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  1. Ambulance Taxis
    The Impact of Regulation and Litigation on Health Care Fraud
    Autor*in: Eliason, Paul J.; McDevitt, Ryan C.; Roberts, James W.
    Erschienen: 2021
    Verlag:  National Bureau of Economic Research, Cambridge, Mass

    We study the relative effectiveness of administrative regulations, criminal enforcement, and civil lawsuits for combatting health care fraud. Between 2003 and 2017, Medicare spent $7.7 billion on 37.5 million regularly scheduled, non-emergency... mehr

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    Standort:
    Sächsische Landesbibliothek - Staats- und Universitätsbibliothek Dresden
    Fernleihe:
    keine Fernleihe

    Standort:
    Universitätsbibliothek Freiburg
    Fernleihe:
    keine Fernleihe

    Standort:
    Helmut-Schmidt-Universität, Universität der Bundeswehr Hamburg, Universitätsbibliothek
    Fernleihe:
    keine Fernleihe

    Standort:
    Staats- und Universitätsbibliothek Hamburg Carl von Ossietzky
    Fernleihe:
    keine Fernleihe

    Standort:
    Technische Informationsbibliothek (TIB) / Leibniz-Informationszentrum Technik und Naturwissenschaften und Universitätsbibliothek
    Fernleihe:
    keine Fernleihe

    Standort:
    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
    Fernleihe:
    keine Fernleihe

     

    We study the relative effectiveness of administrative regulations, criminal enforcement, and civil lawsuits for combatting health care fraud. Between 2003 and 2017, Medicare spent $7.7 billion on 37.5 million regularly scheduled, non-emergency ambulance rides for patients traveling to and from dialysis facilities, with dozens of lawsuits alleging that Medicare reimbursed rides for patients who did not meet the requirements for receiving one. Using a novel data set and an identification strategy based on the staggered timing of regulations and lawsuits across the United States, we find that a regulation requiring prior authorization for ambulance reimbursements reduced spending much more than criminal and civil lawsuits did. Despite the sharp drop in both ambulance transports and the companies that provide them following prior authorization, patients' health outcomes did not change, indicating that most rides were not medically necessary. Our results suggest that administrative actions have a much larger impact than targeted criminal enforcement, providing novel evidence that regulations may be more cost-effective than ex post ligation for preventing health care fraud

     
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    Sprache: Englisch
    Medientyp: Buch (Monographie)
    Format: Online
    Weitere Identifier:
    Schriftenreihe: NBER working paper series ; no. w29491
    Schlagworte: Gesundheitsversorgung; Betrug; Wirkungsanalyse; USA; Krankenwagen; Medicare
    Umfang: 1 Online-Ressource, illustrations (black and white)
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    Hardcopy version available to institutional subscribers
  2. Obamacare
    enjeux économiques et constitutionnels
    Autor*in: Boyer, Marcel; Panot, Molivann
    Erschienen: November 2020
    Verlag:  Toulouse School of Economics, [Toulouse]

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    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
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    Sprache: Französisch
    Medientyp: Buch (Monographie)
    Format: Online
    Schriftenreihe: Working papers / Toulouse School of Economics ; no 1165
    Schlagworte: Gesundheitsreform; Gesetzliche Krankenversicherung; Wirkungsanalyse; USA; Medicaid; Medicare
    Umfang: 1 Online-Ressource (circa 43 Seiten)
  3. Differential effects by mental health status of filling the Medicare part d coverage gap
    Autor*in: Liu, Judith; Zhang, Yuting; Kaplan, Cameron
    Erschienen: 2020
    Verlag:  Melbourne Institute of Applied Economic and Social Research, Melbourne

    Objective: To study how changes in insurance benefit design affect medication use of older adults with mental disorders.Data sources: US Medicare claims data from 2007 to 2018.Study Design: We focus on the gradual elimination of the Medicare... mehr

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    Helmut-Schmidt-Universität, Universität der Bundeswehr Hamburg, Universitätsbibliothek
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    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
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    Objective: To study how changes in insurance benefit design affect medication use of older adults with mental disorders.Data sources: US Medicare claims data from 2007 to 2018.Study Design: We focus on the gradual elimination of the Medicare prescription drug coverage gap beginning in 2011, and examine the effects on medication use and out-of-pocket spending by drug type with a difference-in-difference approach. We identify subpopulations by mental disorders and compare the estimates across mental health groups and to the general population.Principal Findings: Closing the gap substantially reduced individuals’ annual out-of-pocket spending. The reduction was larger for those with more severe disease (Alzheimer’s and dementia: -$554.7; severe mental disorders: -$435.97, common mental disorders: -$366.29; general Medicare population: -$183.87). The policy also increased branded drug utilization, with the effect for patients with AD being much smaller than the other groups (3% vs 19−20%), and decreased generic drug utilization for all groups (2−4%). Conclusions: Patients’ responses to price changes vary across mental disorders and by drug type. The impact on branded drugs utilization among those with Alzheimer’s and dementia is particularly small. Our findings suggest that lowering medication costs has differential impacts across diseases and may not be sufficient to improve adherence for all conditions, in particular those with severe mental health disorders such as Alzheimer’s and dementia

     
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    Schriftenreihe: Melbourne Institute working paper series ; no. 20, 29
    Schlagworte: Mental health; Medicare; Prescription Drugs; Cost Sharing; Deductibles and Coinsurance; Insurance
    Umfang: 1 Online-Ressource
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    Zugriff auf den Volltext nur auf Anfrage
  4. Cognitive impairment and prevalence of memory-related diagnoses among U.S. older adults
    Autor*in: Qian, Yuting; Chen, Xi; Tang, Diwen; Kelley, Amy S.; Li, Jing
    Erschienen: 2021
    Verlag:  Global Labor Organization (GLO), Essen

    Cognitive impairment creates significant challenges to health and well-being of the fast-growing aging population. Early recognition of cognitive impairment may confer important advantages, allowing for diagnosis and appropriate treatment, education,... mehr

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    Cognitive impairment creates significant challenges to health and well-being of the fast-growing aging population. Early recognition of cognitive impairment may confer important advantages, allowing for diagnosis and appropriate treatment, education, psychosocial support, and improved decision-making regarding life planning, health care, and financial matters. Yet the prevalence of memory-related diagnoses among older adults with early symptoms of cognitive impairment is unknown. Using 2000-2014 Health and Retirement Survey - Medicare linked data, we leveraged within-individual variation in a longitudinal cohort design to examine the relationship between incident cognitive impairment and receipt of diagnosis among American older adults. Receipt of a memory-related diagnosis was determined by ICD-9-CM codes. Incident cognitive impairment was assessed using the modified Telephone Interview of Cognitive Status (TICS). We found overall low prevalence of early memory-related diagnosis, or high rate of underdiagnosis, among older adults showing symptoms of cognitive impairment, especially among non-whites and socioeconomically disadvantaged subgroups. Our findings call for targeted interventions to improve the rate of early diagnosis, especially among vulnerable populations.

     
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    Sprache: Englisch
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    Weitere Identifier:
    hdl: 10419/229436
    Schriftenreihe: GLO discussion paper ; no. 777
    Schlagworte: cognitive impairment; cognitive aging; dementia; Medicare; memory-related diagnosis
    Umfang: 1 Online-Ressource (circa 30 Seiten)
  5. Cognitive impairment and prevalence of memory-related diagnoses among U.S. older adults
    Autor*in: Qian, Yuting; Chen, Xi; Tang, Diwen; Kelley, Amy S.; Li, Jing
    Erschienen: February 2021
    Verlag:  IZA - Institute of Labor Economics, Bonn, Germany

    Cognitive impairment creates significant challenges to health and well-being of the fast-growing aging population. Early recognition of cognitive impairment may confer important advantages, allowing for diagnosis and appropriate treatment, education,... mehr

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    Standort:
    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
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    DS 4
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    Cognitive impairment creates significant challenges to health and well-being of the fast-growing aging population. Early recognition of cognitive impairment may confer important advantages, allowing for diagnosis and appropriate treatment, education, psychosocial support, and improved decision-making regarding life planning, health care, and financial matters. Yet the prevalence of memory-related diagnoses among older adults with early symptoms of cognitive impairment is unknown. Using 2000-2014 Health and Retirement Survey - Medicare linked data, we leveraged within-individual variation in a longitudinal cohort design to examine the relationship between incident cognitive impairment and receipt of diagnosis among American older adults. Receipt of a memory-related diagnosis was determined by ICD-9-CM codes. Incident cognitive impairment was assessed using the modified Telephone Interview of Cognitive Status (TICS). We found overall low prevalence of early memory-related diagnosis, or high rate of underdiagnosis, among older adults showing symptoms of cognitive impairment, especially among non-whites and socioeconomically disadvantaged subgroups. Our findings call for targeted interventions to improve the rate of early diagnosis, especially among vulnerable populations.

     
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    Sprache: Englisch
    Medientyp: Buch (Monographie)
    Format: Online
    Weitere Identifier:
    hdl: 10419/232850
    Schriftenreihe: Discussion paper series / IZA ; no. 14098
    Schlagworte: cognitive impairment; cognitive aging; dementia; Medicare; memory-related diagnosis
    Umfang: 1 Online-Ressource (circa 31 Seiten), Illustrationen
  6. Physician Group Influences on Treatment Intensity and Health
    Evidence from Physician Switchers
    Autor*in: Doyle, Joseph J.; Staiger, Becky
    Erschienen: 2021
    Verlag:  National Bureau of Economic Research, Cambridge, Mass

    Treatment intensity varies remarkably across physicians, yet the key drivers are not well understood. Meanwhile, the organization of healthcare is undergoing a secular transformation as physicians increasingly work in groups. This paper tests whether... mehr

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    Standort:
    Sächsische Landesbibliothek - Staats- und Universitätsbibliothek Dresden
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    Standort:
    Universitätsbibliothek Freiburg
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    keine Fernleihe

    Standort:
    Helmut-Schmidt-Universität, Universität der Bundeswehr Hamburg, Universitätsbibliothek
    Fernleihe:
    keine Fernleihe

    Standort:
    Staats- und Universitätsbibliothek Hamburg Carl von Ossietzky
    Fernleihe:
    keine Fernleihe

    Standort:
    Technische Informationsbibliothek (TIB) / Leibniz-Informationszentrum Technik und Naturwissenschaften und Universitätsbibliothek
    Fernleihe:
    keine Fernleihe

    Standort:
    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
    Fernleihe:
    keine Fernleihe

     

    Treatment intensity varies remarkably across physicians, yet the key drivers are not well understood. Meanwhile, the organization of healthcare is undergoing a secular transformation as physicians increasingly work in groups. This paper tests whether physicians' group affiliation matters for practice styles and patient health. Using Medicare inpatient claims data, we compare these outcomes before and after physicians switch between groups of varying treatment intensity while remaining in the same hospital to control for practice setting. Event studies show that internists who join more-intensive groups immediately increase their own treatment intensity, with an elasticity of approximately 0.3; the opposite is found for internists who switch to groups that are less intensive. This change in Medicare spending largely stems from greater quantities of care provided, with some evidence of a change in coding behavior. We do not detect a change in health outcomes, suggesting that treatment intensity induced by group affiliation may not be productive

     
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    Schriftenreihe: NBER working paper series ; no. w29613
    Schlagworte: Gesundheitsversorgung; Vergleich; Ärzte; Arztpraxis; Krankenhaus; USA; Medicare
    Umfang: 1 Online-Ressource, illustrations (black and white)
    Bemerkung(en):

    Hardcopy version available to institutional subscribers
  7. Digital technologies for government-supported health insurance systems in Asia and the Pacific
    Erschienen: December 2021
    Verlag:  Asian Development Bank, Mandaluyong City, Metro Manila, Philippines

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    Standort:
    Max-Planck-Institut für ausländisches öffentliches Recht und Völkerrecht, Bibliothek
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    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
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  8. The Effect of Performance Pay Incentives on Market Frictions
    Evidence from Medicare
    Autor*in: Gupta, Atul; David, Guy; Kim, Kunhee
    Erschienen: November 2022
    Verlag:  National Bureau of Economic Research, Cambridge, Mass

    Medicare has increased the use of performance pay incentives for hospitals, with the goal of increasing care coordination across providers, reducing market frictions, and ultimately to improve quality of care. This paper provides new empirical... mehr

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    Sächsische Landesbibliothek - Staats- und Universitätsbibliothek Dresden
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    Standort:
    Universitätsbibliothek Freiburg
    Fernleihe:
    keine Fernleihe

    Standort:
    Helmut-Schmidt-Universität, Universität der Bundeswehr Hamburg, Universitätsbibliothek
    Fernleihe:
    keine Fernleihe

    Standort:
    Staats- und Universitätsbibliothek Hamburg Carl von Ossietzky
    Fernleihe:
    keine Fernleihe

    Standort:
    Technische Informationsbibliothek (TIB) / Leibniz-Informationszentrum Technik und Naturwissenschaften und Universitätsbibliothek
    Fernleihe:
    keine Fernleihe

    Standort:
    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
    Fernleihe:
    keine Fernleihe

     

    Medicare has increased the use of performance pay incentives for hospitals, with the goal of increasing care coordination across providers, reducing market frictions, and ultimately to improve quality of care. This paper provides new empirical evidence by using novel operations and claims data from a large, independent home health care firm with the Hospital Readmissions Reduction Program (HRRP) penalty on hospitals providing identifying variation. We find that the penalty incentive to reduce re-hospitalizations passed through from hospitals to the firm at least for some types of patients, since it provided more care inputs for heart disease patients discharged from hospitals at greater penalty risk and that contributed more patients to the firm. This evidence suggests that HRRP helped increase coordination between hospitals and home health firms without formal integration. Greater home health effort does not appear to have led to lower patient readmissions

     
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    Schriftenreihe: NBER working paper series ; no. w30615
    Schlagworte: Gesundheitswesen; Gesetzliche Krankenversicherung; Krankenhaus; Leistungsentgelt; Krankenhausfinanzierung; Gesundheitspolitik; Medicare; Analysis of Health Care Markets; Health Insurance, Public and Private; Government Policy; Regulation; Public Health
    Umfang: 1 Online-Ressource, illustrations (black and white)
    Bemerkung(en):

    Hardcopy version available to institutional subscribers
  9. How should we fund end-of-life care in the USA?
    Autor*in: Arapakis, Karolos; French, Eric; Jones, John; McCauley, Jeremy
    Erschienen: [2022]
    Verlag:  University of Cambridge, Faculty of Economics, [Cambridge]

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    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
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    VSP 1362
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    Schriftenreihe: Cambridge working paper in economics ; 2249
    Schlagworte: Medical spending; Medicaid; Medicare; long term care; policy reform
    Umfang: 1 Online-Ressource (circa 12 Seiten), Illustrationen
  10. Harry S. Truman versus the medical lobby
    the genesis of Medicare
    Autor*in: Poen, Monte M.
    Erschienen: 1979
    Verlag:  University of Missouri Press, Columbia

    Standort:
    Saarländische Universitäts- und Landesbibliothek
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    Standort:
    Universitätsbibliothek der Eberhard Karls Universität
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    Quelle: Verbundkataloge
    Sprache: Englisch
    Medientyp: Ebook
    Format: Online
    ISBN: 0826261345; 9780826261342
    Schlagworte: Health insurance; Medicare; Medicare; National Health Insurance, United States; Politics
    Weitere Schlagworte: Truman, Harry S (1884-1972)
    Umfang: Online-Ressource (xii, 260 p)
    Bemerkung(en):

    Includes bibliographical references (p. 231-247) and index

    Use copy Restrictions unspecified star MiAaHDL

    Electronic reproduction
  11. Saving social security
    Autor*in: Lane, Edward
    Erschienen: February 2024
    Verlag:  Levy Economics Institute, Annandale-on-Hudson, NY

    For more than 25 years, the Social Security Trust Fund has been projected to run out of money in 2033 (give or take a few years), potentially causing benefits to be severely reduced in the absence of corrective legislative action. Today (February... mehr

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    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
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    DS 88
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    For more than 25 years, the Social Security Trust Fund has been projected to run out of money in 2033 (give or take a few years), potentially causing benefits to be severely reduced in the absence of corrective legislative action. Today (February 2024), projections are made by the Social Security Administration that indicate that future benefits will need to be reduced by roughly 25 percent or taxes will need to be increased by about 33 percent, or some combination to avoid benefit curtailment. While Congress will most probably prevent benefits from being reduced for retirees and those nearing retirement, the longer Congress and the president take to address the shortfall, the more politically unpalatable (and possibly draconian) the solutions will be for all others. Dozens of proposals are being evaluated to address the long-term problem by mainstream benefits experts, economists, think tanks, politicians, and government agencies but, with rare exceptions from a few economists, none address the short-term problem of Trust Fund depletion, provide a workable roadmap for the long-term challenges, or consider fundamental financing differences between the federal government and the private sector. This paper aims to address these issues by suggesting legislative changes that will protect the Social Security system indefinitely, help ensure the adequacy of benefits for retirees and their survivors and dependents, and remove confusing and misleading legislative and administrative complexity. In making recommendations, this paper will demonstrate that the Social Security Trust Funds, while legally distinct, are essentially an artificial accounting contrivance within the US Treasury that have become a tool to force program changes that, for ideological reasons, will likely shift an increasing financial burden onto those who can least bear it. Finally, while the focus of this paper is on the Social Security system, it would be incomplete without also addressing, albeit in a limited way, the larger political issue of the nation's debt and deficit along with the implications for inflation.

     
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    Schriftenreihe: Working paper / Levy Economics Institute of Bard College ; no. 1042
    Schlagworte: Social Security; FICA; Taxation; Taxes; Trust Fund; Trust Funds; OASI; OASDI; Medicare; Deficit; Inflation; Welfare; Treasury; Debt; Old-age
    Umfang: 1 Online-Ressource (circa 39 Seiten), Illustrationen
  12. Promoting disease management in Medicare
    hearing before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives, One Hundred Seventh Congress, second session, April 16, 2002
    Erschienen: 2002

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    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
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    C 241155
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    Sprache: Englisch
    Medientyp: Buch (Monographie)
    Format: Online
    Auflage/Ausgabe: [Elektronische Ressource]
    Schlagworte: Gesetzliche Krankenversicherung; Krankheit; Gesundheitspolitik; Gesundheitsfinanzierung; USA; Medicare; Disease management; Older people
    Umfang: Online-Ressource, III, 92 p., text, ill
    Bemerkung(en):

    Includes bibliographical references
  13. Designing a twenty-first century Medicare prescription drug benefit
    hearing before the Subcommittee on Health of the Committee on Energy and Commerce, House of Representatives, One Hundred Eighth Congress, first session, April 8, 2003
    Erschienen: 2003

    Standort:
    Universitätsbibliothek Braunschweig
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    keine Fernleihe

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    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
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    C 244998
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    Sprache: Englisch
    Medientyp: Buch (Monographie)
    Format: Online
    Schlagworte: Arzneimittel; Gesetzliche Krankenversicherung; Sozialleistungsempfänger; Gesundheitskosten; Gesundheitspolitik; USA; Medicare; Older people; Insurance, Pharmaceutical services; Drugs
    Umfang: Online-Ressource, III, 76 p., text, ill
    Bemerkung(en):

    Includes bibliographical references
  14. Medicare payments for currently covered prescription drugs
    hearing before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives, One Hundred Seventh Congress, second session, October 3, 2002
    Erschienen: 2003

    Standort:
    Universitätsbibliothek Braunschweig
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    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
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    Sprache: Englisch
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    Format: Online
    Auflage/Ausgabe: [Elektronische Ressource]
    Schlagworte: Gesetzliche Krankenversicherung; Arzneimittel; USA; Versicherungsschutz; Medicare; Insurance, Pharmaceutical services; Prescription pricing; Drugs
    Umfang: Online-Ressource, III, 89 p., text
    Bemerkung(en):

    Includes bibliographical references
  15. The effects of physician and hospital integration on medicare beneficiaries' health outcomes
    Autor*in: Koch, Thomas G.; Wendling, Brett W.; Wilson, Nathan E.
    Erschienen: July 2018
    Verlag:  Bureau of Economics, Federal Trade Commission, Washington, DC

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    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
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    Sprache: Englisch
    Medientyp: Buch (Monographie)
    Format: Online
    Schriftenreihe: Working papers / Bureau of Economics, Federal Trade Commission ; no. 337
    Schlagworte: Integration; Industrial Organization; Physicians; Medicare; Mortality; Diabetes; Hypertension; Health Outcomes
    Umfang: 1 Online-Ressource (circa 56 Seiten), Illustrationen