International Journal of Health Care Finance and Economics
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The welfare gain from replacing the health insurance tax exclusion with lump-sum tax credits
International Journal of Health Care Finance and Economics - Tập 11 - Trang 101-113 - 2011
This paper analyzes the welfare gain from replacing the tax exclusion of employer-provided health insurance with a lump-sum tax credit. It differs from earlier studies in that we look at the welfare cost of health insurance tax exclusion as coming directly from excessive health insurance rather than from overconsumption of medical care and that we account for the labor market effect of the tax exc......
Managed care and the scale efficiency of US hospitals
International Journal of Health Care Finance and Economics - Tập 6 Số 4 - Trang 278-289 - 2006
Managed care penetration has been partly responsible for slowing down increases in health care costs in recent years. This study uses a 1992–1996 Health Care Utilization Project sample of hospitals to analyze the relationship between managed care penetration in local insurance markets and hospital scale efficiency. After controlling for hospital and market area variables, we find that managed care......
Has the use of physician gatekeepers declined among HMOs? Evidence from the United States
International Journal of Health Care Finance and Economics - Tập 9 - Trang 183-195 - 2009
Since the mid-1980s, health maintenance organizations (HMOs) have grown rapidly in the United States. But despite initial successes in constraining health care costs, they have come under increasing criticism for their restrictive practices. This suggests that, to remain viable, HMOs must change their behavior. Yet few studies offer empirical evidence on the matter. The present study investigates ......
The Contingency of Contingent Valuation How Much Are People Willing to Pay against Alzheimer's Disease?
International Journal of Health Care Finance and Economics - Tập 2 - Trang 219-240 - 2002
The present work focuses on the choice of the elicitation technique within a contingent valuation (CV) framework. We simultaneously apply three different elicitation techniques to elicit willingness-to-pay (WTP) values for three programs against Alzheimer's disease. First, the dichotomous choice approach is used, which is the standard procedure. However, giving respondents only a yes/no response a......
The determinants of the willingness-to-pay for community-based prepayment scheme in rural Cameroon
International Journal of Health Care Finance and Economics - Tập 11 - Trang 209-220 - 2011
In rural Cameroon, many people have no access to quality healthcare services. This is largely attributed to lack of private out-of-pocket payment to finance healthcare services. A community-based prepayment health insurance scheme may be implemented to improve healthcare access in rural areas. This study examines the determinants of willingness-to-pay for a community-based prepayment healthcare sy......
Has the European union achieved a single pharmaceutical market?
International Journal of Health Care Finance and Economics - Tập 11 - Trang 223-244 - 2011
This paper explores price differences in the European Union (EU) pharmaceutical market, the EU’s fifth largest industry. With the aim of enhancing quality of life along with industry competitiveness and R&D capability, many EU directives have been adopted to achieve a single EU-wide pharmaceutical market. Using annual 1994–2003 data on prices of molecules that treat cardiovascular disease, we exam......
Does managed care reduce health care expenditure? Evidence from spatial panel data
International Journal of Health Care Finance and Economics - Tập 14 - Trang 207-227 - 2014
Similar to, for example, the US, Switzerland or Great Britain the German health care sector has recently undergone a series of reforms towards managed care. These measures are intended to yield both a higher quality of care and cost containment. In our study we ask whether managed care reduces health care expenditure at the market level. We apply a macroeconomic evaluation approach based on a regi......
Employer Contribution Methods and Health Insurance Premiums: Does Managed Competition Work?
International Journal of Health Care Finance and Economics - Tập 1 - Trang 159-187 - 2001
We derive a two-stage model in which health plans first compete to be selected by employers and subsequently compete to be chosen by employees. We identify the key determinants of competition and show that increasing competition at one stage often comes at the expense of competition at the other stage. Many economists and policymakers have argued that in order to increase competition among health ......
Competitive bidding for health insurance contracts: lessons from the online HMO auctions
International Journal of Health Care Finance and Economics - - 2012
Healthcare is an important social and economic component of modern society, and the effective use of information technology in this industry is critical to its success. As health insurance premiums continue to rise, competitive bidding may be useful in generating stronger price competition and lower premium costs for employers and possibly, government agencies. In this paper, we assess an endeavor......
Run for cover now or later? The impact of premiums, threats and deadlines on private health insurance in Australia
International Journal of Health Care Finance and Economics - Tập 8 - Trang 257-277 - 2008
Between 1997 and 2000 the Australian government introduced three policy reforms that aimed to increase private health insurance coverage and reduce public hospital demand. The first provided income-based tax incentives; the second gave an across-the-board 30% premium subsidy; and the third introduced selective age-based premium increases for those enrolling after a deadline. Together the reforms i......
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