A relatively small but influential economics literature is devoted to financial abuse in Medicare.Much of that literature focuses on upcoding/no upcoding for inpatient hospital care inMedicare Part A, where reimbursements requested are greater/the same as justified by the cost of care provided....

This paper develops a general equilibrium model that features the decisions of health care consumption, health insurance take-up, Disability Insurance (DI) claims to evaluate the long-term effects of health care reforms. The model suggests that the combination of insurance subsidies, an...

This paper provides empirical evidence on the labor market effects of public health insurance using evidence from China. In 2007, China launched a national public health insurance program, Urban Resident Basic Medical Insurance (URBMI), targeting residents in urban areas who were not insured by...

We examine the labor market impacts of the Affordable Care Act dependent mandate (ACA-DM), which has significantly increased dependent children's health insurance coverage through parents' employer-sponsored health benefits. Using data from the American Community Survey, we find that the ACA-DM...

Medicaid plays a vital role in the U.S. health care system and the importance of office-based physician practices to the care of Americans served cannot be overstated. Despite increases in program enrollment, a number of sources report that the proportion of U.S. office-based physicians willing...

Health care costs in the United States have increased significantly over the past few decades. As a result, the current trends of federal health care spending are unsustainable. Section 106 of the I.R.C. contributes to the nation's increasingly large federal health care bill because it excludes...

Despite the popularity of pay-for-performance (P4P) among health policymakers and private insurers as a tool for improving quality of care, there is little empirical basis for its effectiveness. The authors use data from published performance reports of physician medical groups contracting with...

Public health insurance and other arrangements covering health-costs effectively provide insurance against changes in health status. These arrangements engage in burden-smoothing over the life cycle and entail various elements of redistribution. Lack of portability regarding this type of cover...

Premium subsidies have been advocated as an alternative to social health insurance. These subsidies are paid if expenditure on health insurance exceeds a given share of income. In this paper, we examine whether this approach is superior to social insurance from a welfare perspective. We show...

Derzeit ist Deutschland europaweit das einzige Land mit einem Nebeneinander von zwei Systemen der Kranken-Vollversicherung. Die demographische Entwicklung verbunden mit einer fragwürdigen Akquisitionsstrategie, die Finanzkrise sowie die Einführung der Versicherungspfl icht hatten vor allem die...