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Economics and Mental Health
And they present case studies that outline experimental systems of delivering health care.
The Costs of Poor Health Habits
Poor health habits (drinking, smoking, lack of exercise) obviously take their toll on individuals and their families. The costs to society are less obvious but certainly more far-reaching. This investigation is the first to quantify the financial burden these detrimental habits place on American taxpayers. Willard Manning and his colleagues measure the direct costs of poor health habits (fire damage, motor vehicle accidents, legal fees), as well as collectively financed costs (medical care, employee sick leave, group health and life insurance, nursing home care, retirement pensions, liability insurance). Consider two co-workers covered by their employer's health plan: both pay the same premi...
Effects of Mental Health Insurance
Using data from the RAND Health Insurance Experiment, the authors examined the effect of mental health insurance on individuals' mental health outcomes, use of mental health services, and economic welfare. Variation in cost sharing induced no significant change over time in mental health status averaged over all beneficiaries. However, there were interactions among plan, initial mental health status, and income. Those with initially good mental health status who were poor had better outcomes under cost sharing than under free care. Those who initially had poor mental health status had a relatively more favorable response to free care, but the research did not determine whether they were abso...
Health Insurance and the Demand for Medical Care
"Supported by the U.S. Department of Health and Human Services."
A Controlled Trial of the Effect of a Prepaid Group Practice on the Utilization of Medical Services
Does a prepaid group practice deliver less care than the fee -for service system when both serve comparable populations with comparable benefits? To answer this question, we randomly assigned a group of 1580 persons to receive care free of charge either from a fee-forservice physician of their choice (431 persons) or at the Group Health Cooperative of Puget Sound, or GHC (1149 persons). Another 733 prior enrollees of the GHC were studied as a control. Additionally, 782 persons who shared in the cost of their fee -for -service care, but were otherwise comparable to the first two groups, were studied to observe the effects of cost sharing. The rate of hospital admissions for both groups at GHC was about 40 percent less than in the free-care fee-for -service group (p
Health Insurance: The Trade-Off Between Risk Pooling and Moral Hazard
Choosing economically optimal health insurance coverage involves a trade-off between risk reduction and the overuse of health care. The economic purpose of insurance is to reduce financial uncertainty or risk - the more health insurance lowers the risk, the greater will be the increase in social well-being. But increases in health insurance also increase the amount of medical care demand, because insurance lowers the out-of-pocket cost of health care - the larger the demand response of medical care to cost sharing, the greater the decrease in social well-being, due to the purchase of too much health care. This study examines this trade-off empirically by estimating both the demand for health insurance and the demand for health services. It relies on data from a randomized controlled trial of the cost sharing's effects on the use of health services and on the health status for a general, nonelderly (under age 65) population.
Health Econometrics Using Stata
Health Econometrics Using Stataby Partha Deb, Edward C. Norton, and Willard G. Manning provides an excellent overview of the methods used to analyze data on healthcare expenditure and use. Aimed at researchers, graduate students, and practitioners, this book introduces readers to widely used methods, shows them how to perform these methods in Stata, and illustrates how to interpret the results. Each method is discussed in the context of an example using an extract from the Medical Expenditure Panel Survey. After the overview chapters, the book provides excellent introductions to a series of topics aimed specifically at those analyzing healthcare expenditure and use data. The basic topics of ...
Current Catalog
First multi-year cumulation covers six years: 1965-70.
