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health care and have incentives for risk selection. We derive the optimal cost reimbursement function which balances the … reimbursement scheme should reimburse costs only up to a limit. -- health insurance ; risk selection ; risk adjustment …
Persistent link: https://www.econbiz.de/10002513334
unique reimbursement system, which results in significant differences in patients’ access to biosimilars. The importance of …. The aim of this paper is to compare selected aspects of reimbursement and access to the EMA authorized biosimilar … database, the Polish reimbursement list published by the Polish Ministry of Health, and two French reimbursement databases …
Persistent link: https://www.econbiz.de/10012417671
As a key component of health care, a full understanding of how much is spent on prescription medicines is increasingly important. Only a partial understanding of total expenditures across health systems is currently possible, as reporting is often limited to medicines dispensed in community...
Persistent link: https://www.econbiz.de/10013202471
Cost-effectiveness analysis is versatile and used widely to assist in health care decision making. This chapter discusses how cost-effectiveness analysis is used at the system or national level, particularly in the domain of coverage and payment policy. We describe its relationship to other...
Persistent link: https://www.econbiz.de/10014025580
Major disparities in the cost of health care have made the pricing of specialist and hospital services a contentious issue in South Africa, particularly in the private sector. To help inform policy debate, this paper profiles selected experiences on the pricing of health services, competition...
Persistent link: https://www.econbiz.de/10010366197
Purpose: Breast cancer is one of the major causes of death incurring highest morbidity and mortality amongst women of Pakistan. The purpose of this study was to assess and compare the role of two public sector tertiary care hospitals' management in reducing out of pocket (OOP) expenses on direct...
Persistent link: https://www.econbiz.de/10012926507
simulate two additional policies intended to mitigate selective admissions: raising the Medicaid reimbursement rate and …
Persistent link: https://www.econbiz.de/10013235001
In this study we examine the impact of a value-based insurance design (V-BID) program implemented between 2010 and 2013 at a large public employer in the state of Oregon. The program substantially increased cost-sharing, specifically copayments and coinsurance, for several healthcare services...
Persistent link: https://www.econbiz.de/10011596164
In this study we examine the impact of a value-based insurance design (V-BID) program implemented between 2010 and 2013 at a large public employer in the state of Oregon. The program substantially increased cost-sharing, specifically copayments and coinsurance, for several healthcare services...
Persistent link: https://www.econbiz.de/10012965015
Healthcare systems differ greatly across the world, however, it appears that the extent of public insurance (publicly/government funded healthcare) is the only institutional characteristic that plays a significant role in accounting for the large disparities in total healthcare spending. Other...
Persistent link: https://www.econbiz.de/10014124984