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Results for “INSURANCE, HOSPITALIZATION”

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 19 recordsLinked to original sources
PubMed1992

The process and outcome of hospital care for Medicaid versus privately insured hospital patients.

Some have argued that low Medicaid payment rates compromise the accessibility and quality of medical care for Medicaid beneficiaries. In this study we compare the process and outcome of hospital care for Medicaid versus privately insured hospital patients. We studied 4,033 emergency patients admitted with a principal diagnosis of acute myocardial infarction, to Massachusetts hospitals in 1987. After we statistically adjusted for differences among patients relating to clinical and demographic characteristics and the type of hospital where treatment occurred, we found that the Medicaid patients had longer hospital stays but were less likely to receive three selected coronary procedures. Moreover, after controlling for confounding variables, we found the risk of death for Medicaid patients to be almost twice as high as for privately insured patients.

Angiography↗
PubMed1999

The Bwamanda hospital insurance scheme: effective for whom? A study of its impact on hospital utilization patterns.

The Bwamanda hospital insurance scheme in Zaire was launched in the mid-eighties and is one of the few well-established and documented initiatives in the field of district-based insurance schemes in sub-Saharan Africa. It was established that hospital utilization in Bwamanda is significantly higher among the insured population. A higher hospital utilization is however not a goal in itself: it is a positive phenomenon if it takes place for problems where the hospital's know-how and technology are needed to solve the patient's problem. This paper investigates the effect of the insurance scheme on hospital utilization patterns. More specifically, the distribution of this higher utilization over the different hospital departments, as well as its spatial distribution in the entire district area are analyzed. The impact of the insurance scheme on the effectiveness, equity and efficiency of hospital utilization are discussed. The relevance and possible implications of these findings on the design of the Bwamanda insurance scheme are discussed. Finally, it is argued that the methods used in the present study contribute to a coherent framework for the evaluation of similar initiatives.

Adult↗
PubMed1980

Health Care Financing Administration--Medicare program; technical amendments on reconsideration and appeals under the hospital insurance program. Final regulation.

SUMMARY: This regulation places in HCFA's part of the Code of Federal Regulations certain material formerly included in the regulations of the Social Security Administration (SSA). Specifically, SSA's regulations about making and reviewing program determinations referred to certain types of determinations made in the Medicare program. However, in its recent recodification of those regulations, SSA deleted the references to Medicare determinations. The following amendments place the deleted material among the HCFA regulations on making and reviewing program determinations. In addition, for the convenience of the reader of HCFA regulations, we are reprinting the SSA's regulations on making and reviewing program determinations as an Appendix to the Medicare regulations on the same subject.

Insurance, Hospitalization↗