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Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

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At least 685 records · Page 38Linked to original sources
PubMed2004

Does patient cost sharing matter? Its impact on recommended versus controversial cancer screening services.

OBJECTIVES: To examine whether there are differential impacts of patient cost sharing and health plan organizational characteristics on the use of a recommended cancer screening service (mammography) versus a controversial cancer screening service (prostate cancer screening [PCS]). STUDY DESIGN: Observational cohort using the 1996 Medical Expenditure Panel Survey. PATIENTS AND METHODS: A nationally representative sample of privately insured individuals was examined. Outcome measures were the receipt of mammography and PCS. Logistic regression was used to assess the impact of patient cost sharing and health plan organizational characteristics on the receipt of mammography and PCS, controlling for other covariates. RESULTS: Patient cost sharing and gatekeeper requirements were strong predictors of PCS but were statistically insignificant predictors of mammography. Men in health plans with a copayment over dollar 10 (odds ratio [OR] = 0.38, 95% confidence interval [CI] = 0.19-0.78) or with deductibles over dollar 250 (OR = 0.38, 95% CI = 0.23-0.62) were significantly less likely to receive PCS than men in plans with no or lower copayments and deductibles. Men in gatekeeper plans were less likely to receive PCS than those without gatekeepers (OR = 0.48, 95% CI = 0.29-0.81). CONCLUSIONS: We found the impact of cost sharing on utilization is different between mammography and PCS. Prostate cancer screening utilization appears to respond to financial incentives while mammography utilization does not. The use of copayments, deductibles, and gatekeepers may discourage controversial services but may not have an adverse effect on more recommended services. These findings have implications for the design of insurance benefits and plan organizational structure.

Breast Neoplasms↗
PubMed2004

News about HIV care.

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Dental Care for Chronically Ill↗
PubMed1992

IVF in the USA, who pays for it?

A decade has passed since the first American 'test-tube baby' was born at the Eastern Virginia Medical School in Norfolk. The announcement of this medical achievement was an excellent source of inspiration for many legal scholars to write about the problems of IVF. The Spanish, English and Swedish legislators were the first to be seduced by these scholars. They enacted very sophisticated statutes concerning fertilization and embryology. The American legislation did not seem (at first sight) to fall under the spell of lawyers. In this article, it is shown how more and more American state legislators, by enacting statutes to mandate insurers to cover IVF treatment, are indirectly regulating IVF.

Costs and Cost Analysis↗
PubMed2004

Take a card.

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Decision Making↗
PubMed1992

Newest knowledge of low back pain. A critical look.

Scientific scrutiny of the low back problem demonstrates its socioeconomic importance in most industrialized societies. Natural history studies reveal that the prognosis for the low back pain patient is excellent; for those with sciatica and painful spondylolisthesis it is good. It is even relatively good for those older patients with symptoms of spinal stenosis. Although today there is a better understanding of pain, the pathomechanism of low back pain is unknown. However, for patients with sciatica, spondylolisthesis, and spinal stenosis, physicians are beginning to get a better perception of what causes the pain. Psychosocial factors, including insurance benefits, have been demonstrated to be more important than biomechanical workload not only for acute but also for chronic low back pain patients who are unable to work. Orthopedic surgeons must recognize this fact when contemplating operations for patients with ill-defined back syndromes. Rarely are diagnoses scientifically valid, nor is the effectiveness of surgery proven by acceptable clinical trials.

Back Pain↗
PubMed2004

TRICARE; changes included in the National Defense Authorization Act for Fiscal Year 2003(NDAA-03). Final rule.

This final addresses eliminating the requirement for TRICARE preauthorization of inpatient mental health care for TRICARE/Medicare eligible beneficiaries where Medicare is primary payer and has already authorized the care; approving a physician or other health care practitioner who is eligible to receive reimbursement for services provided under Medicare as a TRICARE provider if the provider is also a TRICARE authorized provider; and, expanding the TRICARE Dental Program (TDP) eligibility for dependents of deceased members.

Dental Care↗
PubMed2004

Strategic choices for managed care plans under the Modernization Act of 2003.

The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 will profoundly reform an archaic Medicare system that serves more than 41 million Americans who are elderly, disabled, or suffer from end-stage renal disease. The primary driver of this change, in the near- and far-term, will be the Medicare managed care plans that currently serve 4.7 million beneficiaries.

Drug Costs↗