Healthcare for all at affordable prices is still a major but universally elusive goal. Everyone spends money on healthcare, and it is the most impoverishing consumption item. Thus, most governments (and the United Nations) promote Universal Health Coverage -- each country's unique blend of tools for healthcare financing, including taxes, subsidies and market controls.
Most people in low- and middle-income countries (LMICs) have no health insurance of any kind. And most LMIC governments lack the political will, information, or resources to require their citizens to buy health insurance themselves or to subsidize insurance for all who cannot afford the price. This book deals with financing voluntary and contributory health insurance for resource-poor and rural groups in LMICs.
This book addresses three issues. The first is how to catalyse demand for health insurance and develop insurance literacy among the largely illiterate and innumerate target population, using training programs to build an enabling consensus, allowing locals to create and administer such schemes. The second involves the process of developing simplified methods for risk assessment, which can help to underwrite risks, price the micro health insurance schemes, and ensure proper implementation. The third issue is formulating a compelling business case which would make this health insurance affordable, financially sustainable, and operationally scalable.
This book develops insurance education and financial literacy for students of economics, business administration, insurance, development studies, and social work to prepare them for practical work as implementers, policymakers, or evaluators. A supplementary section for teachers and students includes comprehension questions.
Автор: Glazer Jacob Et Al Название: Model Of Health Plan Payment And Quality Reporting ISBN: 9813202874 ISBN-13(EAN): 9789813202870 Издательство: World Scientific Publishing Цена: 16474.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: The book pulls together a series of articles by the authors that initiated the research areas of 'optimal risk adjustment' and 'optimal quality reporting.' The papers present the basic theoretical models and link them to empirical application. Design of health insurance premiums to achieve efficient and fair outcomes is also covered. The chapters in the book also cover the intellectual development of approaches to health insurance regulation, beginning with more abstract models to those with explicit empirical and policy applications.
Описание: Doreen Carwithen and her husband William Alwyn were two of the most versatile composers working in Britain in the mid- to late-20th century. Between them they scored more than 100 films, as well as music for the concert hall, including the scores for Odd Man Out Alwyn and Boys in Brown Carwithen. Daniel Grimwoods recording is a wonderful introduction to the couples extensive catalogues of piano music, containing Carwithens taut, neoclassical Sonatina and Alwyns 12 Preludes and Grieg-inspired Fantasy Waltzes. This is warm, lyrical music which quietly pushes boundaries while always attractive and well-written for the
This study examines and explains the relationship between social health insurance (SHI) participation and out-of-pocket expenditures (OOP) as well as the mediating role the institutional arrangement of SHI plays in this relationship in China. Embracing a new institutionalist approach, it develops two analytical perspectives: determination, which identifies the mechanisms of social health insurance, and strategic interaction, which explores the interaction among social health insurance agencies, healthcare providers, patients, and institutions. It reveals the poor performance of social health insurance in decreasing out-of-pocket health expenditures caused by a trade-off between the reimbursement, behavior management, and purchasing mechanisms of social health insurance programs. Further, it finds that the inequitable allocation of healthcare resources and patients’ concerns regarding the benefits offset the strategies used by social health insurance agencies to manage care-seeking behavior. It also discovers that the complex interactions between insurance agencies, doctors, patients and a larger disenabling institutional surrounding restricts the purchasing efficiency of social health insurance. This book is characterized by its unique synthesis of the role of the institutional arrangement of social health insurance in China, the interaction between the stakeholders in health sectors, and of the relationship between healthcare institutions, actors, and policy outcomes. Providing a comprehensive overview, it enables scholars and graduate students to understand the ongoing process of social health insurance reform as well as the dynamics of health cost inflation in China. It also benefits policymakers by recommending a single-payer model based on an evidence-based investigation.
Автор: Armstrong Barbara Nachtrieb Название: Health Insurance Doctor ISBN: 0691627797 ISBN-13(EAN): 9780691627793 Издательство: Wiley Рейтинг: Цена: 7128.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание:
Violent debate of socialized medicine and health insurance in the United States is punctuated regularly by emotional appeals to the experience of other countries. Look at England, cries one of the disputants. Ah But look at Denmark and France, retorts his opponent. Actually, few Americans have more than the most casual knowledge of the health insurance schemes which have been adopted abroad. Never before has it been possible to obtain in English a complete and objective statement of the work of the Health Insurance Doctor in these three democracies. What is the average income of a doctor under one of these plans? What are the precise rates for services? What office hours? Does a political bureaucracy control medical practice? How many patients may a practitioner carry? What are the rules about free prescription of drugs? How much paper work and reporting is required of the doctor? What is the relation between health insurance and relief? And-most important-what do the doctors themselves think of the idea? All of these and hundreds of other vital questions are answered fully, dispassionately, and with amazing clarity in "The Health Insurance Doctor." The author is professor of law at the University of California and master of a straightforward style which presents vividly the issues of health insurance confronting a modern democracy. No legislator, welfare worker, medical practitioner, hospital executive, relief administrator, or interested layman can afford to miss this remarkable book.
Originally published in 1939.
The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These paperback editions preserve the original texts of these important books while presenting them in durable paperback editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905."
Автор: Luk Название: Financing Healthcare in China ISBN: 113884439X ISBN-13(EAN): 9781138844391 Издательство: Taylor&Francis Рейтинг: Цена: 22968.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: Financing Healthcare in China uses a refined version of historical institutionalism to critically examine China`s pathway to universal health insurance coverage since the mid-1980s. It pays crucial attention to the processes of transforming China`s healthcare financing system into the basic social medical insurance system alongside rapid socio-economic changes.
Автор: La Forgia Gerard, Nagpal Somil Название: Government-Sponsored Health Insurance in India: Are You Covered? ISBN: 0821396188 ISBN-13(EAN): 9780821396186 Издательство: Mare Nostrum (Eurospan) Рейтинг: Цена: 5267.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: This book presents research findings on India’s major central and state government-sponsored health insurance schemes (GSHISs). The analysis centers on the GSHISs launched since 2007. These schemes targeted poor populations, aiming to provide financial protection against catastrophic health shocks, defined in terms of inpatient care. Focus is on two lines of inquiry. The first involves institutional and “operational” opportunities and challenges regarding schemes’ design features, governance arrangements, financial flows, cost-containment mechanisms, underlying stakeholder incentives, information asymmetries, and potential for impact on financial protection and on access to care and use by targeted beneficiaries. The second entails “big picture” questions on the future configuration of India’s health financing and delivery systems that have surfaced, due in part to the appearance of a new wave of GSHISs. In addition to gains in population coverage, reaching about 185 million low-income beneficiaries by 2010, the new crop of schemes introduced a demand-side approach to public financing while embracing several innovation features, at least for the Indian context. These include: defined entitlements, separation of purchasing from financing, patient choice of providers, impressive use of information and communication technology and engagement with the private sector in the areas of insurance, administration and provision. Strong political interest in the schemes is also evident, especially at the state level and is a driver of increased public expenditures for health. The schemes face a number of operational challenges that have emerged during implementation and are examined in the book. They will need to strengthen institutional and governance arrangements, purchasing and contracting capacities, monitoring systems, and cost containment mechanisms. They need to use their financial leverage to improve the quality of network providers. Beneficiaries also appear to have insufficient information on enrolment, benefits and providers. The book recommends a series of corrective measures to address these shortcomings. The book outlines a “pragmatic pathway” toward achieving universal coverage that takes as a starting point the current configuration of health financing and delivery arrangements in India, recent trends in government health financing as well as innovations and lessons from the recent GSHISs analyzed in this book. The book concludes with a review of issues for further research.
Andy Lazris, MD, is a practicing primary care physician who experiences the effects of Medicare policy on a daily basis. As a result, he believes that the way we care for our elderly has taken a wrong turn and that Medicare is complicit in creating the very problems it seeks to solve. Aging is not a disease to be cured; it is a life stage to be lived. Lazris argues that aggressive treatments cannot change that fact but only get in the way and decrease quality of life. Unfortunately, Medicare’s payment structure and rules deprive the elderly of the chance to pursue less aggressive care, which often yields the most humane and effective results. Medicare encourages and will pay more readily for hospitalization than for palliative and home care. It encourages and pays for high-tech assaults on disease rather than for the primary care that can make a real difference in the lives of the elderly.
Lazris offers straightforward solutions to ensure Medicare’s solvency through sensible cost-effective plans that do not restrict patient choice or negate the doctor-patient relationship. Using both data and personal stories, he shows how Medicare needs to change in structure and purpose as the population ages, the physician pool becomes more specialized, and new medical technology becomes available. Curing Medicare demonstrates which medical interventions (medicines, tests, procedures) work and which can be harmful in many common conditions in the elderly; the harms and benefits of hospitalization; the current culture of long-term care; and how Medicare often promotes care that is ineffective, expensive, and contrary to what many elderly patients and their families really want.
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