Care Without Coverage
Care Without Coverage

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2002-06-20

Total Pages: 213

ISBN-13: 0309083435

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Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

Economics of Public and Private Healthcare and Health Insurance in India
Economics of Public and Private Healthcare and Health Insurance in India

Author: Brijesh C. Purohit

Publisher: Taylor & Francis

Published: 2023-12-01

Total Pages: 143

ISBN-13: 100380599X

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This book critically examines the public and private healthcare systems in India. Analysing the current scenario of health insurance in India, it studies the inadequacy of public healthcare services and unaffordability of private health care facilities. The volume investigates government sponsored health insurance schemes and advocates for the need of universal health insurance coverage. It details India’s per capita health expenditure and provides policy inputs on how healthcare systems and insurance coverage can be improved in the country. Further, it explores the financial parameters of health insurers and standalone private health insurance companies, and also discusses the adverse impact of the Covid-19 pandemic on Indian healthcare. An insightful read on the state of healthcare in India, this book will be of interest to researchers and academics working in the fields of insurance, healthcare administration and management, public health policy and practice, health and social care, medical sociology, and sociology & social policy. It will also be useful for think tanks and policy makers.

Government-Sponsored Health Insurance in India
Government-Sponsored Health Insurance in India

Author: Gerard La Forgia

Publisher: World Bank Publications

Published: 2012-09-14

Total Pages: 446

ISBN-13: 0821396196

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This book presents the first comprehensive review of all major government-supported health insurance schemes in India and their potential for contributing to the achievement of universal coverage in India are discussed.

Health-Care Utilization as a Proxy in Disability Determination
Health-Care Utilization as a Proxy in Disability Determination

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2018-04-02

Total Pages: 161

ISBN-13: 030946921X

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The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Private Health Insurance
Private Health Insurance

Author: Sarah Thomson

Publisher: Cambridge University Press

Published: 2020-10-01

Total Pages: 593

ISBN-13: 1108901166

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Can private health insurance fill gaps in publicly financed coverage? Does it enhance access to health care or improve efficiency in health service delivery? Will it provide fiscal relief for governments struggling to raise public revenue for health? This book examines the successes, failures and challenges of private health insurance globally through country case studies written by leading national experts. Each case study considers the role of history and politics in shaping private health insurance and determining its impact on health system performance. Despite great diversity in the size and functioning of markets for private health insurance, the book identifies clear patterns across countries, drawing out valuable lessons for policymakers while showing how history and politics have proved a persistent barrier to effective public policy. This title is also available as Open Access on Cambridge Core.

Impact of Health Insurance in Low- and Middle-income Countries
Impact of Health Insurance in Low- and Middle-income Countries

Author: Maria-Luisa Escobar

Publisher: Brookings Institution Press

Published: 2010

Total Pages: 239

ISBN-13: 0815705468

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Over the past twenty years, many low- and middle-income countries have experimented with health insurance options. While their plans have varied widely in scale and ambition, their goals are the same: to make health services more affordable through the use of public subsidies while also moving care providers partially or fully into competitive markets. Until now, however, we have known little about the actual effects of these dramatic policy changes. Understanding the impact of health insurance-based care is key to the public policy debate of whether to extend insurance to low-income populationsand if so, how to do itor to serve them through other means.

Crossing the Global Quality Chasm
Crossing the Global Quality Chasm

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2019-01-27

Total Pages: 399

ISBN-13: 0309477891

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In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.

Growth, Disparities and Inclusive Development in India
Growth, Disparities and Inclusive Development in India

Author: Rajendra P. Mamgain

Publisher:

Published: 2019

Total Pages:

ISBN-13: 9789811364440

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The book critically examines the high growth trajectory in India, particularly since the late 1980s, a period which is characterized by increasing inequality. Through various studies from the Indian state of Uttar Pradesh -- a state more populous than Brazil and with a GDP comparable to Bangladesh -- it sheds light on the link between growth and inequality in emerging economies. The slow pace of any upward movement in terms of various development indicators in low-income Indian states is due to a number of factors, including their historical disadvantages. Over a period of time, this has resulted in widening disparities, both between different regions of these states, and between these states and other more prosperous Indian states. The book provides a holistic, yet critical, region-wise analysis of the achievements of Uttar Pradesh compared to other states and to India as a whole, in the context of indicators of inclusive development, namely, growth, employment, poverty, infrastructure, agriculture, industry, education and health. Based on the latest data and sophisticated analysis methods, it assesses inequality and development disparities, clearly identifying three major challenges that poorer states face in redressing poverty and expanding inclusive growth - increasing economic opportunities, empowering poor and marginalised groups to avail new opportunities in a rapidly changing world, and ensuring an effective safety net to reduce vulnerability. The book suggests strategies for promoting high and sustained economic growth, and highlights the significance of broadening social inclusiveness through greater and more rapid access to economic and social opportunities, and building strong social safety nets to protect the chronically poor and mitigate their risks and vulnerabilities with the help of good governance and institutions. With contributions from leading scholars from the region, it is a valuable resource for researchers working in the area of growth and inequality, as well as for policy makers from developing economies around the globe.

Reverse Innovation in Health Care
Reverse Innovation in Health Care

Author: Vijay Govindarajan

Publisher: Harvard Business Press

Published: 2018-06-19

Total Pages: 327

ISBN-13: 1633693678

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Health-Care Solutions from a Distant Shore Health care in the United States and other nations is on a collision course with patient needs and economic reality. For more than a decade, leading thinkers, including Michael Porter and Clayton Christensen, have argued passionately for value-based health-care reform: replacing delivery based on volume and fee-for-service with competition based on value, as measured by patient outcomes per dollar spent. Though still a pipe dream here in the United States, this kind of value-based competition is already a reality--in India. Facing a giant population of poor, underserved people and a severe shortage of skills and capacity, some resourceful private enterprises have found a way to deliver high-quality health care, at ultra-low prices, to all patients who need it. This book shows how the innovations developed by these Indian exemplars are already being practiced by some far-sighted US providers--reversing the typical flow of innovation in the world. Govindarajan and Ramamurti, experts in the phenomenon of reverse innovation, reveal four pathways being used by health-care organizations in the United States to apply Indian-style principles to attack the exorbitant costs, uneven quality, and incomplete access to health care. With rich stories and detailed accounts of medical professionals who are putting these ideas into practice, this book shows how value-based delivery can be made to work in the United States. This "bottom-up" change doesn't require a grand plan out of Washington, DC, agreement between entrenched political parties, or coordination among all players in the health-care system. It needs entrepreneurs with innovative ideas about delivering value to patients. Reverse innovation has worked in other industries. We need it now in health care.