators and denominators for death rates or probabilities are of satisfactory quality for measuring the mortality of centenarians. Ignoring this reality can lead to an estimation of extreme-age mortality which is unacceptable, as is the case for the NCHS’ Data Brief no. 233. Even the better-quality data from the Medicare health insurance program are beset by problems of (1) unreported or unrecorded deaths and (2) date of birth misstatement. On the other hand, there are steps that can be taken to improve the quality of the underlying data, so that the threshold age at which a mathematical model replaces actual data and closes out the life table is pushed further out.The paper begins with a description of the unacceptable results published in Data Brief no. 233 and a critical examination of their sources. The main part of the paper presents some steps to improve the quality of the Medicare enrollment counts. By rearranging the historical series on Medicare enrollment by cohort, it is possible to eliminate unreported and unrecorded deaths. A simple model is then introduced to deal with date of birth misstatement.

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Feldman, Eric A., e Chelsea Darnell. "Health Insurance, Employment, and the Human Genome: Genetic Discrimination and Biobanks in the United States". In Comparative Issues in the Governance of Research Biobanks, 63–75. Berlin, Heidelberg: Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-33116-9_4.

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Trabalhos de conferências sobre o assunto "Health insurance claims – United States"

Y. Babatunde, Yusuf, Durojaiy M. Olalekan, Yussuph T. Toyyibat, Unuriode O. Austine, Akinwande J. Mayowa, Yusuf K. Tobi e Afolabi T. Osariemen. "A Comprehensive Data-Driven Analysis of Healthcare Disparities in the United States". In 13th International Conference on Artificial Intelligence, Soft Computing and Applications. Academy & Industry Research Collaboration Center, 2023. http://dx.doi.org/10.5121/csit.2023.132202.

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Health disparities encompass a range of factors, including race, ethnicity, gender, age, disability status, and socioeconomic conditions. This project highlights disparities in healthcare access, quality of care, and health outcomes, with a particular focus on racial and ethnic disparities in health insurance coverage, prenatal care, and maternal morbidity. Gender disparities are also evident. Addressing these issues requires a multifaceted approach, including addressing social determinants of health, promoting equitable healthcare policies, and fostering cultural competence. Equitable access to healthcare services, quality care, and improved data collection are essential in eliminating disparities. Initiatives to support underserved communities, improve healthcare quality, and enhance cultural competence are recommended. Research and evidence-based approaches, along with policy reforms at various levels, such as anti-discrimination laws and increased funding for public health, are crucial. Collaboration among healthcare organizations, community groups, government agencies, and advocacy organizations is essential for effective interventions

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Steuart, Shelby. "Do Cannabis PDMPs Change Physician Prescribing Behavior?" In 2022 Annual Scientific Meeting of the Research Society on Marijuana. Research Society on Marijuana, 2022. http://dx.doi.org/10.26828/cannabis.2022.02.000.42.

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As legal medical cannabis has become widespread in the United States, cannabis-related emergency department visits have increased. One reason for this increase is that physicians cannot prescribe medical cannabis, leading to a situation where physicians must rely on their patients to tell them whether they use medical cannabis. Patients may withhold their use of cannabis from their physician out of fear of judgment or fear of changes to their prescriptions. At the same time, almost 400 medications have moderate or severe contraindications for use with cannabis, any of which could cause a poisoning severe enough to warrant hospitalization. To combat this problem of information asymmetry in patient cannabis use, about one-third of states with medical cannabis programs have added cannabis to their state Prescription Drug Monitoring Program (PDMP) over the past few years. This could lead to changes in the physician prescribing behavior, which may result in fewer accidental cannabis-related poisonings. I will explore this question through the application of robust difference-in-difference models to private and public insurance claims data as well as data from Electronic Medical Records.

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Amponsem, Joycemary G., Dana Marshall, Derek Wilus e Mohammad Tabatabai. "Abstract B129: Does insurance status explain the racial disparity in survival outcome seen in upper aerodigestive tract cancers in the United States?" In Abstracts: Twelfth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; September 20-23, 2019; San Francisco, CA. American Association for Cancer Research, 2020. http://dx.doi.org/10.1158/1538-7755.disp19-b129.

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Doonan, Samantha, Olivia Laramie, Jessica Liu, Marianne Sarkis e Julie Johnson. "Unexpected Public Health Emergencies—A Descriptive Analysis of Trends in the Massachusetts Medical and Adult-use Cannabis Markets". In 2021 Virtual Scientific Meeting of the Research Society on Marijuana. Research Society on Marijuana, 2022. http://dx.doi.org/10.26828/cannabis.2022.01.000.49.

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In the United States (U.S.), access to legal cannabis through regulated state markets is rapidly changing, but little is known about consumer behavior when states with legal access choose to restrict access due to public health or safety concerns. This exploratory study examines the Massachusetts recreational (“adult-use”) and medical cannabis markets before and during two major public health crises that changed consumer access: (1) the e-cigarette or vaping use-associated lung injury (“EVALI”) crisis and state requirements to stop vape product sales in the adult-use and medical markets from 9/24/2019-12/12/2019, and (2) the SARS-CoV-2 (“COVID-19”) crisis and state emergency order that temporarily halted all adult-use retail sales but not medical sales from 3/24/20-5/24/20. We used the Massachusetts seed-to-sale tracking system (i.e., Metrc) to run descriptive statistics examining medical sales for patients and all adult-use sales across the largest product segments: buds, vapes and concentrate (each), edibles, and other categories (i.e., prerolls, concentrate, infused nonedible, infused beverage, kief, shake/trim, suppository) spanning May 2019-December 2020. To account for classification changes in the dataset, sales for vape products and concentrate (each) product were summed into a single category. We further examined trends in registered patients and “per patient” spending across cannabis product types (i.e., monthly sales per product category divided by monthly registered patients). Our findings showed a decline in market share for the vape and concentrate (each) product category in the adult and medical markets during the EVALI crisis when sales were halted, while buds, followed by edibles and other products increased in market share during this time. After vape products could be sold again, the market share of vape and concentrate (each) products rose but did not return to pre-EVALI levels. We did not observe an overall shift in market share by product type in the medical market during the COVID-19 adult-use store closure. Although gross medical sales trended upward, increases in the medical market did not account for the vast majority of prior spending in the adult-use market during the market’s closure. The number of registered active patients also trended upward. From December 2020 to December 2021, there was a 56% increase in patients (59,173 to 92,148 patients), and we observed a marked increase following the temporary halt of adult-use sales. During and prior to halted adult-use sales, we observed an increase in per patient monthly spending for cannabis products. This was particularly salient for buds. Per patient monthly spending for buds peaked in May 2020. Study limitations include a single state sample and that this study does not examine changes to the illicit market. We cannot make any causal claims and any long-term implications of trends observed during the EVALI and COVID-19 crises are unknown. Our exploratory findings suggest that there are a range of consumer responses in the legal market in response to temporary loss of access, including evidence of consumers changing legal markets (i.e., adult-use to medical) and changing product types. More research is needed, particularly to understand potential concurrent changes in the illicit market during these crises.

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Meyer, Christopher. "Positing Ecology: Mass Material Strategies for Miami-Dade County". In 110th ACSA Annual Meeting Paper Proceedings. ACSA Press, 2022. http://dx.doi.org/10.35483/acsa.am.110.2.

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Despite mounting evidence of environmental uncertainty, South Florida communities continue to record steadily increasing growth, with Miami Dade County’s [MDC] population expanding by approximately 3.5% between 2014 and 2018.1 Currently, any concern of building insurance affordability/ availability, long-term financial investment risks and health/safety concerns have not significantly altered the short-term future of the construction and real-estate markets.2 The south Florida community’s commitment to urban development is ever present; but the question on the minds of community leaders, policy makers and the general public is, how do we create urban resilience? The architectural profession must address the agenda–how do buildings and policies anticipate an evolving environment and sustain longterm, safe occupation? And what are they made of? An abundant battery of raw material timber resource, a distributed network of mills, processing plants, and mass timber manufacturing facilities affords an opportunity for the Southeastern United States to focus on implementing wood fibre into the construction ecology. However, a critical hurdle to the successful implementation of mass timber wood products in Florida, and specifically in MDC, is within the policy and permitting process. The required certified product testing by the Florida Administrative Code3 and the Miami-Dade County Product Approvals and Notice of Acceptance4 is one of two jurisdictions in the United States implementing the stringent High Velocity Hurricane Zone [HVHZ]5 as an overlay to the Florida Building Code6-which must be successfully navigated for project realization. The focus of this paper engages the question how do we build as a regional inquiry to Southern Florida through a case study on a partnership forged between academics and practice at the University of Miami School of Architecture and Atelier Mey Architects. This collaboration is established with the shared objective of implementing an innovative path to the design and building permitting of cross-laminated timber [CLT] in MDC, specifically the qualitative and quantitative methods required for CLT case study’s success. Empirical methodologies used to understand building applications of mass timber products, specifically PRG-320 certified Cross Laminated Timber Panels7 in Florida is through the design, engineering and submission of drawings to the Miami-Dade building permitting office for review.

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Relatórios de organizações sobre o assunto "Health insurance claims – United States"

Gindi, Renee. Health, United States, 2019. Centers for Disease Control and Prevention (U.S.), 2021. http://dx.doi.org/10.15620/cdc:100685.

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Health, United States, 2019 is the 43rd report on the health status of the nation and is submitted by the Secretary of the Department of Health and Human Services to the President and the Congress of the United States in compliance with Section 308 of the Public Health Service Act. This report was compiled by the National Center for Health Statistics (NCHS) of the Centers for Disease Control and Prevention (CDC). The Health, United States series presents an annual overview of national trends in key health indicators. The 2019 report presents trends and current information on selected measures of morbidity, mortality, health care utilization and access, health risk factors, prevention, health insurance, and personal health care expenditures in a 20-figure chartbook. The Health, United States, 2019 Chartbook is supplemented by several other products including Trend Tables, an At-a-Glance table, and Appendixes available for download on the Health, United States website at: https://www.cdc.gov/nchs/hus/ index.htm. The Health, United States, 2019 Chartbook contains 20 figures and 20 tables on health and health care in the United States. Examining trends in health informs the development, implementation, and evaluation of health policies and programs. The first section (Figures 1–13) focuses on health status and determinants: life expectancy, infant mortality, selected causes of death, overdose deaths, suicide, maternal mortality, teen births, preterm births, use of tobacco products, asthma, hypertension, heart disease and cancer, and functional limitations. The second section (Figures 14–15) presents trends in health care utilization: use of mammography and colorectal tests and unmet medical needs. The third section (Figures 16–17) focuses on health care resources: availability of physicians and dentists. The fourth section (Figures 18–20) describes trends in personal health care expenditures, health insurance coverage, and supplemental insurance coverage among Medicare beneficiaries. The Highlights section summarizes major findings from the Chartbook. Suggested citation: National Center for Health Statistics. Health, United States, 2019. Hyattsville, MD. 2021.

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Cohen, Robin, Amy Cha, Emily Terlizzi e Michael Martinez. Demographic Variation in Health Insurance Coverage: United States, 2019. National Center for Health Statistics (U.S.), junho de 2021. http://dx.doi.org/10.15620/cdc:106462.

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Cohen, Robin A., Emily P. Terlizzi, Amy E. Cha, Michael E. Martinez, Van L. Parsons, Rong Wei e Yulei He. Geographic variation in health insurance coverage : United States, 2019. National Center for Health Statistics, agosto de 2021. http://dx.doi.org/10.15620/cdc:107558.

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Terlizzi, Emily, e Robin Cohen. Geographic Variation in Health Insurance Coverage: United States, 2020. National Center for Health Statistics (U.S.), fevereiro de 2022. http://dx.doi.org/10.15620/cdc:112968.

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This report presents state, regional, and national estimates of the percentage of people who were uninsured, had private health insurance coverage, and had public health insurance coverage at the time of the interview.

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Cha, Amy. Demographic Variation in Health Insurance Coverage: United States, 2020. National Center for Health Statistics (U.S.), fevereiro de 2022. http://dx.doi.org/10.15620/cdc:113097.

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This report presents national estimates of different types of health insurance coverage and lack of coverage (uninsured). Estimates are presented by selected sociodemographic characteristics, including age, sex, race and Hispanic origin, family income, education level, employment status, and marital status.

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Cha, Amy, e Robin Cohen. Demographic Variation in Health Insurance Coverage: United States, 2021. National Center for Health Statistics (U.S.), novembro de 2022. http://dx.doi.org/10.15620/cdc:121554.

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Cha, Amy, e Robin Cohen. "Demographic Variation in Health Insurance Coverage: United States, 2021". National Center for Health Statistics (U.S.), novembro de 2022. http://dx.doi.org/10.15620/cdc:121555.

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Terlizzi, Emily P., e Robin A. Cohen. Geographic Variation in Health Insurance Coverage: United States, 2022. Hyattsville, MD: National Center for Health Statistics (U.S.), novembro de 2023. http://dx.doi.org/10.15620/cdc:133320.

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Cohen, Robin A., e Emily P. Terlizzi. Demographic Variation in Health Insurance Coverage: United States, 2022. Hyattsville, MD: National Center for Health Statistics (U.S.), novembro de 2023. http://dx.doi.org/10.15620/cdc:133321.

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Holtz-Eakin, Douglas. Health Insurance Provision and Labor Market Efficiency in the United States. Cambridge, MA: National Bureau of Economic Research, junho de 1993. http://dx.doi.org/10.3386/w4388.

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