5063.0 Health Economics: Health Care Costs

Wednesday, November 11, 2009: 8:30 AM
This session addresses health care costs in a variety of settings, both in the United States and internationally. One presentation examines the magnitude of economic disparities in access and use of health care services, particularly preventive services, in an Indian state, Kerala. Two presentations propose either a new form of health care insurance (for seniors in Bermuda) or potential strategies to promote cost containment among regulated health insurance plans (in Rhode Island). The last presentation reports on the results of a comprehensive process involving a variety of stakeholders to prioritize potential cost-containment strategies on the basis of perceived value and feasibility. The systematic inclusion of stakeholder input is critical for the development of effective and acceptable health policy change. The remaining two presentations both analyzed administrative claims data from U.S. private health insurance plans using sophisticated statistical techniques. One examined out-of-pocket costs associated with fibromyalgia, a chronic disease associated with pain and activity limitations. The other investigated the association of participation in employer-sponsored health and wellness programs on employer health care costs over a three year period, with a comparison of the net costs for participation in different program components. The last presentation provides important new information about the return on investment to employers of different types of disease management and wellness promotion programs.
Session Objectives: 1. Describe statistical techniques for the analysis of administrative health insurance claims data to assess the effect of disease and disease management on health care expenditures. 2. Identify at least three different cost-containment strategies in the U.S. health care system and discuss the advantages and limitations of each. 3. Discuss the implications of socioeconomic disparities in health service access and use.

8:30 AM
Issues in designing a health insurance program for Bermuda's seniors: Evidence from the FutureCare program
Gerald F. Kominski, PhD, Jay Ripps, FAS, MAAA, Andrea Polischuk, FAS, MAAA, Jeffrey Burkhardt, PhD, Miriam Laugesen, PhD and Andrew Cameron, PhD
8:45 AM
Using Health Insurance Regulation to Achieve Health Care Cost Containment and Health System Reform: The Rhode Island Experience
Angela M. Sherwin, MPH (2009), Deborah N. Pearlman, PhD, Terrie Fox Wetle, PhD and Christopher Koller, MPPM, MAR
9:15 AM
Effect of A Comprehensive, Employer-sponsored Health and Wellness Program on Medical Costs and Utilization
Hangsheng Liu, PhD, Katherine Harris, PhD, Sarah Zakowski, Seth Serxner, PhD MPH and Ellen Exum
9:30 AM
Are there disparities between the rich and the poor in health expenditures for treatment of illness and for preventive purposes? Evidence of barriers to access in Kerala, India
Gisèle Contreras, MSc, Subrata Mukherjee, PhD, K.S. Mohindra, PhD, Marta Feletto, PhD, D. Narayana, PhD and Slim Haddad, MD, PhD

See individual abstracts for presenting author's disclosure statement and author's information.

Organized by: Medical Care

CE Credits: Medical (CME), Health Education (CHES), Nursing (CNE), Public Health (CPH)

See more of: Medical Care