scholarly journals How Do Providers Respond to Changes in Public Health Insurance Coverage? Evidence from Adult Medicaid Dental Benefits

2016 ◽  
Vol 8 (4) ◽  
pp. 70-102 ◽  
Author(s):  
Thomas Buchmueller ◽  
Sarah Miller ◽  
Marko Vujicic
Keyword(s):  
Public Health ◽  
Health Insurance ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Public Health Insurance ◽  
Wait Times ◽  
Dental Hygienists ◽  
Dental Services ◽  
Dental Benefits ◽  
Publicly Insured

This study evaluates how large changes in public health insurance coverage affect provider behavior and patient wait times by analyzing a common type of primary care: dental services. When states expand coverage of dental services to adult Medicaid beneficiaries, dentists' participation in Medicaid increases and dentists see more publicly insured patients. Dentists supply more visits but only modestly increase the amount of time spent working. They achieve this in part by making greater use of dental hygienists. Wait times increase modestly, with the largest increases in wait times observed in states with restrictive scope of practice laws governing dental hygienists. (JEL G22, I11, I13, I18, I38, J22, J44)

scholarly journals Geographic variation in health insurance coverage : United States, 2019

2021 ◽  
Author(s):  
Robin A. Cohen ◽  
◽  
Emily P. Terlizzi ◽  
Amy E. Cha ◽  
Michael E. Martinez ◽  
...  
Keyword(s):  
Public Health ◽  
United States ◽  
Health Insurance ◽  
Geographic Variation ◽  
Private Health Insurance ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Public Health Insurance ◽  
National Estimates ◽  
State Regional

This report presents state, regional, and national estimates of the percentage of persons who were uninsured, had private health insurance coverage, and had public health insurance coverage in 2019.

scholarly journals The Public Health Insurance Coverage of Novel Targeted Anticancer Medicines in China—In Favor of Whom? A Retrospective Analysis of the Insurance Claim Data

2021 ◽  
Vol 12 ◽  
Author(s):  
Mingshuang Li ◽  
Yifan Diao ◽  
Jianchun Ye ◽  
Jing Sun ◽  
Yu Jiang
Keyword(s):  
Public Health ◽  
Lung Cancer ◽  
Health Insurance ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Claim Data ◽  
Public Health Insurance ◽  
The Public ◽  
Supplementary Health Insurance ◽  
Insurance Claim Data

Objectives: This study took Fuzhou city as a case, described how the public health insurance coverage policy in 2016 of novel anti-lung cancer medicines benefited patients, and who benefited the most from the policy in China.Methods: This was a retrospective study based on health insurance claim data with a longitudinal analysis of the level and trend changes of the monthly number of patients to initiate treatment with the novel targeted anti-lung cancer medicines gefitinib and icotinib before and after health insurance coverage. The study also conducted a multivariate linear regression analysis to predict the potential determinants of the share of patient out-of-pocket (OOP) expenditure for lung cancer treatment with the study medicines.Results: The monthly number of the insured patients in Fuzhou who initiated the treatment with the studied novel targeted anti-lung cancer medication abruptly increased by 26 in the month of the health insurance coverage (95% CI: 14–37, p < 0.01) and kept at an increasing level afterward (p < 0.01). By controlling the other factors, the shares of OOP expenditure for lung cancer treatment of the patients who were formal employee program enrollees not entitled to government-funded supplementary health insurance coverage and resident program enrollees were 18.3% (95% CI: 14.1–22.6) and 26.7% (95% CI: 21.0–32.4) higher than that of the patients who were formal employee program enrollees with government-funded supplementary health insurance coverage.Conclusion: The public health insurance coverage of novel anti-lung cancer medicines benefited patients generally. To enable that patients benefit from this policy more equally and thoroughly, in order to achieve the policy goal of not to leave anyone behind, it is necessary to strengthen the benefits package of the resident program and to optimize the current financing mechanism of the public health insurance system.

scholarly journals Geographic Variation in Health Insurance Coverage: United States, 2020

2022 ◽  
Author(s):  
Emily Terlizzi ◽  
Robin Cohen
Keyword(s):  
Public Health ◽  
United States ◽  
Health Insurance ◽  
Geographic Variation ◽  
Private Health Insurance ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Public Health Insurance ◽  
National Estimates ◽  
State Regional

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.

scholarly journals Estimating Premium Sensitivity for Children's Public Health Insurance Coverage: Selection but No Death Spiral

2014 ◽  
Vol 50 (2) ◽  
pp. 579-598 ◽  
Author(s):  
James Marton ◽  
Patricia G. Ketsche ◽  
Angela Snyder ◽  
E. Kathleen Adams ◽  
Mei Zhou
Keyword(s):  
Public Health ◽  
Health Insurance ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Public Health Insurance ◽  
Death Spiral

Public Health Insurance, Labor Supply, and Employment Lock *

2014 ◽  
Vol 129 (2) ◽  
pp. 653-696 ◽  
Author(s):  
Craig Garthwaite ◽  
Tal Gross ◽  
Matthew J. Notowidigdo
Keyword(s):  
Public Health ◽  
Health Insurance ◽  
Labor Supply ◽  
Job Search ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Significant Degree ◽  
Public Health Insurance ◽  
Private Employer ◽  
State Variation

Abstract We study the effect of public health insurance on labor supply by exploiting a large public health insurance disenrollment. In 2005, approximately 170,000 Tennessee residents abruptly lost Medicaid coverage. Using both across- and within-state variation in exposure to the disenrollment, we estimate large increases in labor supply, primarily along the extensive margin. The increased employment is concentrated among individuals working at least 20 hours a week and receiving private, employer-provided health insurance. We explore the dynamic effects of the disenrollment and find an immediate increase in job search behavior and a steady rise in both employment and health insurance coverage following the disenrollment. Our results are consistent with a significant degree of “employment lock”—workers who are employed primarily to secure private health insurance coverage.

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