This article provides a review of research that has addressed the impact of patient cost sharing on the use of services and resulting health status impacts, among the population age 65 and older. Nearly all of the 22 relevant studies examined that have been published since 1990-16 focusing on cost-sharing for prescription drugs and 6 on cost-sharing for medical services--conclude that increased...

We consider how to design network cost-sharing protocols to induce benign selfish behavior in large networks. We study this issue in network cost-sharing games, where the set of Nash equilibria depends fundamentally on the choice of the underlying edge cost-sharing protocols. We seek cost-sharing protocols that minimize the inefficiency of equilibria in the resulting network design game, as mea...

Using data from 49 states and Washington, D.C., we analyzed changes in cost-sharing under health plans offered to individuals and families through state and federal exchanges from 2014 to 2015. We examined eight vehicles for cost-sharing, including deductibles, copayments, coinsurance, and out-of-pocket limits, and compared findings with cost-sharing under employer-based insurance. We found cos...

As policymakers look for savings from the Medicare program, some have proposed eliminating or discouraging "first-dollar coverage" available through privately purchased Medigap policies. Medigap coverage, which beneficiaries obtain to protect themselves from Medicare's cost-sharing requirements and its lack of a cap on out-of-pocket spending, may discourage the judicious use of medical services...

THE JUNE 2012 ISSUE OF CONSUMER REPORTS includes a cover story entitled “5 Medical Tests You Don’t Need.” The story reflects a joint Choosing Wisely initiative by Consumer Reports and the American Board of Internal Medicine aimed at “encouraging physicians, patients and other health care stakeholders to think and talk about medical tests and procedures that may be unnecessary, and in some insta...

Using consistency properties, we characterize the cost-sharing scheme arising from the ratio equilibrium concept for economies with public goods. The characterization turns out to be surprisingly simple and direct. In contrast to most axiomatic characterizations based on reduced games and consistency properties, our characterization requires that in the reduced game, the players take as given t...

CONTEXT Effective community-based interventions are available to control hypertension. It is important to determine the economics of these interventions. EVIDENCE ACQUISITION Peer-reviewed studies from January 1995 through December 2015 were screened. Interventions were categorized into educational interventions, self-monitoring interventions, and screening interventions. Incremental cost-eff...

In this article health economic implications of screening are analysed. First, requirements screening programmes should fulfil are derived, and methodical standards of health economic evaluation are outlined.Using the example of newborn hearing screening, it is then examined if empirical studies meet the methodical requirements of health economic evaluation. Some deficits are realised: Health e...

this study considered the production economics of coffee in pakuwa village development committee of parbat district, nepal. household survey was done in june 2014. data collection was done using semi-structured pre-tested questionnaire administered on 40 coffee producers selected randomly. gross margin analysis, profitability index and the benefit-cost ratio was used to analyze the production e...