Results 11 to 20 of about 256,417 (180)

Forecasting health financing sustainability under the unified pool reform: evidence from China’s Urban Employee Basic Medical Insurance

Health Economics Review
Objective The integration of the health insurance fund pool may threaten the sustainability of the fund by increasing its expenditures through the exacerbation of the moral hazard of participations.
Jing Wu, Hualei Yang, Xiaoqing Pan
doaj   +2 more sources

Physician Reimbursement in Medicare Advantage Compared With Traditional Medicare and Commercial Health Insurance

JAMA Internal Medicine, 2017
Nearly one-third of Medicare beneficiaries are enrolled in a Medicare Advantage (MA) plan, yet little is known about the prices that MA plans pay for physician services. Medicare Advantage insurers typically also sell commercial plans, and the extent to which MA physician reimbursement reflects traditional Medicare (TM) rates vs negotiated commercial ...
Erin, Trish, Paul, Ginsburg, Laura, Gascue, Geoffrey, Joyce   +3 more
openaire   +4 more sources

Strengthening financial protection through multitiered health coverage: evidence from 667 055 low-income households in China [PDF]

BMJ Global Health
Introduction Low-income households face disproportionate out-of-pocket hardship when accessing healthcare, undermining equity and universal health coverage.
Zhongliang Zhou, Yangling Ren, Zhichao Wang, Yan Zhuang, Guanping Liu, Xiaohui Zhai, Ruifeng Cui   +6 more
doaj   +2 more sources

Address sustainability risks in health insurance funds: generational actuarial balance and intergenerational equity perspective [PDF]

Frontiers in Public Health
BackgroundPublic health insurance systems worldwide face growing sustainability risks due to aging populations and rising medical costs. China’s employee basic health insurance (CEBHI) system is particularly vulnerable, with concerns about generational ...
Yi Qin, Wenfang Ji
doaj   +2 more sources

Access to precision medicine in Thailand: a comparative study [PDF]

Journal of Health Research, 2022
Purpose – This study explored health insurance coverage of genetic testing and potential factors associated with precision medicine (PM) reimbursement in Thailand. Design/methodology/approach – The study employed a targeted review method.
Nisita Jirawutkornkul, Chanthawat Patikorn, Puree Anantachoti   +2 more
doaj   +1 more source

Measurement of the Capitation-based Reimbursement Standard for Chronic Disease Management in Primary Care Clinics [PDF]

Zhongguo quanke yixue, 2023
Background The reimbursement of outpatient services is an essential part of the reform of medical insurance payment methods. With the comprehensive promotion of the reform on the medical insurance payment methods for inpatient services in China, the ...
NI Jianxiao, GAO Guangying, ZHAO Ning, LI Jin, XU Jiajie, WU Nina, YANG Jia
doaj   +1 more source

How does domestic migration pose a challenge in achieving equitable social health insurance benefits in China? A national cross-sectional study

BMJ Open, 2022
Objectives To evaluate the benefit distribution of social health insurance among domestic migrants in China.Design A national cross-sectional survey.Setting 348 cities from 32 provincial units in China.Participants 1165 domestic migrants who used ...
Di Liang, Zhiyuan Hou, Donglan Zhang, Haiqin Wang   +3 more
doaj   +1 more source

Does the immediate reimbursement of medical insurance reduce the socioeconomic inequality in health among the floating population? Evidence from China

International Journal for Equity in Health, 2023
Background Enhancing health intervention for floating populations has become an essential aspect of public health around the world. China launched a policy reform aimed at implementing immediate reimbursement for trans-provincial inpatient treatments ...
Wen He
semanticscholar   +1 more source

The impact of government reimbursement negotiation on targeted anticancer medicines use and cost in China: A cohort study based on national health insurance data

Journal of Global Health, 2023
Background High prices of targeted anticancer medicines (TAMs) result in financial toxicity for patients and the health insurance system. How national price negotiation and reimbursement policy affect the accessibility of TAMs for cancer patients remains
Yu Yang, Yichen Zhang, A. Wagner, Huangqianyu Li, Luwen Shi, X. Guan   +5 more
semanticscholar   +1 more source

Health Benefits of Air Quality Improvement: Empirical Research Based on Medical Insurance Reimbursement Data

Frontiers in Public Health, 2022
Measuring the health benefits of air quality improvement is a new perspective for evaluating government investment in pollution control. Improving air quality can reduce the burden on medical insurance funds and patients themselves; however, patients ...
Ding Li, Han Xiao, Shuang Ma, Jiangxue Zhang   +3 more
semanticscholar   +1 more source