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- catalog abstract "In the most important health insurance study ever conducted researchers at the RAND Corporation devised all experiment to address two key questions in health care financing: how much more medical care will people use if it is provided free of charge, and what are the consequences for their health? For three- or five-year periods the experiment measured both use and health outcomes in populations carefully selected to be representative of both urban and rural regions throughout the United States. Participants were enrolled in a range of insurance plans requiring different levels of copayment for medical care, from zero to 95 percent. The researchers found that in plans that reimbursed a higher proportion of the bill, patients used substantially more services - indeed, those who paid nothing used 40 percent more services than those required to pay a high deductible - but the effect on the health of the average person was negligible. In addition, participants who were assigned at random to a well-established health maintenance organization used hospitals substantially less than those in the fee-for-service system, again with no measurable effect on the health of the average person. This book collects in one place for the first time results previously dispersed through many journals over many years. Drawing comprehensive, coherent conclusions from an immense amount of data, it is destined to be a classic work serving as an invaluable reference for all those concerned with health care policy - health service researchers, policymakers in both the public and the private sectors, and students.".
- catalog contributor b4669738.
- catalog contributor b4669739.
- catalog created "1993.".
- catalog date "1993".
- catalog date "1993.".
- catalog dateCopyrighted "1993.".
- catalog description "In the most important health insurance study ever conducted researchers at the RAND Corporation devised all experiment to address two key questions in health care financing: how much more medical care will people use if it is provided free of charge, and what are the consequences for their health? For three- or five-year periods the experiment measured both use and health outcomes in populations carefully selected to be representative of both urban and rural regions throughout the United States. Participants were enrolled in a range of insurance plans requiring different levels of copayment for medical care, from zero to 95 percent. The researchers found that in plans that reimbursed a higher proportion of the bill, patients used substantially more services - indeed, those who paid nothing used 40 percent more services than those required to pay a high deductible - but the effect on the health of the average person was negligible. In addition, participants who were assigned at random to a well-established health maintenance organization used hospitals substantially less than those in the fee-for-service system, again with no measurable effect on the health of the average person. This book collects in one place for the first time results previously dispersed through many journals over many years. Drawing comprehensive, coherent conclusions from an immense amount of data, it is destined to be a classic work serving as an invaluable reference for all those concerned with health care policy - health service researchers, policymakers in both the public and the private sectors, and students.".
- catalog description "Includes bibliographical references (p. 465-482) and index.".
- catalog description "pt. I. Introduction. 1. Background. 2. The Design of the Experiment -- pt. II. Effects of Cost Sharing on Use of Medical Services. 3. Total Annual Per-Person Expenditure. 4. Episodes of Treatment. 5. Specific Types of Use -- pt. III. Effects of Cost Sharing on Health Outcomes. 6. Adult Health Status and Patient Satisfaction. 7. Pediatric Health Status -- pt. IV. Results at the Health Maintenance Organization. 8. Use of Services. 9. Health and Satisfaction Outcomes -- pt. V. Lessons from the Health Insurance Experiment. 10. Administrative Lessons. 11. Central Findings and Policy Implications -- Appendix A. Health Insurance Study Publications -- Appendix B. Further Explanation of Design Decisions -- Appendix C. Schedule of Benefits in the Family Health Protection Plan -- Appendix D. Comparison of the Finite Selection and Conlisk-Watts Models.".
- catalog extent "x, 489 p. ;".
- catalog identifier "0674318463 (alk. paper) :".
- catalog issued "1993".
- catalog issued "1993.".
- catalog language "eng".
- catalog publisher "Cambridge, Mass. : Harvard University Press,".
- catalog spatial "United States".
- catalog spatial "United States.".
- catalog subject "1994 A-147".
- catalog subject "368.3/82/00973 20".
- catalog subject "Delivery of Health Care economics United States.".
- catalog subject "Health Status United States.".
- catalog subject "Health coinsurance United States.".
- catalog subject "Health insurance Research United States.".
- catalog subject "Health insurance United States Coinsurance.".
- catalog subject "Insurance, Health United States.".
- catalog subject "Medical care Utilization United States.".
- catalog subject "Medical care, Cost of United States.".
- catalog subject "RA410.53 .N52 1993".
- catalog subject "Rand Health Insurance Experiment.".
- catalog subject "W 275 AA1 N6f 1993".
- catalog tableOfContents "pt. I. Introduction. 1. Background. 2. The Design of the Experiment -- pt. II. Effects of Cost Sharing on Use of Medical Services. 3. Total Annual Per-Person Expenditure. 4. Episodes of Treatment. 5. Specific Types of Use -- pt. III. Effects of Cost Sharing on Health Outcomes. 6. Adult Health Status and Patient Satisfaction. 7. Pediatric Health Status -- pt. IV. Results at the Health Maintenance Organization. 8. Use of Services. 9. Health and Satisfaction Outcomes -- pt. V. Lessons from the Health Insurance Experiment. 10. Administrative Lessons. 11. Central Findings and Policy Implications -- Appendix A. Health Insurance Study Publications -- Appendix B. Further Explanation of Design Decisions -- Appendix C. Schedule of Benefits in the Family Health Protection Plan -- Appendix D. Comparison of the Finite Selection and Conlisk-Watts Models.".
- catalog title "Free for all? : lessons from the Rand Health Insurance Experiment : a RAND study / Joseph P. Newhouse and the Insurance Experiment Group.".
- catalog type "text".