Health Insurance Plans
Mostrando 13-24 de 49 artigos, teses e dissertações.
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13. Qualidade e inteligÃncia competitiva no setor de saÃde suplementar: proposiÃÃo de um modelo para a anÃlise da estratÃgia competitiva
The Brazilian sector of Health Assistance Insurance Companies has seen big transformations in the last years, deep regulatory changes with new rules and new forms of market organizations, besides an increase in the competition, classifying the sector as hypercompetitive. This fact has been verified mainly amongst the companies that deal with Health Assistanc
Publicado em: 2007
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14. The public regulation of health in Brazil : the case of supplemental healt / A regulação publica da saude no Brasil : o caso da saude complementar
This work analyses the process of building the public regulation of the supplemental health care system. It assumes regulation as the capacity of the state to intervene in the offer of services, orienting its development or changing its pattems. The issuance of the 1998 Federal Law n° 9.656, regulating supplemental health care in Brazil is taken as a landma
Publicado em: 2006
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15. Responsabilidade civil dos planos de assistência à saúde em caso de erro médico / The responsibility of health plans and health insurance companies in case of a medical error
Esta tese a ser defendida na cadeira de Direitos Difusos e Coletivos, na sub-área de Direito do Consumidor, visa analisar a responsabilidade das empresas de planos e seguro saúde em caso de erro médico. A responsabilidade civil dos profissionais liberais, como os médicos, é regulada em nossa legislação como sendo uma responsabilidade subjetiva, ou sej
Publicado em: 2005
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16. A health insurance s high medical expenditures / "Gastos elevados na assistência médico-hospitalar de um plano de saúde"
Administradores de saúde estão preocupados com a persistente elevação dos gastos com saúde. Um problema econômico, social e médico. Objetivando estudar as características das pessoas que produzem gastos elevados com saúde, tomou-se a população de um plano de saúde, identificou-se 1% dos casos que mais gastaram com assistência médico-hospitalar
Publicado em: 2005
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17. Incentives and moral hazard in health insurance plans in Brazil. / Incentivos e risco moral nos planos de saúde no Brasil.
This dissertation analyses how the lack of appropriate incentives motivates the emergence of moral hazard in health insurance and its consequences in the determination of medical services demand. The involves the literature review and the estimation of a econometric model, which evaluates the effectiveness of rationing mechanisms in the control of moral haza
Publicado em: 2002
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18. Measuring the "managedness" and covered benefits of health plans.
STUDY AIMS: (1) To develop indexes measuring the degree of managedness and the covered benefits of health insurance plans, (2) to describe the variation in these indexes among plans in one health insurance market, (3) to assess the validity of the health plan indexes, and (4) to examine the association between patient characteristics and the health plan inde
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19. The effect of HMOs on premiums in employment-based health plans.
This study documents the effect of HMOs on premiums in employment-based health plans. We analyzed a survey of Minnesota employers conducted in 1986. Among 922 usable observations, 239 firms offered HMOs in addition to fee-for-service (FFS) health plans. We estimated an equation for the probability of offering an HMO, followed by equations for HMO enrollment
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20. Managed-care plans. Their future under national health insurance.
The nation's health maintenance organizations, preferred-provider organizations, independent practice associations, and similar managed-care efforts are not well positioned to take a leadership role in a nationwide universal access or national health insurance plan. They--with the possible exception of some large staff and group health maintenance organizati
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21. Health Insurance Plans: Studies in Organizational Diversity
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22. Patterns of outpatient mental health care over time: some implications for estimates of demand and for benefit design.
The article examines patterns of starting and continuing outpatient mental health care as a function of time, and the implications of these patterns for estimates of the response of demand to generosity of fee-for-service insurance coverage. The data are from the RAND Health Insurance Experiment (HIE), which acquired a random sample of the nonelderly general
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23. The effects of a prepaid group practice on mental health outcomes.
Does a prepaid group practice relative to comparable fee-for-service plans lead to different mental health outcomes for its beneficiaries? To answer this question, we used data from the RAND Health Insurance Experiment. We observed no statistically significant or clinically meaningful differences in mental health outcomes for families randomly assigned to Gr
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24. Designing health insurance information for the Medicare beneficiary: a policy synthesis.
Can Medicare beneficiaries make rational and informed decisions about their coverage under the Medicare program? Recent policy developments in the Medicare program have been based on the theory of competition in medical care. One of the key assumptions of the competitive model is the free flow of adequate information, enabling the consumer to make an informe