In this paper we investigate the existence of a two-tier medical system in the German acute care hospital sector using data from a survey of 483 German hospitals. The focus of our analysis lies on the impact of hospital concentration on the probability of discrimination of patients with...

This paper examines whether offering a health savings account (HSA)-eligible health plan for free, alongside other health plan options with a premium, alters employee enrollment choices; and if responders differ by health status. The data for this study come from two large employers and cover...

This paper presents findings from the 2008-2013 EBRI/Greenwald & Associates Consumer Engagement in Health Care Survey (CEHCS) as well as the 2006 and 2007 EBRI/Commonwealth Fund Consumerism in Health Care Surveys. It examines the availability of health reimbursement arrangements (HRAs) and...

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...

We study the effects of losing insurance on behavioral health - mental health and substance use disorder (SUD) - community hospitalizations. We leverage variation in public insurance eligibility offered by a large-scale Medicaid disenrollment. Losing insurance decreased SUD-related...

Health Economics involves quantitative and qualitative methods and assimilates concepts and analytical structures deriving from different disciplines suggesting neural network synaptic connections, algorithms and learning rules. A transdisciplinary analytical perspective and a multidisciplinary...

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...

In recent years, there have been many employer-driven “innovations” in health benefit design, such as health reimbursement arrangements, value-based benefit design, medical homes, wellness programs, and others. All of these innovations have a common goal: to better manage spending on health...

This paper explores differences in choice of health plan using data from the 2009 EBRI/MGA Consumer Engagement in Health Care Survey. It examines the likelihood of having a choice of plan by various demographics and work-related variables. It also examines choice by health status and health...

Health insurance mandates require health insurers to provide coverage for particular health services or illnesses. This paper examines how various state health insurance mandates influence premiums and enrollment in health insurance plans. Contrary to previous studies that compare premiums...