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Journal Article
J Health Polit Policy Law (1989) 14 (3): 565–585.
Published: 01 June 1989
... called the illness episode approach, we modeled the out-of-pocket costs associated with thirteen illnesses of varying severity for beneficiaries with traditional Medicare coverage only and for beneficiaries who join one of two Los Angeles HMOs which charge no additional premium. The typical total charges...
View articletitled, Financial Consequences of Joining a Medicare Hmo: An Application of the Illness Episode Approach to Estimating Out-of-<span class="search-highlight">Pocket</span> Costs
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for article titled, Financial Consequences of Joining a Medicare Hmo: An Application of the Illness Episode Approach to Estimating Out-of-<span class="search-highlight">Pocket</span> Costs
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in More Than Words? How Highlighting Target Populations Affects Public Opinion about the Medicaid Program
> Journal of Health Politics, Policy and Law
Published: 01 October 2023
Figure 5 Marginal effects for support of out-of-pocket payments and premiums. Notes : All marginal effects compare the treatments to the control group. Low income is treatment 2, low income plus is treatment 3, citizens is treatment 4, low income and citizens is treatment 5, and low income
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in Reforming the Medicare Part D Benefit Design: Financial Implications for Beneficiaries, Private Plans, Drug Manufacturers, and the Federal Government
> Journal of Health Politics, Policy and Law
Published: 01 December 2022
Figure 6 Distribution of out-of-pocket savings for non-LIS beneficiaries under the Part D redesign proposal included in the Build Back Better Act. Note : LIS = low-income subsidy.
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Journal Article
J Health Polit Policy Law (1985) 9 (4): 669–681.
Published: 01 August 1985
...Robert W. Rosenblum This paper examines the elderly's out-of-pocket health care expenditures by category of expense, before and after the inception of Medicare. It describes the shifting of out-of-pocket expenses from hospital care to nursing-home care, while physician services and drugs have...
Journal Article
J Health Polit Policy Law (1994) 19 (4): 753–771.
Published: 01 August 1994
... persons were convinced that the costs of the program outweighed the benefits. However nursing home payment provisions of the MCCA may have affected out-of-pocket expenses paid by the elderly for long-term care more than consumers realized at the time of repeal. A transmittal memorandum, issued...
Journal Article
J Health Polit Policy Law (1992) 17 (4): 763–782.
Published: 01 August 1992
... discussion is any talk about the relative out-of-pocket costs of alternative models. In this paper, we provide data on these costs for American and Canadian elderly for medical, hospital, and ambulatory pharmaceutical use. Despite the fact that the elderly in America are generally viewed as facing fewer...
Journal Article
J Health Polit Policy Law (2002) 27 (6): 977–1000.
Published: 01 December 2002
... institutions, and clinicians to fend for themselves. The shortage likely had an uneven impact on patients, based on the relative market strength of the health care institutions in which they received care and the individual patient's ability to absorb the increasing out-of-pocket costs of scarce IVIG. Market...
Journal Article
J Health Polit Policy Law (2006) 31 (6): 1129–1149.
Published: 01 December 2006
... procedures and drugs. The prohibition on extra billing has remained essentially unchanged, but the momentum for deregulation has been lost. In 2005 an alternate proposal was made to contain SHI expenditures by introducing a global cap on health expenditures and increasing out-of-pocket payment. Although...
Journal Article
J Health Polit Policy Law (1992) 17 (4): 783–812.
Published: 01 August 1992
...Marc A. Cohen; Tamara Barnea In recent years, dissatisfaction with aspects of the Israeli health care system has grown. Labor conflict and unrest, long waits for elective surgery, increases in out-of-pocket payments for health care, and declining government investment have given rise to a new...
Journal Article
J Health Polit Policy Law (1987) 12 (1): 35–52.
Published: 01 February 1987
... are affecting those without additional health insurance subsidies. In making this examination we estimate the out-of-pocket health care expenditures of the elderly either directly or as nonsubsidized medigap premiums by income level, taking into account four types of health insurance subsidies received...
Journal Article
J Health Polit Policy Law (2013) 38 (4): 757–813.
Published: 01 August 2013
... and state laws have reduced rates of lead poisoning significantly in the past three decades. However, pockets of high rates of lead poisoning remain, primarily in low-income urban neighborhoods with older housing stock. Recently, several municipalities have passed local lead laws to reduce lead hazards...
Journal Article
J Health Polit Policy Law (2020) 45 (5): 817–830.
Published: 01 October 2020
...-of-pocket costs. Yet Medicare for All, unlike less “radical” approaches, addresses those concerns directly. Unfortunately, neither elites (outside the industry!) nor voters seem to understand that, and it is politically risky because of the same fears about change, industry opposition, and distrust...
Journal Article
J Health Polit Policy Law (2021) 46 (4): 599–609.
Published: 01 August 2021
..., any successful effort for increasing the number of Americans enrolled in health insurance or rendering it more affordable will still likely effectively lower patients' out-of-pocket costs and improve access to prescription drugs. Copyright © 2021 by Duke University Press 2021 prescription...
Journal Article
J Health Polit Policy Law (2022) 47 (6): 797–813.
Published: 01 December 2022
... consumers while balancing appropriate access to essential services with increasing fiscal pressures. Value-based insurance design (VBID) is a promising approach designed to improve desired clinical and financial outcomes, in which out-of-pocket costs are based on the potential for clinical benefit, taking...
Journal Article
J Health Polit Policy Law (1992) 17 (3): 463–482.
Published: 01 June 1992
...-of-pocket expenses. These findings suggest that physicians respond to the messages sent by litigation in a manner consistent with the deterrent theory of tort litigation. Copyright © 1992 by Duke University Press 1992 References ACOG (American College of Obstetricians and Gynecologists). 1988...
Journal Article
J Health Polit Policy Law (2023) 48 (3): 405–434.
Published: 01 June 2023
... for government action. Findings: The results point to out-of-pocket cost, severity of the treatment, and the patient's insurance situation as important for public opinion. The public is significantly more supportive of government action when the costs are high and out of the patient's control; in contrast...
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Journal Article
J Health Polit Policy Law (2022) 47 (6): 853–877.
Published: 01 December 2022
...Figure 6 Distribution of out-of-pocket savings for non-LIS beneficiaries under the Part D redesign proposal included in the Build Back Better Act. Note : LIS = low-income subsidy. ...
FIGURES
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View articletitled, Reforming the Medicare Part D Benefit Design: Financial Implications for Beneficiaries, Private Plans, Drug Manufacturers, and the Federal Government
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for article titled, Reforming the Medicare Part D Benefit Design: Financial Implications for Beneficiaries, Private Plans, Drug Manufacturers, and the Federal Government
Journal Article
J Health Polit Policy Law (2023) 48 (5): 761–798.
Published: 01 October 2023
... resources of all out-of-pocket expenditures on health care, insurance, and over-the counter drugs, that is, medical out-of-pocket expenditures. Next, add nothing to resources for those without government- or employer-provided health insurance benefits. The logic is that households should be designated poor...
Journal Article
J Health Polit Policy Law (2004) 29 (6): 1187–1226.
Published: 01 December 2004
... system. Beneficiaries choosing health
plans that were more expensive than the cheapest plan available would
pay the difference out of pocket.
The academic proposal that probably led to the most policy interest was
developed by Henry Aaron and Robert Reischauer (1995). Rather than
remaining as what...
Journal Article
J Health Polit Policy Law (2011) 36 (5): 815–827.
Published: 01 October 2011
... Affects Access to Care and Costs, by Income, in Eleven Countries . Health Affairs 29 : 2323 – 2334 . Selden T. M. Kenney G. M. Pantell M. S. Ruhter J. . 2009 . Cost Sharing in Medicaid and CHIP: How Does It Affect Out-of-Pocket Spending? Health Affairs Web Exclusive 28...
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