Helping Consumers Understand and Use Health Insurance in 2014

Patel, Kavita; West, Mallory L.; Hernandez, Lyla M.; Wu, Victor; Wong, Winston; Parker, Ruth M.

doi:10.31478/201305c

Cited by 4 publications

(3 citation statements)

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“…Navigators and in‐person counselors will be funded to reach and enroll consumers. However, they may not have sufficient expertise or time to put health insurance purchases into a broader personal and family perspective and educate consumers about health insurance (Centers for Medicare & Medicaid Services, ; Patel et al., ).…”

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confidence: 99%

Understanding Health Insurance Literacy: A Literature Review

Kim

Braun

Williams

2013

Family & Consum Sci Res J

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The 2010 Affordable Care Act changed health insurance plans for both the insured and uninsured. Currently insured consumers need to understand changes that impact their purchase decisions, and newly eligible consumers need to understand how to purchase through the new health insurance marketplace. Health insurance literacy is a new concept that addresses the extent to which consumers can make informed purchase and use decisions. Consumers currently exhibit limited health insurance literacy. Researchers and educators need a comprehensive review of the literature and existing curriculum and materials to conduct research and to create and test educational programs that could increase health insurance literacy. This article provides a review of relevant literature and curricula. It offers implications for additional research, measurement of health insurance literacy, and development of educational programs to improve health insurance literacy in the United States.

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confidence: 99%

Understanding Health Insurance Literacy: A Literature Review

Kim

Braun

Williams

2013

Family & Consum Sci Res J

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“…This paper summarizes information from those tools, information that can be used to help start a conversation between providers and consumers about how to get and use health insurance under the ACA. Additional details can be found in the discussion paper "Helping Consumers Understand and Use Health Insurance in 2014" (click here for paper) (Patel et al, 2013).…”

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confidence: 99%

Let's Ask 4: Questions for Consumers and Providers About Health Insurance

Wu¹,

Jacobson²,

Wong³

et al. 2013

NAM Perspectives

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“…At one end of the spectrum are white collar expatriate staff many of whom are paying more than they should for insured health services partly because they are told by health care providers that they suffer from conditions that they do not have, pay for treatments that they do not need and are kept in hospital for longer than they should be. At the lower end of the spectrum, about 60% of foreign workers in UAE are expatriate manual workers who may be easily manipulated by health insurance companies due to low health literacy and inadequate familiarity with how health insurance works [26]. Third, unlike the situation in most OECD nations, the biggest source of health insurance fraud-health care providers-are privately owned in Dubai.…”

Section: Dubai's Mandatory Health Insurance Schemementioning

confidence: 99%

Improving efficiency and reducing fraud in UAE's health insurance market.

Awofeso¹

2017

finance-marketing

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The World health report 2010 estimated that about 20-40% of all health sector resources are wasted and highlighted health care leakages-waste, corruption and fraud-as the ninth leading source of inefficiency of health systems. The health care system of the United Arab Emirates (UAE) is currently ranked 9 th out of 55 nations assessed by the Bloomberg's health care efficiency index-the United States of America ranks 50 th . However, if efficiency is defined conventionally based on costs to achieve specified outcomes, the UAE health system has efficiency shortcomings in relation to health care costs by its citizens for overseas medical treatment as well as the per patient cost of treating diabetes annually-as high as $10,000 annually per Emirati citizen with complicated diabetes. One approach to improving efficiency of UAE's current AED64 billion ($17 billion) annual health industry market is through universal health insurance, as it facilitates improvements in health outcomes by making access to high-quality health services more affordable and equitably distributed. The European Health Care Fraud and Corruption Network stated that, in 2008, of the annual global health expenditure of about US$ 5.3 trillion, at least 5% or about US$ 260 billion, is lost to fraud. According to 9 March 2016, UAE Gulf News report, AED 4 (11%) billion of the AED33 billion health insurance claims by individuals and health care providers are related to health insurance abuse and fraud. Using the newly implemented Dubai Mandatory Health Insurance Program as case study, this article critically reviews opportunities to improve the efficiency of UAE's health insurance system and highlights approaches to tackling health insurance fraud and abuse, which adversely affect the efficient delivery of health services in UAE.

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Helping Consumers Understand and Use Health Insurance in 2014

Cited by 4 publications

References 0 publications

Understanding Health Insurance Literacy: A Literature Review

Understanding Health Insurance Literacy: A Literature Review

Let's Ask 4: Questions for Consumers and Providers About Health Insurance

Improving efficiency and reducing fraud in UAE's health insurance market.

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