Are health-based payments a feasible tool for addressing risk segmentation?
Article Abstract:
Health-based payments and risk-adjusted payments are practical tools that can help solve the problem on risk segmentation for majority of the populations receiving acute care. However, problems on technical limitations, political issues and several research gaps still remain. The relations between health-based payments and differing insurance market rating requirements should however be understood. Since health-based payments are becoming widely implemented by state Medicaid programs, research should focus more on developing risk assessment tools to enable implementation of health-based payments for chronic conditions.
Publication Name: Inquiry
Subject: Health care industry
ISSN: 0046-9580
Year: 1998
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Health risk and access to employer-provided health insurance
Article Abstract:
Employers are often apprehensive to offer comprehensive health insurance coverage to workers with high health risk. This can be explained by the negative effects of poor health on company earnings and productivity. Studies also indicate that prior to the passage of the American with Disabilities Act, many companies screen out high-risk workers by giving pre-employment medical examinations and interviews. These actions, which are still being practiced by some employers, will have serious repercussions on health care reform.
Publication Name: Inquiry
Subject: Health care industry
ISSN: 0046-9580
Year: 1995
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Marital status, spousal coverage, and the gender gap in employer-sponsored health insurance
Article Abstract:
A study to determine the existence of a gender gap in employer-sponsored health insurance. The results revealed that the gender gap was due to relatively high rates of coverage for married men and low rates for married women which resulted in the conclusion that for married workers, especially in women, coverage rates and offer rates differ. Among single workers however, women were found to have slightly higher coverage rates than men, revealing a similarity in offer rates and coverage rates.
Publication Name: Inquiry
Subject: Health care industry
ISSN: 0046-9580
Year: 1997
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