OBJECTIVE To evaluate the impact of managed care on the use of chronic disease medications. DATA SOURCE Claims data from 1997 from two indemnity and three independent practice association (IPA) model managed care insurance plans. RESEARCH DESIGN Cross-sectional analysis of claims data. DATA COLLECTION Adult patients with diabetes mellitus (DM, n = 26,444), congestive heart failure (CHF, n...

Background Anterior cruciate ligament (ACL) reconstruction is among the most common orthopaedic procedures, with its incidence doubling over the past decade. To date, no studies have analyzed litigation after ACL reconstruction. Purpose To characterize the causes of malpractice litigation after ACL reconstruction. Study Design Cross-sectional study. Methods A retrospective review of malpr...

BACKGROUND Little is known about the effect of different forms of patient cost-sharing on the utilization of clinical preventive services or if the effect varies by type of health plan. OBJECTIVES To assess empirically the relationships between the utilization of recommended preventive services and different forms of patient cost-sharing and how the effect is mediated by type of preventive se...

Indemnity private health insurance (PHI) is a type of that pays actual medical expenses. We investigated the effect subscriptions to indemnity PHI on emergency department (ED) expenses and number ED visits. This study was retrospective using Korea Health Panel Data from 2013 2017. The exposure variable subscription PHI. control group did not subscribe throughout period, while insured had subscr...

(1) A new precedent or a new point of law is involved; or (2) A question of policy is or may be involved; or (3) The United States is or may be entitled to indemnity or contribution from a third party and the Department is unable to adjust the third party claim; or (4) The compromise of a particular claim, as a practical matter, will or may control the disposition of a related claim in which th...

OBJECTIVES The purposes of this study were to examine the status of children and adolescents with regard to enrollment in private medical insurance (PMI) and to investigate its influence on their utilization of medical services. METHODS The present study assessed 2973 subjects younger than 19 years of age who participated in five consecutive Korea Health Panel surveys from 2009 to 2012. RES...