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Hidden costs, value lost : uninsurance in America / Committee on the Consequences of Uninsurance, Board on Health Care Services, Institute of Medicine of the National Academies.

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Van Pelt Library RA413.7.U53 H53 2003
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Format:
Book
Contributor:
Institute of Medicine (U.S.). Committee on the Consequences of Uninsurance.
Series:
Insuring health
Language:
English
Subjects (All):
Medically uninsured persons--United States.
Medically uninsured persons.
United States.
Health insurance--United States.
Health insurance.
Medical care, Cost of--United States.
Medical care, Cost of.
Health Care Costs.
Insurance, Health.
Medically Uninsured.
Medical Subjects:
Health Care Costs.
United States.
Insurance, Health.
Medically Uninsured.
Physical Description:
xiv, 196 pages : illustrations ; 23 cm.
Place of Publication:
Washington, D.C. : National Academies Press, [2003]
Summary:
"Hidden Cost, Value Lost, the fifth of a series of six books on the consequences of uninsurance in the United States, illustrates some of the economic and social losses to the country when maintaining so many people without health insurance. The book explores the potential economic and societal benefits that could be realized if everyone had health insurance on a continuous basis, as people over age 65 currently do with Medicare. "Hidden Costs, Value Lost concludes that the estimated benefits across society gained by providing the uninsured with the kind and amount of health services that the insured use, are likely greater than the additional social costs of doing so. The potential economic value to be gained in better health outcomes from uninterrupted coverage for all Americans is estimated to be between $65 and $130 billion each year.
Contents:
Context 13
Purpose 16
Organization 18
2 Costs, Benefits, and Value: Context, Concepts, and Approach 20
Analytic Context 21
Concepts of Cost 28
Approach to Estimating the Costs of Uninsurance and the Costs and Benefits of Coverage 31
Limitations of the Evaluation of Costs and Benefits Related to Coverage 36
3 Spending on Health Care for Uninsured Americans: How Much, and Who Pays? 38
Uninsured People Use Less Medical Care Than Do Those with Coverage 39
Out-of-Pocket Costs for Uninsured Individuals and Families 42
Uncompensated Care to Uninsured Persons 46
Who Bears the Costs of Uncompensated Care for Those Who Lack Coverage? 53
4 Other Costs Associated with Uninsurance 63
The Value Lost in Healthy Life Years 64
Quality of Life and Security for Families 69
Developmental Outcomes for Children 73
Uninsurance and Public Programs 76
Workforce Participation, Productivity, and Employers 79
Health Systems Impacts 89
5 The Cost of the Additional Care That the Uninsured Would Use If They Had Insurance Coverage 95
Long and Marquis Estimates, 1994 96
Miller, Banthin, and Moeller Estimates 97
Hadley and Holahan Estimates 100
Comparing Results 103
6 Social and Economic Costs of Uninsurance in Context 105
Summarizing Costs and Comparing Investments in Health 106
Realizing Social Values and Ideals 112
B Coverage Does Matter: The Value of Health Forgone by the Uninsured / Elizabeth Richardson Vigdor 129.
Notes:
Includes bibliographical references (pages 181-196).
ISBN:
030908931X
0309511399
OCLC:
52517353

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