scholarly journals The false private health insurance by association: a real case analysis of how actors influence the policy-making in health systems (is there any winner?)

2018 ◽  
Author(s):  
Alessandra Beatriz ML de Abreu
Keyword(s):  
Health Insurance ◽  
Health Systems ◽  
Policy Making ◽  
Private Health Insurance ◽  
Case Analysis ◽  
Real Case

Generating Financial Resources for Health

2021 ◽  
pp. 097206342199502
Author(s):  
Than Sein
Keyword(s):  
Health Insurance ◽  
Health Systems ◽  
Private Health Insurance ◽  
Social Health Insurance ◽  
Health Coverage ◽  
Government Investment ◽  
Long Run ◽  
General Revenue ◽  
Development Goals ◽  
Increasing Demand

The majority of developing countries in Asia have been making reforms to their health systems for decades but have still failed to achieve their targets for universal health coverage (UHC), that is, ensuring that all people obtain the health services they need without suffering financial hardship when paying for them, and the health- and poverty-related Sustainable Development Goals (SDGs). Countries in Asia rely on a mixture of healthcare financing sources, such as government general revenue, social health insurance (SHI), external funding, private health insurance and out-of-pocket (OOP) payments. Asian countries generally spend between 1% and 10% of their national GDP on health. There are variations in government investment in health as a proportion of total health expenditure across countries, from 23.4% in Japan to Myanmar’s 4.8%. Many governments in Asia have introduced various types of publicly financed health insurance schemes (SHI). The private sector, in providing healthcare, has expanded rapidly, because many national health systems are not able to cope with rising costs, especially for co-payment, and the increasing demand for services. The introduction of private health insurance has reduced OOP payments and, in the long run, could evolve a broader SHI system. As a result of the low levels of government spending, OOP payments by health consumers constitute a large share of health expenditures, amounting to more than US$0.5 trillion or US$80 per capita annually. Rapid increases in development assistance for health (DAH) since 2000 have resulted in major health gains in the poorest countries, yet DAH levels have stagnated in recent years. DAH must evolve to help accelerate progress toward UHC.

Private health insurance: a role model for European health systems

2012 ◽  
Vol 13 (5) ◽  
pp. 615-621 ◽  
Author(s):  
Christine Arentz ◽  
Johann Eekhoff ◽  
Susanna Kochskämper
Keyword(s):  
Health Insurance ◽  
Health Systems ◽  
Role Model ◽  
Private Health Insurance ◽  
European Health

scholarly journals Provider exclusions in US private health insurance contracts

2019 ◽  
Vol 8 (3) ◽  
pp. 15
Author(s):  
Michael M. Costello
Keyword(s):  
Health Insurance ◽  
Health Systems ◽  
Private Health Insurance ◽  
Insurance Contracts ◽  
Antitrust Laws ◽  
Health Insurance Provider ◽  
Contracting Process ◽  
National Newspaper ◽  
Restraint Of Trade ◽  
Specific Health

Two national newspaper articles published in the Fall of 2018 addressed the issue of private health insurance provider contracts that act to exclude specific health systems from health plan networks.  Inevitably, the question arises: Are such agreements illegal restraints of trade actionable under federal and state antitrust laws? A long-standing tenet of antitrust law is that it exists to protect competition not competitors.  Excluding providers may be a legitimate outgrowth of the contracting process and therefore legal.  However, an examination of the contracting process may reveal anticompetitive intent to restrain trade.  The specific facts surrounding provider exclusion must be analyzed carefully in an effort to determine if there is illegal restraint of trade.

Constructing health consumers: Private health insurance discourses in Australia and the United Kingdom

2011 ◽  
Vol 20 (3) ◽  
pp. 306-320 ◽  
Author(s):  
Kirsten Harley ◽  
Karen Willis ◽  
Jonathan Gabe ◽  
Stephanie Doris Short ◽  
Fran Collyer ◽  
...  
Keyword(s):  
United Kingdom ◽  
Health Insurance ◽  
Private Health Insurance ◽  
The United Kingdom ◽  
Health Consumers

scholarly journals Private Health Insurance in Malaysia: Who Is Left Behind?

2021 ◽  
pp. 101053952110009
Author(s):  
Nur Zahirah Balqis-Ali ◽  
Jailani Anis-Syakira ◽  
Weng Hong Fun ◽  
Sondi Sararaks
Keyword(s):  
Health Insurance ◽  
Private Health Insurance ◽  
Home Ownership ◽  
Insurance Coverage ◽  
Binary Logistic Regression ◽  
Health Insurance Coverage ◽  
Rural Government ◽  
Lower Education Level ◽  
Current Drinker ◽  
Study Population

Despite various efforts introduced, private health insurance coverage is still low in Malaysia. The objective of this article is to find the factors associated with not having a private health insurance in Malaysia. We analyze data involving 19 959 respondents from the 2015 National Health Morbidity Survey. In this article, we describe the prevalence of not having health insurance and conducted binary logistic regression to identify determinants of uninsured status. A total of 56.6% of the study population was uninsured. After adjusting for other variables, the likelihood of being uninsured was higher among those aged 50 years and above, females, Malay/other Bumiputra ethnicities, rural, government/semigovernment, self-employed, unpaid workers and retirees, unemployed, lower education level, without home ownership and single/widowed/divorced, daily smoker, underweight body mass index, and current drinker. The likelihood of being uninsured also increased with increasing household size while the inversed trend was seen for household income. A substantial proportion of population in Malaysia did not have private health insurance, and these subgroups have limited preferential choices for provider, facility, and care.

scholarly journals Self-Rated Health Status Based on the Type of Health Insurance: A Socioeconomic Perspective

2021 ◽  
Vol 58 ◽  
pp. 004695802110281
Author(s):  
Minsung Sohn ◽  
Minsoo Jung ◽  
Mankyu Choi
Keyword(s):  
Socioeconomic Status ◽  
Health Insurance ◽  
Health Status ◽  
Regression Models ◽  
Private Health Insurance ◽  
Public And Private ◽  
Logistic Regression Models ◽  
Self Rated Health ◽  
Interaction Terms ◽  
Healthcare Coverage

To investigate the effects of public and private health insurance on self-rated health (SRH) status within the National Health Insurance (NHI) system based on socioeconomic status in South Korea. The data were obtained from 10 867 respondents of the Korea Health Panel (2008-2011). We used hierarchical panel logistic regression models to assess the SRH status. We also added the interaction terms of socioeconomic status and type of health insurance as moderators. Medical aid (MA) recipients were 2.10 times more likely to have a low SRH status than those who were covered only by the NHI, even though the healthcare utilization was higher. When the interaction terms were included, those not covered by the NHI and had completed elementary school or less were 16.59 times more likely to have a low SRH status than those covered by the NHI and had earned a college degree or higher. Expanding healthcare coverage to reduce the burden of non-payment and unmet use to improve the health status of MA beneficiaries should be considered. Particularly, the vulnerability of less-educated groups should be focused on.

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