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482 Results Found

  • Article
  • Open Access
1 Citations
3,741 Views
13 Pages

The use of health insurance to cover legal abortion is a controversial issue on which Americans are sharply divided. Currently, there is a lack of research on this issue as data became available only recently. Using data from the newly released Gener...

  • Review
  • Open Access
33 Citations
10,501 Views
21 Pages

Background: We conducted a systematic review on the role of private health insurance to complement the social health insurance system towards achieving universal health coverage in China. This review presents the impacts of private health insurance o...

  • Article
  • Open Access
38 Citations
10,467 Views
15 Pages

Insurance Coverage Policies for Pharmacogenomic and Multi-Gene Testing for Cancer

  • Christine Y. Lu,
  • Stephanie Loomer,
  • Rachel Ceccarelli,
  • Kathleen M. Mazor,
  • James Sabin,
  • Ellen Wright Clayton,
  • Geoffrey S. Ginsburg and
  • Ann Chen Wu

Insurance coverage policies are a major determinant of patient access to genomic tests. The objective of this study was to examine differences in coverage policies for guideline-recommended pharmacogenomic tests that inform cancer treatment. We analy...

  • Article
  • Open Access
1 Citations
2,889 Views
13 Pages

Toward Universal Health Coverage: What Socioeconomic and Clinical Factors Influence Health Insurance Coverage and Restrictions in Access to Viral Hepatitis Services in Nasarawa State, Nigeria?

  • Victor Abiola Adepoju,
  • Donald C. Udah,
  • Chinonye Alioha Ezenwa,
  • Jamiu Ganiyu,
  • Sumaiya Muhammad Lawal,
  • James Ambo Haruna,
  • Qorinah Estiningtyas Sakilah Adnani and
  • Adamu Alhassan Ibrahim

Background: Viral hepatitis B and C (HBV and HCV) pose significant public health concern in Nigeria, where access to healthcare and treatment affordability are limited. This study investigated sociodemographic and clinical predictors of health insura...

  • Article
  • Open Access
2 Citations
1,389 Views
22 Pages

28 February 2025

Objectives: the current study investigates the link between health insurance coverage and child nutritional status in Pakistan. Methods: Using data from the Pakistan Demographic and Health Survey (PDHS) 2017–18, encompassing 4499 children under...

  • Article
  • Open Access
10 Citations
2,820 Views
11 Pages

This study aimed to evaluate the effectiveness of the health insurance coverage of dental scaling (introduced in 2013) using the Community Periodontal Index of Treatment Needs parameter among Korean adults aged 20 years or older. We used the Korea Na...

  • Article
  • Open Access
31 Citations
10,665 Views
16 Pages

Ghana’s Journey towards Universal Health Coverage: The Role of the National Health Insurance Scheme

  • Daniel Dramani Kipo-Sunyehzi,
  • Martin Amogre Ayanore,
  • Daniel Kweku Dzidzonu and
  • Yakubu AyalsumaYakubu

Background: the main aim of the study is to find if the National Health Insurance Scheme (NHIS) in Ghana is achieving universal health coverage (UHC) or not. The study gives the trajectories of health policies in Ghana and their implications on long...

  • Systematic Review
  • Open Access
5 Citations
5,744 Views
13 Pages

Background: This systematic review assesses the role of the Cooperative Health Insurance System (CHIS) in achieving Universal Health Coverage (UHC) in Saudi Arabia’s evolving healthcare system by consolidating and analyzing findings from divers...

  • Article
  • Open Access
2 Citations
2,710 Views
11 Pages

The Effects of National Insurance Coverage Expansion and Genetic Counseling’s Role on BRCA1/2 Mutation Tests in Breast Cancer Patients

  • Sung Yoon Jang,
  • Youngji Kwak,
  • Joon Young Choi,
  • Dong Seung Shin,
  • Hyunjun Lee,
  • Mina Kim,
  • Boo Yeon Jung,
  • Byung Joo Chae,
  • Jonghan Yu and
  • Jeong Eon Lee
  • + 3 authors

14 May 2024

Purpose: This study aims to evaluate the impact of South Korea’s national insurance coverage (NIC) expansion and the addition of genetic counselors on BRCA1/2 mutation testing rates in breast cancer patients. Materials and Methods: A retrospect...

  • Article
  • Open Access
6 Citations
4,670 Views
17 Pages

4 March 2023

Reducing catastrophic out-of-pocket expenditure (OOPE) and increasing the rates of institutional deliveries are part of the Sustainable Development Goals (SDGs). India has made significant progress on the maternal and child health front in recent yea...

  • Article
  • Open Access
12 Citations
7,081 Views
13 Pages

In 2009, China launched a new health care reform as it endeavoured to develop a tiered system of disease diagnosis and treatment to promote the integration of medical resources. This was important for improving service capacity and building medical a...

  • Article
  • Open Access
23 Citations
9,769 Views
26 Pages

Background: The core Universal Health Coverage (UHC) objectives are to ensure universal access to healthcare services by reducing all forms of inequalities. However, financial constraints are major barriers to accessing healthcare, especially in coun...

  • Article
  • Open Access
1 Citations
1,943 Views
14 Pages

1 October 2023

Objectives: This study examined the dental insurance coverage, dentist visits, self-perceived oral health status, and dental problems among Asian immigrant women of childbearing age in contrast to Canadian women of childbearing age and non-Asian immi...

  • Article
  • Open Access
10 Citations
3,806 Views
18 Pages

20 July 2021

A comprehensive auto insurance policy usually provides the broadest protection for the most common events for which the policyholder would file a claim. On the other hand, some insurers offer extended third-party car insurance to adapt to the persona...

  • Article
  • Open Access
18 Citations
10,311 Views
11 Pages

In South Korea, the National Health Insurance Service (NHIS) began its coverage of dentures and dental implants for older people in 2012 and 2014, respectively. This study aimed to investigate the impact of these policies on dental care utilization a...

  • Article
  • Open Access
85 Citations
13,311 Views
16 Pages

30 October 2012

Adoption of personalized medicine in practice has been slow, in part due to the lack of evidence of clinical benefit provided by these technologies. Coverage by insurers is a critical step in achieving widespread adoption of personalized medicine. In...

  • Article
  • Open Access
6 Citations
12,435 Views
18 Pages

12 May 2021

The Affordable Care Act (ACA) is at the crossroads. It is important to evaluate the effectiveness of the ACA in order to make rational decisions about the ongoing healthcare reform, but existing research into its effect on health insurance status in...

  • Article
  • Open Access
18 Citations
3,585 Views
17 Pages

31 August 2021

Equitable vaccination distribution is a priority for outcompeting the transmission of COVID-19. Here, the impact of demographic, socioeconomic, and environmental factors on county-level vaccination rates and COVID-19 incidence changes is assessed. In...

  • Article
  • Open Access
818 Views
17 Pages

26 May 2025

This study evaluates the utility derived by policyholders in a Danish pension company, from their life insurance coverages. We quantify the relative importance policyholders assign to their existing coverages versus a hypothetical complete coverage s...

  • Article
  • Open Access
2 Citations
2,006 Views
9 Pages

Influence of Health Insurance Coverage on the Survival Rate for Primary Total Knee Arthroplasty: Minimum 5-Year Follow-Up Analysis

  • Jae-Sung Seo,
  • Jung-Kwon Bae,
  • Seong-Kee Shin,
  • Hyung-Gon Ryu,
  • Kyu Jin Kim and
  • Seung Yeon Cho

12 August 2024

This study investigated whether differences in survival rates and clinical outcomes exist in patients undergoing TKA by insurance type: National Health Insurance (NHI) vs. Medical Aid Program (MAP). This study conducted a retrospective analysis of 76...

  • Article
  • Open Access
2 Citations
3,381 Views
11 Pages

Equity of Social Health Insurance Coverage for Migrants in Thailand: A Concentration Index Analysis

  • Peeraya Piancharoen,
  • Hathairat Kosiyaporn and
  • Rapeepong Suphanchaimat

Thailand is attempting to implement an effective health insurance scheme to cover all migrant workers in the country. One of the remarkable policies is the Social Security Scheme (SSS). This study aims to assess the equity of SSS coverage among migra...

  • Article
  • Open Access
15 Citations
3,161 Views
17 Pages

Background: China has achieved universal coverage, with a higher rate of 95% medical insurance. However, huge inequalities are concealed under universal coverage. This article aims to explore the medical insurance utilization disparities over differe...

  • Article
  • Open Access
4 Citations
3,051 Views
17 Pages

Spatial Patterns in the Distribution of Hypertension among Men and Women in India and Its Relationship with Health Insurance Coverage

  • Rajesh Kamath,
  • Helmut Brand,
  • Harshith Ravandhur Arun,
  • Vani Lakshmi,
  • Nishu Sharma and
  • Reshma Maria Cocess D’souza

The present study explores district-level data associated with health insurance coverage (%) and the prevalence of hypertension (mildly, moderately, and severely elevated) observed across men and women as per NFHS 5. Coastal districts in the peninsul...

  • Article
  • Open Access
1,802 Views
11 Pages

21 November 2023

The goal of this study was to assess the joint role of race/ethnicity and a health insurance coverage type (private, Medicare, Medicaid) in current cigarette use among adults in the U.S. Data from the 2019 Tobacco Use Supplement and the 2019 Annual S...

  • Article
  • Open Access
8 Citations
4,023 Views
15 Pages

23 August 2022

Background: The overexpression of the human epidermal growth factor receptor-2 (HER2) gene is present in 20~25% of breast cancer (BC) patients, contributing to an inferior prognosis. Recent clinical trials showed that pyrotinib has promising antitumo...

  • Article
  • Open Access
1 Citations
1,860 Views
25 Pages

17 October 2024

Increasing flood losses in the Gulf of Mexico related to development patterns and climate hazards pose serious threats to resilience and insurability. The purpose of this study is to understand how scale, social vulnerability, risk, and urban form re...

  • Article
  • Open Access
2,526 Views
13 Pages

5 August 2025

Background/Objectives: The expansion of National Health Insurance (NHI) coverage for dental implants in South Korea has substantially increased implant placements among older adults. While implants offer functional and esthetic benefits, their lack o...

  • Article
  • Open Access
7 Citations
3,098 Views
10 Pages

Background: Dental health is an important factor in daily life routines and is closely associated with maintaining a health-related quality of life. This study examined denture procedure changes after implementation of the National Health Insurance (...

  • Article
  • Open Access
1 Citations
1,872 Views
10 Pages

16 September 2024

Background and Objectives: With increases in cancer incidence and the number of cancer survivors, the demand for cancer management is growing. However, studies on dental prosthetic treatment for patients with cancer are rare. We aim to investigate th...

  • Article
  • Open Access
2,010 Views
12 Pages

This study explores the effect of the recently enacted Foreigners’ Working Management Emergency Decree, 2017 on migrant insurance coverage between January 2016 and December 2018. We employed an interrupted time series (ITS) model to estimate th...

  • Article
  • Open Access
8 Citations
2,574 Views
7 Pages

Newborn hearing screening (NHS) has been covered by national health insurance since October 2018 in Korea. However, the results of the NHS are not reported due to the absence of a follow-up tracking system. This study analyzed the status and the pred...

  • Article
  • Open Access
37 Citations
8,609 Views
19 Pages

29 January 2020

The increasing frequency and severity of natural catastrophes due to climate change is expected to cause higher natural disaster losses in the future. Reinsurance companies bear a large share of this risk in the form of excess-of-loss coverage, where...

  • Article
  • Open Access
358 Views
17 Pages

Dental Care and Oral Health Within the Framework of Bulgarian Public Health Financing

  • Ralitsa Raycheva,
  • Ivelina Popova-Sotirova and
  • Nina Musurlieva

25 November 2025

Background/Objectives: Oral health is a critical component of public health, yet disparities in access and financing remain significant. In Bulgaria, dental services are financed through the National Health Insurance Fund and patient co-payments, wit...

  • Feature Paper
  • Article
  • Open Access
2 Citations
4,599 Views
11 Pages

The Korean government sought to include dental implant services for the elderly in the benefits package of the national health insurance. In 2014, the Citizens’ Jury was held to discuss the topic, during which thirty jurors, randomly selected from th...

  • Article
  • Open Access
635 Views
14 Pages

Objective: The objective of this retrospective cross-sectional study is to explore how caregiver social determinants of health, appraisal of healthcare provider effectiveness, and insurance coverage influence caregiver ability to have their adolescen...

  • Article
  • Open Access
2 Citations
3,483 Views
12 Pages

Contributions from Spatial Models to Non-Life Insurance Pricing: An Empirical Application to Water Damage Risk

  • Maria Victoria Rivas-Lopez,
  • Roman Minguez-Salido,
  • Mariano Matilla Garcia and
  • Alejandro Echeverria Rey

3 October 2021

This paper explores the application of spatial models to non-life insurance data focused on the multi-risk home insurance branch. In the pricing modelling and rating process, spatial information should be considered by actuaries and insurance manager...

  • Review
  • Open Access
124 Citations
17,773 Views
9 Pages

The Role of Next-Generation Sequencing in Precision Medicine: A Review of Outcomes in Oncology

  • Margaret Morash,
  • Hannah Mitchell,
  • Himisha Beltran,
  • Olivier Elemento and
  • Jyotishman Pathak

17 September 2018

Precision medicine seeks to use genomic data to help provide the right treatment to the right patient at the right time. Next-generation sequencing technology allows for the rapid and accurate sequencing of many genes at once. This technology is beco...

  • Article
  • Open Access
4 Citations
2,846 Views
10 Pages

(1) Background: Korea operates its national health insurance (NHI) system as a form of public health insurance, and is commonly regarded as having achieved universal health coverage (UHC). However, many Korean households register for additional priva...

  • Article
  • Open Access
427 Views
10 Pages

Childhood Underinsurance in Primary Care: A Practice-Based Study

  • Brooklynne A. S. Dilley-Maltenfort,
  • Samantha A. Roberts,
  • Serena K. Kaul,
  • Caroline M. Goeller,
  • Adrienne Stolfi,
  • Gregory Eberhart,
  • Katherine M. Perry and
  • John M. Pascoe

25 September 2025

Background/Objectives: Health insurance coverage is critical for children’s health, yet underinsurance remains a significant issue in the United States. This study aims to estimate the prevalence and correlates of childhood underinsurance in so...

  • Review
  • Open Access
10 Citations
2,186 Views
12 Pages

15 August 2023

There is a literature gap regarding facial feminization surgery (FFS) access and coverage. Our goal is to compile information from previous studies and assess the current policy landscape for these surgeries in the US. We also explored why some polic...

  • Article
  • Open Access
809 Views
10 Pages

Determinants of Unpaid Hospital Charges Among Non-Resident Foreign Patients: A Retrospective Single-Center Study in Tokyo, Japan

  • Soichiro Saeki,
  • Yukiko Nakamura,
  • Nanako Miki,
  • Yasuyo Osanai,
  • Mayumi Horikawa and
  • Chihaya Hinohara

13 November 2025

Background/Objectives: Unpaid medical expenses incurred by foreign nationals represent a growing concern for healthcare systems amid increasing international mobility. Japan, which lacks mandatory public insurance coverage for non-resident visitors,...

  • Article
  • Open Access
14 Citations
7,030 Views
12 Pages

Although universal health coverage (UHC) is pursued by many countries, not all countries with UHC include dental care in their benefits. Japan, with its long-held tradition of UHC, covers dental care as an essential benefit, and the majority of denta...

  • Article
  • Open Access
5 Citations
3,181 Views
15 Pages

29 September 2024

Background: Expanding dental care coverage for the elderly is globally recommended but not widely implemented due to its high costs and intangible benefits. Methods: This study examined the impact of such an expansion in Korea using the imputation-ba...

  • Brief Report
  • Open Access
1 Citations
4,173 Views
8 Pages

29 January 2024

The Affordable Care Act (ACA) implemented in the U.S. aimed to improve healthcare access by expanding insurance coverage. To study the impact of ACA on Emergency Departments (Eds), we conducted a multi-center observational retrospective study of ED v...

  • Article
  • Open Access
4 Citations
3,829 Views
13 Pages

Patients’ Perspective on Their Experience of Dental Treatments Covered by Public Health Insurance in Romania—A Pilot Study

  • Mariana Cărămidă,
  • Ana Maria Cristina Țâncu,
  • Marina Imre,
  • Mihaela Adina Dumitrache,
  • Christina Mihai and
  • Ruxandra Sfeatcu

Although the aims of any public health coverage are prevention, diagnosis, treatment, rehabilitation, and maintenance, dental services are hardly ever included in services. The goal of our pilot study is to assess the perspective of a group of adult...

  • Review
  • Open Access
9 Citations
7,076 Views
20 Pages

Challenges and Opportunities of Universal Health Coverage in Africa: A Scoping Review

  • Evaline Chepchirchir Langat,
  • Paul Ward,
  • Hailay Gesesew and
  • Lillian Mwanri

Background: Universal health coverage (UHC) is a global priority, with the goal of ensuring that everyone has access to high-quality healthcare without suffering financial hardship. In Africa, most governments have prioritized UHC over the last two d...

  • Article
  • Open Access
1,479 Views
22 Pages

1 July 2024

This research delves into the fusion of spatial clustering and predictive modeling within auto insurance data analytics. The primary focus of this research is on addressing challenges stemming from the dynamic nature of spatial patterns in multiple a...

  • Article
  • Open Access
4 Citations
4,118 Views
15 Pages

Examining the Effects of Environmental Knowledge and Health Insurance Coverage on Health Status

  • Yong Liu,
  • Jorge Ruiz-Menjivar,
  • Mosili Lepheana and
  • Brent R. Carr

Rural women in developing nations are especially vulnerable to higher health risks due to environmental pollution exposure and are more likely to experience poorer health outcomes. Using data from the 2013 China General Social Survey CGSS2013, this s...

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