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Consumer Financial Issues in Health Care

  • Deanna L. Sharpe

Abstract

While government officials, health care providers, and insurers debate the cause and cure of high and rising health care costs, consumers face the daunting task of making critical health care decisions for themselves and family members in a complex market. This chapter describes the characteristics of and key players in that market. Reasons given in the academic and popular press for high and rising health care costs are evaluated. Effectiveness of insurance in keeping health care attainable and affordable for consumers is explored. The chapter concludes with suggestions for future research.

Keywords

Gross Domestic Product Health Care Cost Health Maintenance Organization Manage Care Plan Health Affair 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Auerbach, A. J., Gale, W. G., Orszag, P., & Potter, S. R. (2003). Budget blues: Fiscal outlook and options for reform. Washington, DC: The Urban Institute. Retrieved February 2, 2007, from http://www.urban.org/url.cfm?ID=310778.Google Scholar
  2. Ayanian, J. Z., Weissman, J. S., Schneider, E. C., Ginsburg, J. A., & Zaslavsky, A. M. (2000) Unmet health needs of uninsured adults in the United States. Journal of the American Medical Society, 284, 2061–2069.Google Scholar
  3. Barsky, R. B., Juster, F. T., Kimbal, M. S., & Shapiro, M. D. (1997). Preference parameters and behavioral heterogeneity: An experimental approach in the health and retirement Study. Quarterly Journal of Economics, 112(2), 537–579.CrossRefGoogle Scholar
  4. Blue Cross Blue Shield Association. (2006). Medical cost reference guide. Retrieved January 29, 2007, from http://www.bcbs.com/betterknowledge/mcrg/MCRG.pdf.Google Scholar
  5. Bodenheimer, T. (2005a). High and rising health care costs. Part 1: Seeking an explanation. Annals of Internal Medicine, 142(10), 847–854.Google Scholar
  6. Bodenheimer, T. (2005b). High and rising health care costs. Part 2: Technologic innovations. Annals of Internal Medicine, 142(11), 932–937.Google Scholar
  7. Bodenheimer, T. (2005c). High and rising health care costs. Part 3: The role of health care providers. Annals of Internal Medicine, 142(12), 998–1002.Google Scholar
  8. Borger, C., Smith, S., Truffer, C., Keehan, S., Sisko, A., Poisal, J., & Clemens, M. K. (2006) Health spending projections through 2015: Changes on the horizon. Health Affairs, 25(2), W61–W73.PubMedCrossRefGoogle Scholar
  9. Bureau of Economic Analysis. (2005). Gross domestic product and related measures: Level and change from the preceding period. Retrieved January 31, 2007, from http://www.bea.gov/bea/newsrelarchive/2005/gdp205p.xls.Google Scholar
  10. Centers for Medicaid and Medicare Services [CMS]. (2007). National health expenditure tables. Retrieved February 2, 2007, from http://www.cms.hhs.gov/NationalHealthExpendData/downloads/tables.pdf.Google Scholar
  11. Chernew, M. E., Hirth, R. A., & Cutler, D. M. (2003). Increased spending on health care: How much can the United States afford? Health Affairs, 22, 15–25.PubMedCrossRefGoogle Scholar
  12. Chernew, M. E., Jacobson, P. D., Hofer, T. P, Aaronson, K. D., & Fendrick, A. M. (2004). Barriers to constraining health care cost growth. Health Affairs, 23, 122–128.PubMedCrossRefGoogle Scholar
  13. Darby, M. R., & Karni, E. R. (1973). Free competition and optimal amount of fraud. Journal of Law and Economics, 16, 67–86.CrossRefGoogle Scholar
  14. Davis, K., Anderson, G. F., Rowland, D., & Steinberg, E. P. (1990). Health care cost containment. Baltimore: Johns Hopkins University Press.Google Scholar
  15. DeNavas-Walt, C, Proctor, B. D., & Lee, C. H. (2006). Income, poverty, health insurance coverage in the United States: 2005 (Publication P60-231). Washington, DC: U.S. Census Bureau.Google Scholar
  16. Drentea, P., & Lavrakas, P. J. (2000). Over the limit: The association among health, race and debt. Social Science & Medicine, 50, 517–529.CrossRefGoogle Scholar
  17. Employee Benefit Research Institute. (2006). 2006 Health Confidence Survey: Dissatisfaction with health care system doubles since 1998. EBRI Notes, 27(11), 1–11.Google Scholar
  18. Ettner, S. (1996). New evidence on the relationship between income and wealth. Journal of Health Economics, 15, 67–85.PubMedCrossRefGoogle Scholar
  19. Families USA. (2000). Cost overdoses: Growth in drug spending for the elderly, 1992–2010. Washington, DC: Families USA.Google Scholar
  20. Fan, J. X., Sharpe, D. L., & Hong, S. (2003). Health care and prescription drug spending by seniors. Monthly Labor Review, 126(3), 16–26.Google Scholar
  21. Fronstin, P. (2006) Sources of health insurance and characteristics of the uninsured: Analysis of the March 2006 Current Population Survey (EBRI Issue Brief no. 298).Google Scholar
  22. Gabel, J. R., Whitmore, H., Rice, T., & LoSasso, A. T. (2004) Employer’s contradictory views about consumer-driven health care: Results from a national survey. Health Affairs Web Exclusive. Retrieved January 31, 2007, from http://content.healthaffairs.org/cgi/reprint/hlthaff.w4.210v1.pdf.Google Scholar
  23. Garber, A. M. (2001). Evidence-based coverage policy. Health Affairs, 20, 62–82.PubMedCrossRefGoogle Scholar
  24. Gelijns, A., & Rosenberg, N. (1994). The dynamics of technological change in medicine. Health Affairs, 13, 28–46.PubMedCrossRefGoogle Scholar
  25. Geyman, J. P. (2003). Myths as barriers to health care reform in the United States. International Journal of Health Services, 333(2), 315–329.CrossRefGoogle Scholar
  26. Gillett, G. (1998) As others see us: A view from abroad—justice and health care in a caring society. British Medical Journal, 317(7150): 53–54.PubMedGoogle Scholar
  27. Grossman, M. (1972). On the concept of human capital and the demand for wealth. Journal of Political Economy, 80(2), 323–355.CrossRefGoogle Scholar
  28. Gruber, J., & Wise, D. (2002). An international perspective on policies of aging societies. In S. H. Altman & D. I. Shactman (Eds.), Policies for an aging society (pp. 34–62). Baltimore: Johns Hopkins University Press.Google Scholar
  29. Gruber, L. R., Shadle, M., & Polich, C. L. (1988). From movement to industry: The growth of HMOs. Health Affairs, 7(3), 197–208.PubMedCrossRefGoogle Scholar
  30. He, W., Sengupta, M., Velkoff, V. A., & DeBarros, K. A. (2005). 65+ in the United States: 2005. Washington, DC: U. S. Census Bureau.Google Scholar
  31. Jacobson, B. H., Aldana, S. G., Goetzel, R. Z., Vardell, K. D., Adams, T. B., & Pietras, R. J. (1996). The relationship between perceived stress and self-reported illness-related absenteeism. American Journal of Health Promotion, 11(1), 54–61.PubMedGoogle Scholar
  32. Kaiser Family Foundation. (2006a). Employer health benefits: 2006 summary of findings. Washington, DC: Kaiser Family Foundation.Google Scholar
  33. Kaiser Family Foundation. (2006b). Comparing projected growth health care expenditures and the economy. Retrieved January 30, 2007, from http://www.kff.org/insurance/snapshot/chcm050206oth2.cfm.Google Scholar
  34. Kaiser Family Foundation. (2007). Prescription drug trends. Washington, DC: Kaiser Family Foundation.Google Scholar
  35. Kleinke, J. D. (2001) The price of progress: Prescription drugs in the health care market. Health Affairs, 20(5), 43–60.PubMedCrossRefGoogle Scholar
  36. Krebs-Carter, M., & Holahan, J. (2000). State strategies for covering uninsured adults (Discussion paper 00-02). Washington, DC: The Urban Institute. Retrieved January 31, 2007, from http://www.urban.org/UploadedPDF/discussion00-02.pdf.Google Scholar
  37. Leiter, V., Krauss, M. W., Anderson, B., & Wells, N. (2004). The consequences of caring: Effects of mothering child with special needs. Journal of Family Issues, 25(3), 379–403.CrossRefGoogle Scholar
  38. Levit, K., Smith, C., Cowan, C., Sensenig, A., & Catlin, A. (2004) Health spending rebound continues in 2002. Health Affairs, 23, 147–159.PubMedCrossRefGoogle Scholar
  39. Lyons, A. C., & Yilmazer, T. (2005) Financial strain and health: Evidence from the Survey of Consumer Finances. Southern Economic Journal, 71(4), 873–890.CrossRefGoogle Scholar
  40. MacDonald, J., Fronstin, P., & Mahon, M. (2005). Consumer-driven health plan participants less satisfied then those with comprehensive insurance. Washington, DC: EBRI.Google Scholar
  41. McClellan, M. (1998). Health events, health insurance, and labor supply: Evidence from the Health and retirement survey. In D. A. Wise (Ed.), Frontiers in the economics of aging (pp. 301–346). Chicago: University of Chicago Press.Google Scholar
  42. Miller, R. H., & Luft, H. S. (2002) HMO plan performance update: An analysis of the literature 1997–2001. Health Affairs, 24(1), 63–86.CrossRefGoogle Scholar
  43. National Coalition on Health Care [NCHC]. (2004). Facts on health care costs. Retrieved January 29, 2007, from http://www.nchc.org/facts/cost.shtml.Google Scholar
  44. Newacheck, P. W., McManus, M., Fox, H. B., Hung, Y., & Halfon, N. (2000). Access to health care for children with special health care needs. Pediatrics, 105(4 part 1), 760–766.PubMedCrossRefGoogle Scholar
  45. Newhouse, J. P. (1992). Medical care costs: How much welfare loss? Journal of Economic Perspectives, 6(3), 3–21.PubMedGoogle Scholar
  46. Office of Management and Budget. (2007). Table S-11 budget summary by category. Retrieved February 2, 2007, from http://www.whitehouse.gov/omb/budget/fy2007/tables.html.Google Scholar
  47. Olson, L. M., Suk-fong, S. T., & Newacheck, P. W. (2005). Children in the United States with discontinuous health insurance coverage. New England Journal of Medicine, 353(4), 382–391.PubMedCrossRefGoogle Scholar
  48. Organization for Economic Cooperation and Development. (2004). A disease-based comparison of health systems. Retrieved January 31, 2007, from http://www.oecd.org.Google Scholar
  49. Pauly, M. V. (2003). Should we be worried about high real medical spending growth in the United States? Health Affairs Web Exclusive, W3-15–W3-27. Retrieved January 31, 2007, from http://content.healthaffairs.org/cgi/reprint/hlthaff.w3.15v1?ck=nck.Google Scholar
  50. Physician’s Working Group for Single-Payer National Health Insurance. (2003). Proposal of the Physician’s Working Group for Single-Payer National Health Insurance. Journal of the American Medical Association, 290(6), 798–805.Google Scholar
  51. Reinhardt, U. E. (2003). Does the aging of the population really drive the demand for health care? Health Affairs, 22, 27–39.PubMedCrossRefGoogle Scholar
  52. Reinhardt, U. E., Hussey, P. S., & Anderson, G. F. (2002). Cross-national comparisons of health systems using OECD data. Health Affairs, 21, 169–181.PubMedCrossRefGoogle Scholar
  53. Richardson, J., & Robertson, I. (1999) Ageing and the cost of health services (Working paper no. 90). Sydney: Centre for Health Program Evaluation.Google Scholar
  54. Riley, G., Tudor, C., Chiang, Y. P., & Ingber, M. (2006) Health status of Medicare enrollees in HMOs and fee-for-service in 1994. Health Care Financing Review, 17(4), 65–76.Google Scholar
  55. Rosenthal, M., & Milstein, A. (2004) Consumer-driven plans: What’s offered? Who chooses? Health Services Research, 39(4), 1055–1070.PubMedCrossRefGoogle Scholar
  56. Rubin, R. M., Koelln, K., & Speas, R. K. (1995). Out-of-pocket health expenditures by elderly households: Change over the 1980s. Journal of Gerontology: Social Sciences, 50B(5), S291–S300.Google Scholar
  57. Schoen, C., Osborn, R., Huyuh, P. T., Doty, M., Zapert, K., Peugh, J., & Davis, K. (2005) Taking the pulse of health care systems: Experiences of patients with health problems in six countries. Health Affairs Web Exclusive, W5-509–W5-525. Retrieved January 31, 2007, from http://content.healthaffairs.org/cgi/reprint/hlthaff.w5.509v3.Google Scholar
  58. Sharma, N., & Patterson, P. G. (1999). The impact of communication effectiveness and service quality on relationship commitment in consumer, professional services. Journal of Services Marketing, 13(2), 151–171.CrossRefGoogle Scholar
  59. Sharpe, D. L., & Baker, D. L. (2007). Financial issues associated with having a child with autism. Journal of Family and Economic Issues, 28, 247–264.CrossRefGoogle Scholar
  60. Smith, C., Cowan, C., Heffler, S., & Catlin, A., (2006) National health spending in 2004. Health Affairs 25(1), 186–196.PubMedCrossRefGoogle Scholar
  61. Smith, J. P. (1999). Healthy bodies and thick wallets: The dual relation between health and economic status. Journal of Economic Perspectives, 13(2), 145–166.Google Scholar
  62. Smith, R. D., Beaglehole, R., Woodward, D., & Drager, N. (Eds.) (2003). Global public goods for health: A health economic and public health perspective. Oxford: Oxford University Press.Google Scholar
  63. U.S. Food and Drug Administration. (2006). Generic competition and drug prices. Retrieved June 4, 2007, from http://www.fda.gov/cder/ogd/generic_competition.htm.Google Scholar
  64. White-Means, S. I. (1992). Allocation of labor to informal home health production: Health care for frail elderly, if time permits. Journal of Consumer Affairs, 26(1), 69–89.CrossRefGoogle Scholar
  65. White-Means, S. I., & Hong, G. S. (2000). Out-of-pocket health care expenditure patterns and financial burden across the life cycle stages. Journal of Consumer Affairs, 34(2), 291–313.Google Scholar
  66. Williams, D. R. (1990). Socio-economic differentials in health: A review and redirection. Social Psychology Quarterly, 53(2), 81–99.CrossRefGoogle Scholar
  67. Woolhandler, S., & Himmerstein, D. U. (2002). Paying for national health care and not getting it. Health Affairs, 21(4), 88–98.PubMedCrossRefGoogle Scholar
  68. Zhang, Y., & Soumerai, S. B. (2007). Do newer prescription drugs pay for themselves? A reassessment of the evidence. Health Affairs, 26(1), 880–886.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Deanna L. Sharpe
    • 1
  1. 1.Personal Financial Planning DepartmentUniversity of Missouri-ColumbiaColumbiaUSA

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