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  1. Differential effects by mental health status of filling the Medicare part d coverage gap
    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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    Quelle: Verbundkataloge
    Sprache: Englisch
    Medientyp: Buch (Monographie)
    Format: Online
    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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  2. Moving policies toward racial and ethnic equality
    the case of the Supplemental Nutrition Assistance Program
    Erschienen: [2023]
    Verlag:  Global Labor Organization (GLO), Essen

    We analyze the role played by the Supplemental Nutrition Assistance Program (SNAP) in alleviating or exacerbating inequality across racial and ethnic groups in food expenditures and in the resources needed to meet basic food needs (the "food resource... mehr

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    Resolving-System (kostenfrei)
    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
    DS 565
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    We analyze the role played by the Supplemental Nutrition Assistance Program (SNAP) in alleviating or exacerbating inequality across racial and ethnic groups in food expenditures and in the resources needed to meet basic food needs (the "food resource gap"). To do this, we propose a simple framework that decomposes differences across groups in SNAP benefit transfer levels into three components: eligibility, participation, and generosity. This decomposition is then linked to differences in food expenditures and the food resource gap. Our results reveal that among the three components, differences in eligibility contribute the most to SNAP benefits differentials for Black and Hispanic households relative to White households. Given that SNAP is often a target of policy changes, we employ the framework to provide counterfactual analyses of how selected SNAP policy changes can impact group differences in benefits and, ultimately, disparities in food expenditures and the food resource gap. The proposed framework can be applied to analyze other safety net programs.

     

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    Quelle: Verbundkataloge
    Sprache: Englisch
    Medientyp: Buch (Monographie)
    Format: Online
    Weitere Identifier:
    hdl: 10419/270901
    Schriftenreihe: GLO discussion paper ; no. 1272
    Schlagworte: decomposition; inequality; race and ethnicity; supplemental nutrition assistance program
    Umfang: 1 Online-Ressource (circa 74 Seiten), Illustrationen
  3. Foreign Exchange
    Counterculture behind the Walls of St
    Autor*in: Liu, Judith
    Erschienen: 2011
    Verlag:  Lehigh University Press, Lanham

    Foreign Exchange is the story of two women and their experiences at an American Episcopalian missionary school in Wuhan St. Hilda's School for Girls from 1929-1937. Yeh Yuanshuang was a student from a privileged Chinese family; Dorothea Kingsley... mehr

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    Foreign Exchange is the story of two women and their experiences at an American Episcopalian missionary school in Wuhan St. Hilda's School for Girls from 1929-1937. Yeh Yuanshuang was a student from a privileged Chinese family; Dorothea Kingsley Wakeman was a short-term teacher from a privileged American family. Both would be transformed by their experiences at St. Hilda's whose walls served to protect the school from outside danger as well as to help create a space where new gender expectations could be nurtured, hidden away from the gaze of prying eyes. Examining St. Hilda's through the expe...

     

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    Quelle: Verbundkataloge
    Sprache: Englisch
    Medientyp: Ebook
    Format: Online
    ISBN: 9781611460049; 9781611460056 (Sekundärausgabe)
    Schriftenreihe: Christianity in China
    Umfang: 451 p.
    Bemerkung(en):

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