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Journal articles on the topic 'Behavioral health insurance'

Author: Grafiati

Published: 6 July 2024

Last updated: 31 July 2025

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1

Baicker, Katherine, Sendhil Mullainathan, and Joshua Schwartzstein. "Behavioral Hazard in Health Insurance *." Quarterly Journal of Economics 130, no. 4 (2015): 1623–67. http://dx.doi.org/10.1093/qje/qjv029.

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Abstract A fundamental implication of standard moral hazard models is overuse of low-value medical care because copays are lower than costs. In these models, the demand curve alone can be used to make welfare statements, a fact relied on by much empirical work. There is ample evidence, though, that people misuse care for a different reason: mistakes, or “behavioral hazard.” Much high-value care is underused even when patient costs are low, and some useless care is bought even when patients face the full cost. In the presence of behavioral hazard, welfare calculations using only the demand curv

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2

Colloff, Edwin. "Behavioral Economics and Health Insurance Reform." JAMA 318, no. 10 (2017): 964. http://dx.doi.org/10.1001/jama.2017.10548.

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Goldman, Howard H., Richard G. Frank, M. Audrey Burnam, et al. "Behavioral Health Insurance Parity for Federal Employees." New England Journal of Medicine 354, no. 13 (2006): 1378–86. http://dx.doi.org/10.1056/nejmsa053737.

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4

Skinner, Jonathan, and Kevin G. Volpp. "Behavioral Economics and Health Insurance Reform—Reply." JAMA 318, no. 10 (2017): 965. http://dx.doi.org/10.1001/jama.2017.10556.

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Mamun, Abdullah Al, Muhammad Khalilur Rahman, Uma Thevi Munikrishnan, and P. Yukthamarani Permarupan. "Predicting the Intention and Purchase of Health Insurance Among Malaysian Working Adults." SAGE Open 11, no. 4 (2021): 215824402110613. http://dx.doi.org/10.1177/21582440211061373.

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This study explored the effects of insurance literacy, perceived usefulness, attitude toward health insurance, subjective norm, and perceived behavioral control on the intention to purchase and the actual purchase of health insurance among working adults in Malaysia. This quantitative study adopted the cross-sectional design with data gathered from 1,308 working adults through a Google form link shared in social media. Upon analysis, the outcomes revealed that insurance literacy, perceived usefulness, attitude toward health insurance, subjective norm, and perceived behavioral control exerted a

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Sree Hari Rao, V., and Murthy V. Jonnalagedda. "Insurance Dynamics – A Data Mining Approach for Customer Retention in Health Care Insurance Industry." Cybernetics and Information Technologies 12, no. 1 (2012): 49–60. http://dx.doi.org/10.2478/cait-2012-0004.

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Abstract Extraction of customer behavioral patterns is a complex task and widely studied for various industrial applications under different heading viz., customer retention management, business intelligence and data mining. In this paper, authors experimented to extract the behavioral patterns for customer retention in Health care insurance. Initially, the customers are classified into three general categories - stable, unstable and oscillatory. To extract the patterns the concept of Novel index tree (a variant of K-d tree) clubbed with K-Nearest Neighbor algorithm is proposed for efficient c

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Loewenstein, George, David Hagmann, Janet Schwartz, et al. "A Behavioral Blueprint for Improving Health Care Policy." Behavioral Science & Policy 3, no. 1 (2017): 53–66. http://dx.doi.org/10.1177/237946151700300106.

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Behavioral policy to improve health and health care often relies on interventions, such as nudges, which target individual behaviors. But the most promising applications of behavioral insights in this area involve more far-reaching and systemic interventions. In this article, we propose a series of policies inspired by behavioral research that we believe offer the greatest potential for success. These include interventions to improve health-related behaviors, health insurance access, decisions about insurance plans, end-of-life care, and rates of medical (for example, organ and blood) donation

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Helgeland, Susan Rae. "Policymakers and Insurance Companies Choose Discrimination on Behavioral Health." Northern Plains Ethics Journal 2, no. 1 (2014): 81–84. https://doi.org/10.5840/npej2014217.

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Barrett, Kirsten, and Jeffrey Legg. "Demographic and Health Factors Associated with Mammography Utilization." American Journal of Health Promotion 19, no. 6 (2005): 401–5. http://dx.doi.org/10.4278/0890-1171-19.6.401.

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Purpose. The purpose of this study was to determine the frequency of mammography utilization among women in 2002 and to compare it with Healthy People 2010 targets. Relationships between demographic and health factors and utilization were explored. Methods. This study used data from 93,657 women completing the 2002 Behavioral Risk Factor Surveillance Survey, a population-based telephone survey measuring behavioral risk factors. Relationships between demographic and health factors and mammography utilization were explored by bivariate and logistic regression analyses. Results. Seventy-six perce

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Baillon, Aurélien, Aleli Kraft, Owen O’Donnell, and Kim van Wilgenburg. "A behavioral decomposition of willingness to pay for health insurance." Journal of Risk and Uncertainty 64, no. 1 (2022): 43–87. http://dx.doi.org/10.1007/s11166-022-09371-2.

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AbstractDespite widespread exposure to substantial medical expenditure risk in low-income populations, health insurance enrollment is typically low. This is puzzling from the perspective of expected utility theory. To help explain it, this paper introduces a decomposition of the stated willingness to pay (WTP) for insurance into its fair price and three behavioral deviations from that price due to risk perception and risk attitude consistent with prospect theory, plus a residual. To apply this approach, we elicit WTP, subjective distributions of medical expenditures and risk attitude (utility

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Lin, Shen (Lamson). "Inequities in Access: The Impact of a Segmented Health Insurance System on Physician Visits and Hospital Admissions Among Older Adults in the 2014 China Family Panel Studies." International Journal of Health Services 50, no. 2 (2019): 184–98. http://dx.doi.org/10.1177/0020731419867529.

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The fragmentation of job-based and community-based insurance plans inevitably undermines health care accessibility in China’s market-oriented health system, especially for uninsured and rural residents. Based on the 2014 China Family Panel Studies, this secondary data analysis examined whether socioeconomic indicators, health-related determinants, and particularly social health insurance status affect physician visits in the past 2 weeks and hospital admissions in the past 12 months among a representative sample of older adults (n = 6,570). Grounded in Andersen’s behavioral framework, 2 series

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Song, Xinshan, and Yuxiao Zheng. "Analysis of Demand for China’s Commercial Health Insurance from the Perspective of Loss Aversion." Highlights in Business, Economics and Management 11 (May 9, 2023): 252–59. http://dx.doi.org/10.54097/hbem.v11i.8107.

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China's health insurance industry has been developing continuously since its emergence in the 1980s, but at this stage, China's social security system is still at a relatively low level of development, and people's expenses incurred in a variety of medical needs cannot be given by the current social security system, while commercial health insurance has made a good supplement to this, ensuring people's practical interests, and is also its biggest competitive advantage. This paper lays out an overview of its market size, product structure and security degree, followed by effective suggestions o

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BAICKER, KATHERINE, WILLIAM J. CONGDON, and SENDHIL MULLAINATHAN. "Health Insurance Coverage and Take-Up: Lessons from Behavioral Economics." Milbank Quarterly 90, no. 1 (2012): 107–34. http://dx.doi.org/10.1111/j.1468-0009.2011.00656.x.

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Einav, Liran, Amy Finkelstein, Stephen P. Ryan, Paul Schrimpf, and Mark R. Cullen. "Selection on Moral Hazard in Health Insurance." American Economic Review 103, no. 1 (2013): 178–219. http://dx.doi.org/10.1257/aer.103.1.178.

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We use employee-level panel data from a single firm to explore the possibility that individuals may select insurance coverage in part based on their anticipated behavioral (“moral hazard”) response to insurance, a phenomenon we label “selection on moral hazard.” Using a model of plan choice and medical utilization, we present evidence of heterogenous moral hazard as well as selection on it, and explore some of its implications. For example, we show that, at least in our context, abstracting from selection on moral hazard could lead to overestimates of the spending reduction associated with int

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O'Connor, Genevieve Elizabeth. "The impact of insurance coverage on consumer utilization of health services." International Journal of Bank Marketing 33, no. 3 (2015): 276–97. http://dx.doi.org/10.1108/ijbm-05-2014-0061.

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Purpose – The purpose of this paper is to identify how need for service, enabling factors and pre-disposing characteristics influences access to service. In addition, the authors seek to examine the moderating influence of pre-disposing variables on the relationship between insurance and health services utilization. Design/methodology/approach – The authors utilize data from a major metropolitan hospital in the USA to test and extend the behavioral model of health care. Findings – Results indicate that insurance and pre-disposing variables have a direct impact on type of health service utiliza

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Alatawy, Khald S. "Consumers’ Purchase Intention Toward Online Health Insurance in Saudi Arabia." International Journal of Marketing Studies 14, no. 2 (2022): 121. http://dx.doi.org/10.5539/ijms.v14n2p121.

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Literature reported a dearth of research on Online Health Insurance in Saudi Arabia. The purpose of this paper thus is to understand the antecedents of Consumers&rsquo; Purchase Intention toward Online Health Insurance in Saudi Arabia. The paper drew data from 355 Saudi Arabian internet buying communities. The paper used Smart-PLS 3 to analyze the data. The findings show that attitude, perceived behavioral control, subjective norms and perceived trust have significant positive influences on purchase intention toward online health insurance in Saudi Arabia. However, the relationship between

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Kino, Shiho, and Ichiro Kawachi. "Can Health Literacy Boost Health Services Utilization in the Context of Expanded Access to Health Insurance?" Health Education & Behavior 47, no. 1 (2019): 134–42. http://dx.doi.org/10.1177/1090198119875998.

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Background. Health insurance access and health literacy are critical components of “enabling resources” to encourage uptake of services. We sought to test whether health literacy boosts health services utilization in the context of expanded access to health insurance stemming from the Affordable Care Act. Method. We used individual-level data from 11 states included in the Behavioral Risk Factor Surveillance System 2016. We conducted a two-stage least squares instrumental variables analysis. We instrumented improved access to health insurance stemming from Affordable Care Act Medicaid expansio

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Madden, Jeanne M., Matthew D. Lakoma, Donna Rusinak, Christine Y. Lu, and Stephen B. Soumerai. "Missing clinical and behavioral health data in a large electronic health record (EHR) system." Journal of the American Medical Informatics Association 23, no. 6 (2016): 1143–49. http://dx.doi.org/10.1093/jamia/ocw021.

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Abstract Objective Recent massive investment in electronic health records (EHRs) was predicated on the assumption of improved patient safety, research capacity, and cost savings. However, most US health systems and health records are fragmented and do not share patient information. Our study compared information available in a typical EHR with more complete data from insurance claims, focusing on diagnoses, visits, and hospital care for depression and bipolar disorder. Methods We included insurance plan members aged 12 and over, assigned throughout 2009 to a large multispecialty medical practi

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Terry Sharrer, G. "Extending Health Expectancy." Molecular Frontiers Journal 03, no. 02 (2019): 147–65. http://dx.doi.org/10.1142/s252973251940011x.

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All health-related issues exist in a context of extending health expectancy. Behavioral risk factors, diagnostic ”omics,” disparities, insurance, tissue engineering, and climate can shorten life expectancy, but before that, health expectancy. Longer life can bring decades of disability; longer health can mean dying healthy after brief incapacity. Because health precedes other accomplishments, extending average health expectancy into the ninth decade during the [Formula: see text] century would have an impact comparable to doubling life expectancy in the [Formula: see text] century.

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Rochefort, David A. "The Affordable Care Act and the Faltering Revolution in Behavioral Health Care." International Journal of Health Services 48, no. 2 (2018): 223–46. http://dx.doi.org/10.1177/0020731417753674.

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Often described in such terms as a “revolution” and a “game-changer” for the behavioral health sector in the United States, the Affordable Care Act has helped to enhance coverage for mental health and substance use disorders while encouraging service system innovations at the organizational level. However, tens of millions of Americans still lack health insurance, insurance companies are resisting the implementation of parity coverage rules, and inequalities in the financing and organization of care continue to worsen in key respects. This article examines these difficulties and their politica

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Zakaria, Nora I., Parisa Tehranifar, Blandine Laferrère, and Sandra S. Albrecht. "Racial and Ethnic Disparities in Glycemic Control Among Insured US Adults." JAMA Network Open 6, no. 10 (2023): e2336307. http://dx.doi.org/10.1001/jamanetworkopen.2023.36307.

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ImportancePoor access to care and lack of health insurance are important contributors to disparities in glycemic control. However expanding health insurance coverage may not be enough to fully address the high burden of poor glycemic control for some groups.ObjectiveTo characterize racial and ethnic disparities in glycemic control among adults with private and public insurance in the US over a 15-year timeframe and to evaluate whether social, health care, and behavioral or health status factors attenuate estimates of disparities.Design, Setting, and ParticipantsThis cross-sectional study used

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Apriani, Maya, and Haerawati Idris. "Farmers’ Intention to Apply for National Health Insurance." Unnes Journal of Public Health 11, no. 2 (2021): 125–30. http://dx.doi.org/10.15294/ujph.v11i2.44899.

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The number of people who worked as farmers is big enough to challenge the Healthcare Social Security Agency (BPJS Kesehatan) to achieve these targets. This study aims to determine the variables associated by the intention of farmers to apply for National Health Insurance in the working area of Sungai Rambutan Integrated Independent City Community Health Center in Ogan Ilir Regency. The type of this research is descriptive analytical research with a cross-sectional design. The samples used farmers in the work area of Sungai Rambutan public health center. 104 samples were selected by cluster ran

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Nurhayati, Siti, and Nurul Hidayat. "Acceptance Measurement of Health Insurance Information System Based on Technology Acceptance Model." Jurnal Kesehatan Masyarakat 14, no. 2 (2018): 254–63. http://dx.doi.org/10.15294/kemas.v14i2.11374.

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The objective of this research is to evaluate P-Care BPJS information system based on Technology Acceptance Model (TAM). The type of research is analytical, cross sectional approach. Number of respondents 206 P-Care BPJS users at primary health care. Data analysis using linear regression. Based on correlation test external variables with percieved usefulness, showed high correlation = 0.6 (p <0.001); external variables with percieved ease of use showed moderate correlation = 0.4 (p <0.001); perceived ease of use with attitude showed moderate correlation = 0.5 (p <0.001); percieved use

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Chen, Zhiling, Xinghong Dai, and Zhigang Tan. "Artificial Intelligence Analysis of Outdoor Sports Risk Self-Assessment on Insurance Psychology." International Journal of Environmental Research and Public Health 20, no. 4 (2023): 3140. http://dx.doi.org/10.3390/ijerph20043140.

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The development potential of China’s medical insurance market is huge, and the research on medical insurance demand has always been the focus of academic discussions. As a result, the discipline of behavioral economics is derived, which aims to explain the decision-making behavior of individual insurance consumption. Among them, the focus of this study was to investigate the influence of individual psychological characteristics and cognitive level on insurance behavior under the difference of reference points. This paper combined behavioral insurance, actuarial mathematics and the econometrics

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Hagen, Patrick C., Daniel W. Nuss, Michael Ellis, and George D. Lyons. "Health Care Crisis: The Head and Neck Cancer Patient and Affordable Health Insurance." Ear, Nose & Throat Journal 72, no. 5 (1993): 334–40. http://dx.doi.org/10.1177/014556139307200507.

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In an evaluation of 30 patients with head and neck cancer, we found that 14 (46%) were uninsured at the time of diagnosis and 15 (50%) had yearly incomes below the poverty level. Tobacco and alcohol were identified as risk factors in 25 (83%) of the patients. These patients spent an average of $2,781 on carcinogenic agents yearly, increasing the risk of cancer 55 times that of the unexposed population, whereas the cost of a health insurance policy was $2,321 per year. To remedy the disparities and incongruities of this situation, we advocate patient education to influence behavioral change in

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Azzone, Vanessa, Richard G. Frank, Juliana R. Pakes, Craig C. Earle, and Michael J. Hassett. "Behavioral Health Services for Women Who Have Breast Cancer." Journal of Clinical Oncology 27, no. 5 (2009): 706–12. http://dx.doi.org/10.1200/jco.2008.16.3006.

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Purpose To explore whether the use of behavioral health services (BHS) among women with breast cancer is influenced by how insurance plans administer these services, we compared utilization of psychotherapy and psychotherapeutic medications among women with breast cancer who received BHS coverage through a carve-out versus integrated arrangement. Patients and Methods We analyzed insurance claims, enrollment data, and benefit design data from the MarketScan Commercial Claims & Encounters Research Database for the years 1998 to 2002 for women ≤ 63 years old with newly diagnosed breast cancer

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Auerbach, David, Janet Holtzblatt, Paul Jacobs, Alexandra Minicozzi, Pamela Moomau, and Chapin White. "Will Health Insurance Mandates Increase Coverage, Synthesizing Perspectives from Health, Tax, and Behavioral Economics." National Tax Journal 63, no. 4, Part 1 (2010): 659–79. http://dx.doi.org/10.17310/ntj.2010.4.03.

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Wonda, Frengky Lani, Agus Zainuri, Arius Togodly, Rosmin M. Tingginehe, Yacob Ruru, and Septevanus Rantetoding. "Behavioral Analysis of Health Service use of the Ilaga Community Health Center, Puncak Regency Central Papua Province." Formosa Journal of Science and Technology 3, no. 2 (2024): 275–88. http://dx.doi.org/10.55927/fjst.v3i2.8107.

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The aim of this research is to analyze utilization behavior service health, Ilaga District Community Health Center, Puncak Regency, Central Papua Province. The type of research used is descriptive qualitative. Data was obtained using interviews and analyzed qualitatively. The results of the research showed that people seeking treatment in the Ilaga District used the Community Health Center as a place for treatment and as a referral place to other health service institutions (referrals) so that the community was enthusiastic in utilizing the Community Health Center services. Not all people have

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Enos, Gary. "Wisconsin governor's budget proposal would audit some health insurers." Mental Health Weekly 35, no. 11 (2025): 1–6. https://doi.org/10.1002/mhw.34375.

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With the bold declaration, “I want Wisconsin to become the first state in America to start auditing insurance companies over denying health care claims,” Wisconsin Gov. Tony Evers last month unveiled a sweeping budget proposal that in part would expand access to behavioral health and other health care services.

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Rudenko, Lesia A., Vladyslav A. Smiianov, and Olha I. Smiianova. "BASIC PRINCIPLES OF BEHAVIORAL ECONOMICS AND PROSPECTS FOR THEIR APPLICATION IN THE PUBLIC HEALTH SYSTEM." Wiadomości Lekarskie 73, no. 9 (2020): 2026–30. http://dx.doi.org/10.36740/wlek202009225.

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Behavioral economics is a branch of economic theory that studies the influence of psychological factors on people’s decisions in various life situations. At the same time, much attention is paid to situations where people behave differently than predicted by classical economic theory with its assumption of rationality and selfishness. Interesting possibility of application of behavioral economic in various spheres of human life and society, for example, reforms introducing, insurance system, public health and medicine (healthy living, disease prevention, following-up to the doctor’s recommenda

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Researcher. "Investigating Healthcare Insurance Models and their Implications for Health Policy Design." International Journal of INTELLIGENT SYSTEMS AND APPLICATIONS IN ENGINEERING 9, no. 4 (2021): 307–19. https://doi.org/10.5281/zenodo.14599054.

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Healthcare insurance models are determining in shaping health outcomes, economic efficiency, and equity in access to medical care. This study investigates healthcare insurance models from both theoretical and empirical perspectives, examining their implications for health policy design. This research analyzes the efficiency, equity, and sustainability of insurance frameworks by classifying them into public, private, and hybrid systems based on a comprehensive body of literature. The comparative efficacy of these models across various health systems around the world is the main focus of empiric

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Researcher. "THEORETICAL AND EMPIRICAL PERSPECTIVES ON HEALTHCARE INSURANCE MODELS AND THEIR IMPLICATIONS FOR HEALTH POLICY DESIGN." International Journal of Electronics and Communication Engineering and Technology (IJECET) 12, no. 3 (2021): 28–43. https://doi.org/10.5281/zenodo.14599018.

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Healthcare insurance models are determining in shaping health outcomes, economic efficiency, and equity in access to medical care. This study investigates healthcare insurance models from both theoretical and empirical perspectives, examining their implications for health policy design. By synthesizing a robust body of literature, this paper categorizes insurance frameworks into public, private, and hybrid systems, analyzing their efficiency, equity, and sustainability. Empirical analyses focus on the comparative effectiveness of these models across diverse health systems globally, with case s

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Ismail, Ishak, Hasnah Haron, Shaikh Hamzah Abdul Razak, Nurul Khair Ishak, and Nor Azah Abdul Jalil. "Unethical Behavior—What Influences Salesperson to Do So? The Case of Malaysia." Advanced Science Letters 21, no. 4 (2015): 918–21. http://dx.doi.org/10.1166/asl.2015.5934.

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This paper contributes to existing research on ethical behavior by identifying the factors that leads to the intention to commit the unethical behavior. The study used a questionnaire method that was sent to 1,200 insurance agents across peninsular Malaysia, 300 copies were returned of which only 246 were useful. Results of the study exhibited that there is a significant relationship between attitudes, perceived behavioral control, and subjective norm among insurance agents on the intention to commit unethical behavior. Attitude and moral obligation provide a positive relationship, while perce

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Baggé, Sarah. "Using Behavioral Economics to Understand Premium Tax Credit Reconciliation." Policy Perspectives 23 (May 2, 2016): 1. http://dx.doi.org/10.4079/pp.v23i0.16239.

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The Affordable Care Act provides advanced premium tax credits to millions of Americans to help with the cost of purchasing private health insurance on the new health insurance marketplaces. The amount of subsidy a family qualifies for is based on their projected income for the year ahead. However, since income is fairly unpredictable, some families end up qualifying for a larger tax credit when they do their taxes, while others end up with a smaller credit and must repay what they received throughout the year. In the first year of this reconciliation process, half of those who received advance

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Das, Jishnu, and Quy-Toan Do. "The Prices in the Crises: What We Are Learning from 20 Years of Health Insurance in Low- and Middle-Income Countries." Journal of Economic Perspectives 37, no. 2 (2023): 123–52. http://dx.doi.org/10.1257/jep.37.2.123.

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Governments in many low- and middle-income countries are developing health insurance products as a complement to tax-funded, subsidized provision of healthcare through publicly-operated facilities. We discuss two rationales for this transition. First, health insurance would boost fiscal revenues for healthcare, as post-treatment out-of-pocket payments to providers would be replaced by pre-treatment insurance premia to health ministries. Second, increased patient choice and carefully designed physician reimbursements would increase quality in the healthcare sector. Our essay shows that, at best

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Anderson, Andrew C., Ellesse Akre, and Jie Chen. "Exploring national trends of patient- and family-centered care among US children." Journal of Child Health Care 23, no. 2 (2018): 200–212. http://dx.doi.org/10.1177/1367493518786015.

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We explored national trends in the receipt of high-quality patient–physician communication and patient empowerment through behavioral health counseling among children in the United States. We used data from the Medical Expenditure Panel Survey from 2010 to 2014. We employed two measures of patient- and family-centered care (PFCC): (1) a composite measure of high-quality patient–physician communication ( n = 34,629) and (2) patient empowerment through behavioral health counseling about healthy eating ( n = 36,527) and exercise ( n = 38,318). We used multivariate logistic regression models to es

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Cheng, Tyrone C., and Celia C. Lo. "Factors Associated with Insured Children’s Use of Physician Visits, Dentist Visits, Hospital Care, and Prescribed Medications in the United States: An Application of Behavioral Model of Health-Services Use." International Journal of Environmental Research and Public Health 21, no. 4 (2024): 427. http://dx.doi.org/10.3390/ijerph21040427.

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This study is the first to examine factors in the utilization of physician services, dentist services, hospital care, and prescribed medications focusing exclusively on insured children in the United States. Data describing 48,660 insured children were extracted from the 2021 National Survey of Children’s Health. Children in the present sample were covered by private health insurance, public health insurance, or other health insurance. Logistic regression results showed self-reported health to be negatively associated with physician visits, hospital-care use, and prescription use, but teeth co

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Nguyen, Kevin H., Timothy W. Levengood, Heidi L. Allen, and Gilbert Gonzales. "Health Insurance Coverage and Access to Care by Sexual Orientation During the COVID-19 Pandemic: United States, January 2021–February 2022." American Journal of Public Health 114, no. 1 (2024): 118–28. http://dx.doi.org/10.2105/ajph.2023.307446.

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Objectives. To compare health insurance coverage and access to care by sex and sexual minority status during the COVID-19 pandemic and assess whether lack of insurance hindered access to care by sexual minority status. Methods. Using Behavioral Risk Factor Surveillance System data (January 2021–February 2022), we examined differences by sex and sexual orientation among 158 722 adults aged 18 to 64 years living in 34 states. Outcomes were health insurance coverage type and 3 access to care measures. Results. Sexual minority women were significantly more likely to be uninsured than were heterose

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Dehghanpour, Babak, Akbar Etebarian Khorasgani, Seyed Rasoul Aghadavood, and Mojtaba Shahnoushi Forushani. "An Integrated Model for Health Insurance Fund Consolidation with Emphasis on the Experiences of Selected Countries." International Journal of Innovation Management and Organizational Behavior 5, no. 1 (2025): 97–106. https://doi.org/10.61838/kman.ijimob.5.1.10.

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Objective: The primary objective of this study is to develop an operational model for the integration of health insurance funds with a comparative approach, focusing on the experiences of Japan, Singapore, Turkey, Sweden, Norway, China, and Iran. Methodology: This research utilizes a mixed-method approach (sequential exploratory) involving both qualitative and quantitative analyses. The qualitative phase involved a review of literature and expert interviews, which identified key indicators from the selected countries. In the quantitative phase, these indicators were tested using structural equ

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Williams, Courtney P., Maria Pisu, Andres Azuero, et al. "Health Insurance Literacy and Financial Hardship in Women Living With Metastatic Breast Cancer." JCO Oncology Practice 16, no. 6 (2020): e529-e537. http://dx.doi.org/10.1200/jop.19.00563.

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PURPOSE: In patients with metastatic breast cancer (MBC), low health insurance literacy may be associated with adverse material conditions, psychological response, and coping behaviors because of financial hardship (FH). This study explored the relationship between health insurance literacy and FH in women with MBC. METHODS: This cross-sectional study used data collected from 84 women receiving MBC treatment at 2 southeastern cancer centers. Low health insurance literacy was defined as not knowing premium or deductible costs. FH was defined by lifestyle changes as a result of medical expenses,

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Shaul, James A., Susan V. Eisen, Vickie L. Stringfellow, et al. "Use of Consumer Ratings for Quality Improvement in Behavioral Health Insurance Plans." Joint Commission Journal on Quality Improvement 27, no. 4 (2001): 216–29. http://dx.doi.org/10.1016/s1070-3241(01)27019-9.

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Park, J. M. "The Determinants of Long-Term Care Utilization and Equity of Access to Care among Older Adults in Dong-Ku of Incheon Metropolitan City, South Korea." Asia Pacific Journal of Public Health 17, no. 2 (2005): 104–9. http://dx.doi.org/10.1177/101053950501700208.

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Under the current health care system, around three percent of the elderly remain uninsured. Based on the 2003 Dong-Ku Health Status Survey and the Aday and Andersen Access Framework, the present study examined the social and behavioral determinants of long-term care utilization and the extent to which equity in the use of long-term care services for the elderly has been achieved. The results indicate that universal health insurance system has not yielded a fully equitable distribution of services. Type of coverage and resource availability do not remain predictors of long-term care utilization

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Yanos, Philip T., Weli Lu, Shula Minsky, and Gerard L. Kiely. "Correlates of Health Insurance Among Persons With Schizophrenia in a Statewide Behavioral Health Care System." Psychiatric Services 55, no. 1 (2004): 79–82. http://dx.doi.org/10.1176/appi.ps.55.1.79.

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Kazaure, Mansur Ahmed, and Addul Rashid Abdullah. "THE MICROENTERPRISING SIZE AND ACCEPTANCE OF ISLAMIC HEALTH INSURANCE (TAKAFUL) IN NORTHWESTERN NIGERIA." Journal of Islamic Monetary Economics and Finance 5, no. 3 (2019): 541–58. http://dx.doi.org/10.21098/jimf.v5i3.1153.

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Application of Theory of Planned Behavior (TPB) in Islamic Health Insurance(takaful) acceptance revealed mixed findings. Hence, the need for a moderatingvariable to explain the conflicting results. This paper examines the moderating roleof size of microenterprise among the TPB variables. To achieve this end, quantitativemethodology adopted through distribution of research questionnaires among theparticipants of the study. Results indicate that attitude, social influence, perceivedbehavioral control and size of microenterprises significantly influence Islamic HealthInsurance (takaful) acceptanc

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Enos, Gary. "Collaborative seeks consistency in use of quality measures." Mental Health Weekly 33, no. 37 (2023): 3–4. http://dx.doi.org/10.1002/mhw.33792.

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A public‐private partnership between the Centers for Medicare & Medicaid Services (CMS) and America's Health Insurance Plans (AHIP) has updated a series of voluntary performance measures to guide value‐based payment for services, including a set of outpatient behavioral health measures.

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Vuong, Ngoc, and Nikki Keene Woods. "On the Relationship Between Stakeholder Affiliation and Attitudes Toward Behavioral Health Reform in Kansas." Kansas Journal of Medicine 16, no. 1 (2023): 28–34. http://dx.doi.org/10.17161/kjm.vol16.18542.

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Introduction. The lack of access to behavioral health care, trends in behavioral health issues, and the impact of social determinants of health underlie the need for behavioral health reform in Kansas. However, stakeholders may affect progress toward behavioral health reform. This study examined stakeholders’ attitudes toward behavioral health reform. Methods. This study analyzed data from a survey administered to elected officials, members of health advocacy groups, state employees, and payers in Kansas. Main outcome measures included attitudes toward primary care and behavioral health integr

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Haque, Samira. "Role of Health Insurance Policies in Access to Healthcare Services in Bangladesh." Journal of Public Policy and Administration 9, no. 2 (2024): 51–63. http://dx.doi.org/10.47604/jppa.2899.

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Purpose: To aim of the study was to analyze the role of health insurance policies in access to healthcare services in Bangladesh. Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries. Findings: The role of health insurance policies in Bangladesh is c

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James, Nigel, and Yubraj Acharya. "Increasing Health Insurance Enrollment in Low- and Middle-Income Countries: What Works, What Does Not, and Research Gaps: A Scoping Review." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 59 (January 2022): 004695802210903. http://dx.doi.org/10.1177/00469580221090396.

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Health insurance programs have the potential to shield individuals in low- and middle-income countries from catastrophic health expenses and reduce their vulnerability to poverty. However, the uptake of insurance programs remains low in these countries. We reviewed existing evidence from experimental studies on approaches that researchers have tested in order to raise the uptake. In the 12 studies we synthesized, educational programs and subsidies were the dominant interventions. Consistent with findings from previous studies on other health products, subsidies were effective in raising the up

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Wyatt, Brelahn, Rasheda J. Vereen, Teri R. Ryals, et al. "Experiences of Birthing Individuals Receiving Perinatal Behavioral Health Care in the Military Health System and Civilian Care With TRICARE Insurance." O&G Open 2, no. 1 (2025): e055. https://doi.org/10.1097/og9.0000000000000055.

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OBJECTIVE: To explore birthing individuals' experiences of mental health care in the Military Health System or through TRICARE insurance. METHODS: We conducted a qualitative study. This was an IRB-approved protocol for individuals who delivered within the previous 5 years at military treatment facilities or with TRICARE insurance at civilian hospitals and were recruited for semi-structured qualitative interviews from February 2023 to June 2023. Interviews focused on participants' experiences of care during pregnancy, delivery, and the postpartum period. Purposive and snowball sampling was used

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Domurat, Richard, Isaac Menashe, and Wesley Yin. "The Role of Behavioral Frictions in Health Insurance Marketplace Enrollment and Risk: Evidence from a Field Experiment." American Economic Review 111, no. 5 (2021): 1549–74. http://dx.doi.org/10.1257/aer.20190823.

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We experimentally varied information mailed to 87,000 households in California’s health insurance marketplace to study the role of frictions in insurance take-up. Reminders about the enrollment deadline raised enrollment by 1.3 pp (16 percent) in this typically low take-up population. Heterogeneous effects of personalized subsidy information indicate misperceptions about program benefits. Consistent with an adverse selection model with frictional enrollment costs, the intervention lowered average spending risk by 5.1 percent, implying that marginal respondents were 37 percent less costly than

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