Health insurance
View article: Dataset of health insurance portfolio
Dataset of health insurance portfolio Open
The data is formatted as a spreadsheet, encompassing the primary activities over a span of three full years (2017, 2018 and 2019) concerning non-life health insurance portfolio. This dataset comprises 228,711 rows and 42 columns. Each row …
View article: From fractionation to financials: economic and clinical implications of hypofractionation in German outpatient radiotherapy practice
From fractionation to financials: economic and clinical implications of hypofractionation in German outpatient radiotherapy practice Open
Background and objective Thie study aimed to examine the economic implications of different radiotherapy fractionation schemes, specifically normofractionation (NF) and hypofractionation (HF), for breast and prostate cancer in the outpatie…
View article: Payment compliance of informal sector workers in Indonesia National Health Insurance: a study on ability and willingness to pay
Payment compliance of informal sector workers in Indonesia National Health Insurance: a study on ability and willingness to pay Open
The ability to pay the premium among enrolees was generally below the current premium level, except for active enrolees in the third class. While active enrolees expressed a willingness to pay about 10% more than the existing premium, inac…
View article: Supplementary Table from Oral Cancer Prevalence, Mortality, and Costs in Medicaid and Commercial Insurance Claims Data
Supplementary Table from Oral Cancer Prevalence, Mortality, and Costs in Medicaid and Commercial Insurance Claims Data Open
Supplementary Table from Oral Cancer Prevalence, Mortality, and Costs in Medicaid and Commercial Insurance Claims Data
View article: Supplementary Table from Oral Cancer Prevalence, Mortality, and Costs in Medicaid and Commercial Insurance Claims Data
Supplementary Table from Oral Cancer Prevalence, Mortality, and Costs in Medicaid and Commercial Insurance Claims Data Open
Supplementary Table from Oral Cancer Prevalence, Mortality, and Costs in Medicaid and Commercial Insurance Claims Data
View article: Supplementary Table from Oral Cancer Prevalence, Mortality, and Costs in Medicaid and Commercial Insurance Claims Data
Supplementary Table from Oral Cancer Prevalence, Mortality, and Costs in Medicaid and Commercial Insurance Claims Data Open
Supplementary Table from Oral Cancer Prevalence, Mortality, and Costs in Medicaid and Commercial Insurance Claims Data
View article: Supplementary Figure from Oral Cancer Prevalence, Mortality, and Costs in Medicaid and Commercial Insurance Claims Data
Supplementary Figure from Oral Cancer Prevalence, Mortality, and Costs in Medicaid and Commercial Insurance Claims Data Open
Supplementary Figure from Oral Cancer Prevalence, Mortality, and Costs in Medicaid and Commercial Insurance Claims Data
View article: Replication Folder for "Impact of pension insurance and health insurance on pension savings: Evidence from China"
Replication Folder for "Impact of pension insurance and health insurance on pension savings: Evidence from China" Open
This replication folder contains the necessary codes to replicate the quantitative results of the paper.
View article: Forgoing Healthcare and Insurance Premiums Trends: A 15-Year Population-Based Study in Geneva, Switzerland
Forgoing Healthcare and Insurance Premiums Trends: A 15-Year Population-Based Study in Geneva, Switzerland Open
Objectives Despite compulsory universal health coverage, rising health insurance premiums in Geneva, Switzerland may present financial barriers to care. This study evaluates trends in forgoing healthcare for financial reasons from 2011 to …
View article: Supplementary Figure from Oral Cancer Prevalence, Mortality, and Costs in Medicaid and Commercial Insurance Claims Data
Supplementary Figure from Oral Cancer Prevalence, Mortality, and Costs in Medicaid and Commercial Insurance Claims Data Open
Supplementary Figure from Oral Cancer Prevalence, Mortality, and Costs in Medicaid and Commercial Insurance Claims Data
View article: Supplementary Figure from Oral Cancer Prevalence, Mortality, and Costs in Medicaid and Commercial Insurance Claims Data
Supplementary Figure from Oral Cancer Prevalence, Mortality, and Costs in Medicaid and Commercial Insurance Claims Data Open
Supplementary Figure from Oral Cancer Prevalence, Mortality, and Costs in Medicaid and Commercial Insurance Claims Data
View article: Data from Oral Cancer Prevalence, Mortality, and Costs in Medicaid and Commercial Insurance Claims Data
Data from Oral Cancer Prevalence, Mortality, and Costs in Medicaid and Commercial Insurance Claims Data Open
Background:This study compared prevalence, incidence, mortality rates, treatment costs, and risk factors for oral and oropharyngeal cancer (OC/OPC) between two large United States adult cohorts in 2012–2019.Methods:Medicaid and commercial …
View article: Replication Data for: What Do Microinsurance and Medicare Have in Common? The Dual Benefit Principle in Health Insurance
Replication Data for: What Do Microinsurance and Medicare Have in Common? The Dual Benefit Principle in Health Insurance Open
Complete replication materials for the paper "What Do Microinsurance and Medicare Have in Common? The Dual Benefit Principle in Health Insurance" submitted to Social Science & Medicine. THE DUAL BENEFIT PRINCIPLE (DBP) The Dual Benefit Pri…
View article: Supplementary Figure from Oral Cancer Prevalence, Mortality, and Costs in Medicaid and Commercial Insurance Claims Data
Supplementary Figure from Oral Cancer Prevalence, Mortality, and Costs in Medicaid and Commercial Insurance Claims Data Open
Supplementary Figure from Oral Cancer Prevalence, Mortality, and Costs in Medicaid and Commercial Insurance Claims Data
View article: Data from Role of Medicaid in Early Detection of Screening-Amenable Cancers
Data from Role of Medicaid in Early Detection of Screening-Amenable Cancers Open
Background:This study examines the association between Medicaid enrollment, including through the National Breast and Cervical Cancer Early Detection Program (NBCCEDP), and distant stage for three screening-amenable cancers: breast, cervic…
View article: Payments to Physician Practices and Incentives to Serve Different Racial and Ethnic Groups
Payments to Physician Practices and Incentives to Serve Different Racial and Ethnic Groups Open
Importance In the US, a physician can be paid very different amounts for treating different patients, even when providing identical services. Understanding physician practices’ financial incentives to serve different racial and ethnic grou…
View article: Improvement in physical and mental health attributable to the affordable care act
Improvement in physical and mental health attributable to the affordable care act Open
Introduction The Affordable Care Act (ACA) represents the most comprehensive U.S. health reform since Medicare and Medicaid. However, evidence on its impact on population health in the general U.S. population, particularly mental health, r…
View article: Connaissances, Attitudes et Pratiques des Mères sur les Soins du Cordon Ombilical du Nouveau-né à Abidjan
Connaissances, Attitudes et Pratiques des Mères sur les Soins du Cordon Ombilical du Nouveau-né à Abidjan Open
Les pratiques inappropriées de soins du cordon restent répandues à Abidjan, influencées par les croyances traditionnelles et le défaut d'encadrement sanitaire. Des interventions ciblées combinant éducation sanitaire et implication de…
View article: Fraud detection and explanation in medical claims using GNN architectures
Fraud detection and explanation in medical claims using GNN architectures Open
This paper addresses the critical challenge of fraud detection in medical insurance claims-a pervasive issue causing significant financial losses in healthcare-using Graph Neural Networks (GNNs). Given the intricate nature of healthcare da…
View article: Analysis of the first inpatient expenditure for cervical cancer patients before and during the COVID-19 pandemic in a provincial maternal and children care hospital in China
Analysis of the first inpatient expenditure for cervical cancer patients before and during the COVID-19 pandemic in a provincial maternal and children care hospital in China Open
The proportion of hospitalization expenses paid by insurance after COVID-19 is higher than that paid before COVID-19. Attention should be paid to the rising costs of drugs after the COVID-19 pandemic and reasonable control should be mainta…
View article: Transforming Claims and Care: A Comprehensive Review of the U.S. Health Insurance TPA Market
Transforming Claims and Care: A Comprehensive Review of the U.S. Health Insurance TPA Market Open
The U.S. Health Insurance Third-Party Administrator (TPA) Market is experiencing steady growth, valued at USD 100.55 billion in 2024 and projected to reach USD 129.08 billion by 2030 at a CAGR of 3.9% from 2025–2030. This manuscript examin…
View article: Dental Care and Oral Health Within the Framework of Bulgarian Public Health Financing
Dental Care and Oral Health Within the Framework of Bulgarian Public Health Financing Open
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-pa…
View article: Health insurance claims management systems: Potential factors affecting their decisions
Health insurance claims management systems: Potential factors affecting their decisions Open
Type of the article: Research ArticleAbstractThis study examines how patients’ health insurance claims were denied by different insurance providers at a Saudi Academic Medical Center (AMC), exploring the reasons for these rejections, their…
View article: Key factors associated with China’s basic medical insurance fund revenue-expenditure balance: a grey relational analysis
Key factors associated with China’s basic medical insurance fund revenue-expenditure balance: a grey relational analysis Open
View article: Exploring the cost implications of different treatment modalities for uterine fibroids under the DRG system
Exploring the cost implications of different treatment modalities for uterine fibroids under the DRG system Open
This paper, based on data from inpatient medical records with uterine fibroids (ICD-10: D25) from the medical record homepages of secondary and higher-level hospitals in Sichuan Province between 2016 and 2024, investigated differences in m…
View article: Understanding delivery type as a mediator in the relationship between insurance type and permanent contraception fulfillment: a mixed-methods multi-site study
Understanding delivery type as a mediator in the relationship between insurance type and permanent contraception fulfillment: a mixed-methods multi-site study Open
Delivery type is an important mediator in the relationship between insurance type and postpartum permanent contraception fulfillment. Addressing policy restrictions, provider counseling disparities, and institutional constraints is critica…
View article: A REVIEW OF STUDIES ON CLINICAL OUTCOMES OF BNCT FOR HEAD AND NECK CANCER UNDER JAPAN'S NATIONAL HEALTH INSURANCE
A REVIEW OF STUDIES ON CLINICAL OUTCOMES OF BNCT FOR HEAD AND NECK CANCER UNDER JAPAN'S NATIONAL HEALTH INSURANCE Open
View article: The One Big Beautiful Bill Act and the future of prostate cancer care
The One Big Beautiful Bill Act and the future of prostate cancer care Open
The One Big Beautiful Bill Act (OBBBA), signed into law in July 2025, introduced sweeping changes to Medicaid financing. Although framed as measures intended to foster independence and fiscal sustainability, these policies risk destabilizi…
View article: Connaissances, Attitudes et Pratiques des Mères sur les Soins du Cordon Ombilical du Nouveau-né à Abidjan
Connaissances, Attitudes et Pratiques des Mères sur les Soins du Cordon Ombilical du Nouveau-né à Abidjan Open
Les pratiques inappropriées de soins du cordon restent répandues à Abidjan, influencées par les croyances traditionnelles et le défaut d'encadrement sanitaire. Des interventions ciblées combinant éducation sanitaire et implication des prof…
View article: Transforming Claims and Care: A Comprehensive Review of the U.S. Health Insurance TPA Market
Transforming Claims and Care: A Comprehensive Review of the U.S. Health Insurance TPA Market Open
The U.S. Health Insurance Third-Party Administrator (TPA) Market is experiencing steady growth, valued at USD 100.55 billion in 2024 and projected to reach USD 129.08 billion by 2030 at a CAGR of 3.9% from 2025–2030. This manuscr…