OBJECTIVE To examine the effect of cost-sharing on the use of asthma medications in asthmatic children. According to asthma guidelines, children with asthma may require treatment with multiple medications, including controllers and relievers, to achieve optimal control. Although families may be enrolled in drug benefit plans, impediments to access persist in the form of cost-sharing. DESIGN P...

This paper explores options for reforming Medicare cost sharing in an effort to provide better financial protection for those beneficiaries with the greatest health care needs. Using data from the Health and Retirement Study (HRS) and the Medicare Current Beneficiary Survey (MCBS), we consider how unified annual deductibles, alternative coinsurance rates, and a limit on out-of-pocket spending w...

The problem of sharing the cost of a common infrastructure among a set of strategic and cooperating players has been the subject of intensive research in recent years. However, most of these studies consider cooperative cost sharing games in an offline setting, i.e., the mechanism knows all players and their respective input data in advance. In this paper, we consider cooperative cost sharing g...

D espite the " 3 by 5 " initiative [1], which aims to treat 3 million people with antiretrovirals (ARVs) by the end of 2005, access to ARVs in resource-poor settings remains limited. Moreover, in some ARV-access programmes, free ARVs are provided only, or preferentially, to patients who are ARV naive. Treatment restricted to patients who are ARV naive was initially the case in Uganda, with the ...

This research evaluates the potential gains in benefits from using Goal Programming to preserve forestland. Twoand three-dimensional Goal Programming models are developed and applied to data from applicants to the U.S. Forest Service’s Forest Legacy Program, the largest forest protection program in the United States. Results suggest that not only do these model yield substantial increases in be...

Proponents of health savings accounts (HSAs) contend that they will reduce medical expenditures. In practice, however, the effect of HSAs, and the high-deductible health plans that must accompany them, will depend on the actual provisions of those plans and of the plans they replace. We show that typical plans in the market today already contain substantial cost sharing. We find that many HSA/h...