The Experts below are selected from a list of 3441 Experts worldwide ranked by ideXlab platform
Liselotte Eriksson - One of the best experts on this subject based on the ideXlab platform.
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sickness absence in Compulsory and voluntary Health Insurance the case of sweden at the turn of the twentieth century
Scandinavian Economic History Review, 2017Co-Authors: Lars Fredrik Andersson, Liselotte ErikssonAbstract:At the turn of the twentieth century, Swedish Health Insurance was organised according to the Western European models of both voluntary, ‘fraternal’ principles and Compulsory, ‘factory scheme’ principles. In this paper, we trace the characteristics of both organisational forms, and compare the sickness absence by considering the role of risk selection and mitigation across a large panel of voluntary and Compulsory Health Insurance societies operating in Sweden between 1900 and 1910. We find that voluntary societies used a wide set of rules and practices in order to select and monitor members in order to keep down the number of sick cases. Compulsory societies applied shorter waiting periods and offered more medical treatment, leading to more frequent but shorter sickness absences.
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voluntary or Compulsory exploring dynamics of mutual cooperative formation in swedish Health Insurance at the turn of the twentieth century
2016Co-Authors: Lars Fredrik Andersson, Liselotte ErikssonAbstract:"In this paper we explore the dynamics of mutual cooperative formation in Swedish Health Insurance during the period 1901 to 1910 ‐ a period where Health Insurance was in the making and organized along voluntary, ‘fraternal’ principles and Compulsory, ‘factory scheme’ principles. Most previous studies on Health Insurance have addressed information asymmetry issues on either voluntary fraternal based societies or Compulsory factory based societies, while few studies has compared the two forms of Health Insurance and their implications. By comparing the outcome in terms of sickness for the two forms of organization, this paper traces the efficiency in controlling for moral hazard and adverse selection across a large panel of voluntary and Compulsory Health Insurance societies. We find that voluntary societies were equal to, or even more efficient, than Compulsory societies suggesting that voluntary principles help mitigate moral hazard and select risk."
Lars Fredrik Andersson - One of the best experts on this subject based on the ideXlab platform.
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sickness absence in Compulsory and voluntary Health Insurance the case of sweden at the turn of the twentieth century
Scandinavian Economic History Review, 2017Co-Authors: Lars Fredrik Andersson, Liselotte ErikssonAbstract:At the turn of the twentieth century, Swedish Health Insurance was organised according to the Western European models of both voluntary, ‘fraternal’ principles and Compulsory, ‘factory scheme’ principles. In this paper, we trace the characteristics of both organisational forms, and compare the sickness absence by considering the role of risk selection and mitigation across a large panel of voluntary and Compulsory Health Insurance societies operating in Sweden between 1900 and 1910. We find that voluntary societies used a wide set of rules and practices in order to select and monitor members in order to keep down the number of sick cases. Compulsory societies applied shorter waiting periods and offered more medical treatment, leading to more frequent but shorter sickness absences.
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voluntary or Compulsory exploring dynamics of mutual cooperative formation in swedish Health Insurance at the turn of the twentieth century
2016Co-Authors: Lars Fredrik Andersson, Liselotte ErikssonAbstract:"In this paper we explore the dynamics of mutual cooperative formation in Swedish Health Insurance during the period 1901 to 1910 ‐ a period where Health Insurance was in the making and organized along voluntary, ‘fraternal’ principles and Compulsory, ‘factory scheme’ principles. Most previous studies on Health Insurance have addressed information asymmetry issues on either voluntary fraternal based societies or Compulsory factory based societies, while few studies has compared the two forms of Health Insurance and their implications. By comparing the outcome in terms of sickness for the two forms of organization, this paper traces the efficiency in controlling for moral hazard and adverse selection across a large panel of voluntary and Compulsory Health Insurance societies. We find that voluntary societies were equal to, or even more efficient, than Compulsory societies suggesting that voluntary principles help mitigate moral hazard and select risk."
Di Tang - One of the best experts on this subject based on the ideXlab platform.
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the effects of Compulsory Health Insurance on birth outcomes evidence from china s uebmi scheme
BMC Health Services Research, 2019Co-Authors: Di Tang, Xiangdong Gao, Peter C CoyteAbstract:Despite extensive research concerning the impact of Health Insurance on the advancement of infant Health in developed countries, few studies have adjusted their results for potential confounding due to adverse selection in Insurance coverage, wherein those who anticipate a need for Health services tend to be the ones that acquire Insurance. The presence of Compulsory Health Insurance in China, such as the Urban Employee Basic Medical Insurance (UEBMI) scheme may provide an opportunity to estimate the effect of Health Insurance on infant Health, by reducing the endogeneity problem into Insurance due to the adverse selection. The objective is to assess the relationship between UEBMI and infant Health outcomes in one sizeable municipal-level obstetrics hospital in Shanghai, East China. Medical records data from the Shanghai First Maternity and Infant Hospital from January 1, 2013 to April 30, 2019 were used to form an analysis dataset of 160,429 live births which was comprised of Shanghai residents with UEBMI coverage (n = 101,153) and women without any Insurance coverage (n = 59,276). A propensity score matching approach using conjoint quantile regression and probit regression models was used to eliminate latent endogeneity of UEBMI coverage in order to garner robust results. Further analysis stratified by maternal migrant status was conducted to further assess the sensitivity of the findings to distinct patient subgroups. The UEBMI scheme was shown to be associated with improvements in infant birth outcomes. The scheme was associated with: an increase in birth weight of about 30 g (p < 0.001, 95% CI 23.908–35.295). This finding was evident in other five different birth outcomes (premature birth, low birth weight, very low birth weight, low Apgar score, and an abnormal Health condition at birth). After stratifying by migrant status, the UEBMI was shown to have a greater effect on migrants compared to local residents of Shanghai. Our findings suggest that Health Insurance coverage for pregnant women, especially for migrants, has the potential to significantly and directly improve infant Health outcomes. Further research is required to determine whether these findings can be replicated for other Chinese jurisdictions.
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The effects of Compulsory Health Insurance on birth outcomes: evidence from China’s UEBMI scheme
2019Co-Authors: Di Tang, Gao Xiangdong, Coyte, Peter CAbstract:Abstract Background Despite extensive research concerning the impact of Health Insurance on the advancement of infant Health in developed countries, few studies have adjusted their results for potential confounding due to adverse selection in Insurance coverage, wherein those who anticipate a need for Health services tend to be the ones that acquire Insurance. The presence of Compulsory Health Insurance in China, such as the Urban Employee Basic Medical Insurance (UEBMI) scheme may provide an opportunity to estimate the effect of Health Insurance on infant Health, by reducing the endogeneity problem into Insurance due to the adverse selection. The objective is to assess the relationship between UEBMI and infant Health outcomes in one sizeable municipal-level obstetrics hospital in Shanghai, East China. Methods Medical records data from the Shanghai First Maternity and Infant Hospital from January 1, 2013 to April 30, 2019 were used to form an analysis dataset of 160,429 live births which was comprised of Shanghai residents with UEBMI coverage (n = 101,153) and women without any Insurance coverage (n = 59,276). A propensity score matching approach using conjoint quantile regression and probit regression models was used to eliminate latent endogeneity of UEBMI coverage in order to garner robust results. Further analysis stratified by maternal migrant status was conducted to further assess the sensitivity of the findings to distinct patient subgroups. Results The UEBMI scheme was shown to be associated with improvements in infant birth outcomes. The scheme was associated with: an increase in birth weight of about 30 g (p
Sheila Odougherty - One of the best experts on this subject based on the ideXlab platform.
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bismarck meets beveridge on the silk road coordinating funding sources to create a universal Health financing system in kyrgyzstan
Bulletin of The World Health Organization, 2009Co-Authors: Joseph Kutzin, Ainura Ibraimova, Melitta Jakab, Sheila OdoughertyAbstract:Options for Health financing reform are often portrayed as a choice between general taxation (known as the Beveridge model) and social Health Insurance (known as the Bismarck model). Ten years of Health financing reform in Kyrgyzstan, since the introduction of its Compulsory Health Insurance fund in 1997, provide an excellent example of why it is wrong to reduce Health financing policy to a choice between the Beveridge and Bismarck models. Rather than fragment the system according to the Insurance status of the population, as many other low- and middle-income countries have done, the Kyrgyz reforms were guided by the objective of having a single system for the entire population. Key features include the role and gradual development of the Compulsory Health Insurance fund as the single purchaser of Health-care services for the entire population using output-based payment methods, the complete restructuring of pooling arrangements from the former decentralized budgetary structure to a single national pool, and the establishment of an explicit benefit package. Central to the process was the transformation of the role of general budget revenues – the main source of public funding for Health – from directly subsidizing the supply of services to subsidizing the purchase of services on behalf of the entire population by redirecting them into the Health Insurance fund. Through their approach to Health financing policy, and pooling in particular, the Kyrgyz Health reformers demonstrated that different sources of funds can be used in an explicitly complementary manner to enable the creation of a unified, universal system.
Peter Winderickx - One of the best experts on this subject based on the ideXlab platform.
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Pricing and Reimbursement of Pharmaceuticals in Belgium
PharmacoEconomics, 1997Co-Authors: Lieven Annemans, Ralph Crott, Henri De Clerq, Michel Hyuybrechts, Frank Peys, Hugo Robays, Ingrid Steens, Kathleen Vanschoubroek, Peter WinderickxAbstract:The Belgian Healthcare system has a tradition of access and equity at affordable prices. As in other countries, the system becomes pressured by increasing Healthcare costs. This paper describes the actual situation in Belgium with special focus on pharmaceutical products and the potential role of pharmacoeconomics in decision making on price and reimbursement. Nearly all people in Belgium are covered by Compulsory Health Insurance. The system is paid for by social security. the patients and the federal and regional authorities. The part of the consumption of pharmaceuticals that is charged to Insurance was about 62.1 billion Belgian francs (BeF), i.e. about 50% of the pharmaceutical market in 1994. Price setting in Belgium has been rather low due to the positive reimbursement list. where the price of a new drug is compared to existing drugs in a comparable therapeutic class (so-called reimbursement criteria). The expenditure on pharmaceuticals is increasing faster than global funding for public Health. In order to control drug budgets. different cost-containment measures have been or are being taken. i.e. a mix of price, reimbursement and volume controls. These cost-containment measures are not necessarily in accordance with a Health economic approach. This paper suggests the scope for better implementation of pharmacoeconomic Evaluation, which can lead to more flexible reimbursement systems in specific indications. Therefore. a formal recognition of the role of objective economic evaluations is needed for both hospital and ambulatory care. This process should be proceeded by improving the understanding and robustness of pharmacoeconomic evaluations.