Search Results - subject_exact:"Gesetzliche Krankenversicherung"

Wie ein Solidarbeitrag in der PKV die Finanzierungsprobleme und Ungerechtigkeiten in der Gesundheitsversorgung reduzieren könnte

Boysen-Hogrefe, Jens; Schmidt, Ulrich - 2026

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015641639

Risk adjustment for ADRD in medicare advantage and health care experiences

Fu, Wei; Qian, Yuting; Karimi, Seyed; Zarei, Hamid; Chen, Xi - 2026

Failure to account for the full complexity and costs of high-need populations in the risk-adjusted capitated payment model for Medicare Advantage (MA) plans may create financial disincentives for plans to invest in comprehensive care for affected beneficiaries, potentially exacerbating health...

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015615819

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Risk adjustment for ADRD in medicare advantage and health care experiences

Fu, Wei; Qian, Yuting; Karimi, Seyed; Zarei, Hamid; Chen, Xi - 2026

Book / Working Paper

Testing for asymmetric information in the public health insurance market in Vietnam : towards the accomplishment of universal health insurance coverage

Yamada, Hiroyuki; Nguyen Anh Tuyet; Shimamura, Yasuharu; … - 2026

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015592418

The impact of preschool entry age on low-income children's use of health and social services

Rossin-Slater, Maya; Sabety, Adrienne; Wu, Aileen - 2026

We find that public preschools are a gateway to health and social services. Low-income children born shortly before their state's school-entry cutoff date are more likely to receive school-based services, speech-language pathology, occupational or physical therapy, and vision and dental services...

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015641413

The impacts of Medicaid's managed long-term services and supports on health outcomes in Medicare

Lee, Ajin; Rossin-Slater, Maya; Staiger, Becky; Su, Amanda - 2026

Medicaid has increasingly shifted from fee-for-service to managed care for long-term services and supports delivery, but little is known about the health effects. We study how transitioning to managed LTSS (MLTSS) affects the health of dual-eligible MedicareMedicaid beneficiaries in Florida and...

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015641435

The impact of expanding public health insurance on safety net program participation : evidence from the ACA Medicaid expansion

Schmidt, Lucie; Shore-Sheppard, Lara D.; Watson, Tara - 2026

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015669553

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The impact of expanding public health insurance on safety net program participation : evidence from the ACA Medicaid expansion

Schmidt, Lucie; Shore-Sheppard, Lara D.; Watson, Tara - 2019

Book / Working Paper

The Impact of Expanding Public Health Insurance on Safety Net Program Participation : Evidence from the ACA Medicaid Expansion

Schmidt, Lucie - 2019

Book / Working Paper

The Impact of Expanding Public Health Insurance on Safety Net Program Participation : Evidence from the ACA Medicaid Expansion

Schmidt, Lucie - 2019

Book / Working Paper

Dynamic risk adjustment in markets with persistent risk and manipulable signals : market design for health insurance

Chan, Alex - 2026

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015665447

Wie ein Solidarbeitrag in der PKV die Finanzierungsprobleme und Ungerechtigkeiten in der Gesundheitsversorgung reduzieren könnte

Boysen-Hogrefe, Jens; Schmidt, Ulrich - 2026

• Der vorliegende Beitrag diskutiert die Finanzierungsprobleme der gesetzlichen Krankenversicherung und die Gerechtigkeitsdebatte um das duale System aus GKV und PKV. Statt die PKV abzuschaffen, schlagen die Autoren einen Solidarbeitrag für privat Versicherte vor. • Hintergrund ist, dass...

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015640892

The effects of wealth shocks on public and private long-term care insurance

Costa-Font, Joan; Frank, Richard G.; Raut, Nilesh - 2026

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015673708

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The effects of wealth shocks on public and private long-term care insurance

Costa-Font, Joan; Frank, Richard G.; Raut, Nilesh - 2025

Book / Working Paper

The effects of wealth shocks on public and private long-term care insurance

Costa-Font, Joan; Frank, Richard G.; Raut, Nilesh - 2025

Book / Working Paper

The impact of health shocks on housing instability : evidence from urban Medicaid enrollees

Dragan, Kacie L. - 2026

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015675039

Subsidizing contraception : effects on contraceptive coverage, abortions, and births

Rosenberg, Sarah - 2026

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015674853

GKV-Finanzierung: Durch Kapitalerträge?

Broer, Michael - 2025

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015339399

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GKV-Finanzierung : durch Kapitalerträge?

Broer, Michael - 2025

Article

Gesundheitsagenda 2030: Ohne Reformen drohen Sozialabgaben von 50% und mehr. Steigende GKV-Beiträge und demografischer Wandel erfordern tiefgreifende Strukturreformen

Augurzky, Boris; Karagiannidis, Christian - 2025

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015410793

Reicht ein Ausgabenmoratorium zur Stabilisierung des Beitragssatzes zur Gesetzlichen Krankenversicherung? : eine kontrafaktische Simulation

Pimpertz, Jochen - 2025

Seit fast einem Vierteljahrhundert steigen die GKV-Ausgaben pro Jahr um durchschnittlich 1 Prozentpunkt stärker als die beitragspflichtigen Einnahmen. Das gilt unabhängig davon, ob man die Aggregate betrachtet oder je Versicherten beziehungsweise je Mitglied rechnet. Setzt sich dieser Trend...

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015553061

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Reicht ein Ausgabenmoratorium zur Stabilisierung des Beitragssatzes zur Gesetzlichen Krankenversicherung? Eine kontrafaktische Simulation

Pimpertz, Jochen - 2025

Article

Social defaults and plan choice: The case of spousal following

Gross, Tal; Layton, Tim; Prinz, Daniel; Yates, Julia - 2025

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015620096

Medicare Advantage penetration and the financial distress of rural hospitals

Cataife, Guido; Liu, Siying - 2025

Background Medicare Advantage (MA) penetration rates have shown an increase in rural areas in the past decade, increasing the bargaining power of MA plans relative to rural hospitals. We study the effect that this increase has had in the revenue of rural hospitals through reductions in the...

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015371834

The effect of health insurance reimbursement rates on middle-aged and elderly people's hospital choices : evidence from China

Li, Biao; Liang, Xiang; Qi, Xiulin - 2025

Background Adjusting the health insurance reimbursement rate is essential to optimize the allocation of medical resources. This paper investigates the effect of health insurance reimbursement rates on middle-aged and elderly people's choice of hospitals in China. Methods This study is conducted...

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015371864

Health insurance as economic stimulus? : evidence from long-term care jobs

Hackmann, Martin B.; Heining, Jörg; Klimke, Roman; … - 2025

We leverage decades of administrative data and quasi-experimental variation in the introduction of universal long-term care (LTC) insurance in Germany in 1995 to examine whether health insurance expansions can stimulate local economies. We find that the LTC insurance rollout led not only to...

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015330353

Medicaid expansion and participation in the Supplemental Nutrition Assistance Program : the role of Integrated Eligibility Systems

Mandal, Bidisha - 2025

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015332057

Providing nutrition information on US restaurant menus : a systematic review since the Affordable Care Act (2010)

Abbas, R.; Hatch, Courtney Droms - 2025

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015333111

Health insurance coverage changes under the Affordable Care Act among high housing cost households, 2010-18

Cao, Yu; Su, Yuxin; Wang, Guan; Zhang, Chengcheng - 2025

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015358500

Do integrated care models for dual medicare-medicaid enrollees work? : evidence from Massachusetts's one care financial alignment initiative demonstration

Caswell, Kyle J.; Waidmann, Timothy; Wei, Keqin; Smith, … - 2025

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015329952

What role can health mutuals and community-based health insurance play in social health protection systems? : review of experiences

Tessier, Lou; Guérin, Olivier Louis dit - 2025

Social health protection systems are constantly evolving, offering a wide range of institutional, administrative, and financial arrangements. International standards in social health protection are outcome-based, and grant flexibility in the institutional and administrative arrangements chosen...

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015423956

Generosity and effectiveness of catastrophic medical insurance in the People's Republic of China

Müller, Armin - 2025

In the 2000s, the Government of the People's Republic of China extended basic health insurance to most of the population. In the 2010s, it introduced a catastrophic medical insurance (CMI) program to further improve urban and rural residents' protection against financial shocks due to inpatient...

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015464563

BAS-Report ...

Deutschland / Bundesamt für Soziale Sicherung - Bonn : Bundesamt für Soziale Sicherung - 2024-

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015456005

Public payment mandates and provider supply

Hoehn-Velasco, Lauren; Huang, Yu-Ting; Olanrewaju, Yusuff - 2025

Public insurance reimbursement policies shape the structure and reach of healthcare markets. In this study, we examine the 1980 federal Medicaid mandate requiring states to reimburse Certified Nurse-Midwives, one of the first reforms targeting non-physician providers. We find the mandate...

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015460053

Long-term care partnership effects on medicaid and private insurance

Costa-Font, Joan; Raut, Nilesh - 2025

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015460270

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Long-term care partnership effects on medicaid and private insurance

Costa-Font, Joan; Raut, Nilesh - 2021

Book / Working Paper

Long-term care partnership effects on Medicaid and private insurance

Costa-Font, Joan; Raut, Nilesh - 2021

Book / Working Paper

Long-Term Care Partnership Effects on Medicaid and Private Insurance

Costa-Font, Joan; Raut, Nilesh - 2022

Book / Working Paper

Long-Term Care Partnership Effects on Medicaid and Private Insurance

Costa-Font, Joan; Raut, Nilesh - 2021

Book / Working Paper

Behavioral responses to healthcare funding decisions and their impact on value for money : evidence from Australia

Ghijben, Peter; Petrie, Dennis; Zavarsek, Silva; Chen, Gang - 2025

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015460287

Insurance expansion during pregnancy

Hochuli, Philip; Schmid, Christian - 2025

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015460354

Public procurement vs. regulated competition in selection markets

Cuesta, José Ignacio; Tebaldi, Pietro - 2025

A common approach to markets with adverse selection is to regulate competition to minimize inefficiencies, while preserving consumer choice among firms. We study the role of procurement auctions - leading to sole provision by the winning firm - as an alternative market design. Relative to...

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015446717

Dependent insurance coverage and parental job lock : evidence from the Affordable Care Act

Bae, Hannah; Meckel, Katherine; Shi, Maggie - 2025

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015562939

Medical residency subsidies and physician shortages

McNamara, Cici; Pineda-Torres, Mayra - 2025

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015563111

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Medical residency subsidies and physician shortages

McNamara, Cici; Pineda-Torres, Mayra - 2024

Book / Working Paper

Universal health insurance schemes : a comparative analysis of implementation features in 10 lowand middle-income countries

Bergthaller, Martina; Tessier, Lou - 2025

Reaching universal health coverage is a central objective of social protection systems.Countries can choose a variety of mechanisms to secure the right to social health protection for all. This report focuses on those countries that have chosen a universal health insurance model. More...

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015568258

Measuring hospital performance in the Philippines : evidence on quality, efficiency, and equity from social health insurance claims

Casas, Lyle; Hagag, Sarah Reem Hesham Mohamed; Ho, … - 2025

In the Philippines, hospital efficiency and quality are rarely measured because of the limited availability of administrative health data. We used 37 million inpatient claims from PhilHealth (2018-2023) to estimate hospital efficiency and quality across the Philippines. We found stark variation...

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015492609

Application of standard machine learning models for Medicare fraud detection with imbalanced data

Farahmandazad, Dorsa; Danesh, Kasra; Abadi, Hossein … - 2025

Medicare fraud poses a substantial challenge to healthcare systems, resulting in significant financial losses and undermining the quality of care provided to legitimate beneficiaries. This study investigates the use of machine learning (ML) to enhance Medicare fraud detection, addressing key...

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015492653

An evaluation of the impacts of health insurance coverage on wealth stratification in some selected sub-Saharan countries

Malik, Amaama Abdul; Kaplan, Muhittin - 2025

Background Health is a crucial component of an economy, influencing the performance of various sectors. As a result, nearly every country has implemented health policies to achieve the United Nations Development Goals and Universal Health Coverage (UHC) targets, which focus on providing...

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015609658

Sustainability of national health insurance scheme in Ghana : what is the effect of enrolment on retention and what are the constraints?

Essah, Nicholas Kwame - 2025

Background Globally, health remains an important issue on governments agenda. Subsequently, the health insurance scheme was introduced in Ghana to reduce out-of-pocket payments for healthcare delivery. However, there are several challenges facing the scheme including continuous membership...

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015609693

Screening for postpartum depression at well child visits : evaluating the impact of Michigan's statewide initiative

Currie, Janet M.; Malinovskaya, Anna - 2025

Objective To examine a 2018 rule change allowing pediatric providers to bill the child's Medicaid ID for post-partum depression (PPD) screening of mothers conducted during well-child visits, and document its relationship with PPD treatment and infant hospitalizations. Study setting and design...

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015609750

Analysis of the role of medical insurance in the "health shocks-consumption upgrading" model : evidence from China

Hu, Qi; Wang, Ennan; Zhu, Minglai - 2025

Background The COVID-19 pandemic has brought significant health shocks worldwide, along with a certain bur- den on healthcare systems. China's healthcare security system has been continuously improved and has essentially achieved universal coverage. Moreover, the health impact of COVID-19 on the...

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015596710

A proposed condition-based risk adjustment system for the Colombian health insurance program

Duncan, Ian; Mejia Becerra, Juan Diego; Ahmed, Tamim - 2025

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015552744

Versicherungsfremde Leistungen in der GKV : systematische Darstellung und Bewertung vorliegender Ansätze zur Abgrenzung versicherungsfremder Leistungen in der Gesetzlichen Krankenversicherung (GKV)

Albrecht, Martin; Ochmann, Richard R. - 2025

Aufwendungen der GKV für versicherungsfremde Leistungen werden durch steuerfinanzierte Bundeszuschüsse pauschal abgegolten. Schon länger wird kritisiert, dass deren Höhe von 14,5 Mrd. Euro jährlich die Aufwendungen für diese Leistungen nicht decken. Zur Abgrenzung versicherungsfremder...

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015556617

Social defaults and plan choice : the case of spousal following

Gross, Tal; Layton, Tim; Prinz, Daniel; Yates, Julia - 2025

We study how couples in the Medicare Part D program choose an insurance plan. Over 70 percent of enrollees choose the same plan as their spouse. Even among those with differing healthcare needs, well over half do so. Discrete-choice models suggest beneficiaries value being on the same plan as...

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015557683

The causal effects of mandatory health insurance coverage expansion in Switzerland

Kaiser, Boris; Kohler, Andreas; Schmid, Christian - 2025

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015526535

Analyzing outpatient care in the Philippines : evidence from social health insurance data

Hagag, Sarah Reem D. Hesham Mohamed; Rodriguez, … - 2025

This report estimated the utilization of outpatient benefits of the Philippine Health Insurance Corporation and examined variations across local governments. We analyzed utilization patterns by key socio-demographic and economic characteristics to better understand healthcare inequalities. The...

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015578930

Utilization of inpatient care in the Philippines : evidence from social health insurance claims data

Hagag, Sarah Reem D. Hesham Mohamed; Rodriguez, … - 2025

Inequities in access to healthcare are pervasive in many low- and middle-income countries (LMICs), manifesting as large socio-economic gradients in healthcare utilization and subsequently, disparities in population outcomes. LMICs additionally often confront inefficient health systems,...

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015578950

Public insurance and demand for private healthcare

Bhattacharya, Titir; Chakraborty, Tanika; De, Prabal K. - 2025

Establishment of public–private partnerships is an emerging model in health care delivery. This study evaluates a pioneering social health insurance program in India that enables eligible households to access private hospitals for tertiary care services free of cost, but does not build more...

Persistent link: https://www.econbiz.de, ebvufind01.dmz1.zbw.eu/10015579064

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