Assessment of Text Documentation Accompanying Uncoded Diagnoses in Computerized Health Insurance Claims in Japan

Assessment of Text Documentation Accompanying Uncoded Diagnoses in Computerized Health Insurance Claims in Japan

BACKGROUND Uncoded diagnoses in health insurance claims (HICs) may introduce bias into Japanese health statistics dependent on computerized HICs. This study's aim was to identify the causes and characteristics of uncoded diagnoses. METHODS Uncoded diagnoses from computerized HICs (outpatient, inpatient, and the diagnosis procedure-combination per-diem payment system [DPC/PDPS]) submitted to t...

The Proportion of Uncoded Diagnoses in Computerized Health Insurance Claims in Japan in May 2010 According to ICD-10 Disease Categories

BACKGROUND Uncoded diagnoses in computerized health insurance claims are excluded from statistical summaries of health-related risks and other factors. The effects of these uncoded diagnoses, coded according to ICD-10 disease categories, have not been investigated to date in Japan. METHODS I obtained all computerized health insurance claims (outpatient medical care, inpatient medical care, an...

evidence of adverse selection in irans health insurance market

در این تحقیق به مطالعه وجود انتخاب نامساعد(کژ گزینی) در بازار بیمه درمان تکمیلی ایران پرداخته شده است. داده های مورد نیاز توسط پرسشنامه و به روش نمونه گیری خوشه ای جمع آوری شده است. پرسشنامه ها در میان افراد شاغل ساکن شهر تهران توریع شد. در این تحقیق با استفاده از تخمین دو مدل لجستیک و به دست آوردن ضریب همبستگی میان تقاضای بیمه درمان تکمیلی و رخداد خسارت به بررسی موضوع مورد نظر پرداخته شده است....

HEALTH INSURANCE CLAIMS AND RISK EQUALISATION IN AUSTRALIA Health Insurance Claims and Risk Equalisation in Australia

Linkage Rate Between Data From Health Checks and Health Insurance Claims in the Japan National Database

BACKGROUND Japan's National Database (NDB) includes data on health checks and health insurance claims, is linkable using hash functions, and is available for research use. However, the linkage rate between health check and health insurance claims data has not been investigated. METHODS Linkage rate was evaluated by comparing observed medical and pharmaceutical charges among health check recip...