38,086 research outputs found

    Pricing and Investments in Internet Security: A Cyber-Insurance Perspective

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    Internet users such as individuals and organizations are subject to different types of epidemic risks such as worms, viruses, spams, and botnets. To reduce the probability of risk, an Internet user generally invests in traditional security mechanisms like anti-virus and anti-spam software, sometimes also known as self-defense mechanisms. However, such software does not completely eliminate risk. Recent works have considered the problem of residual risk elimination by proposing the idea of cyber-insurance. In this regard, an important research problem is the analysis of optimal user self-defense investments and cyber-insurance contracts under the Internet environment. In this paper, we investigate two problems and their relationship: 1) analyzing optimal self-defense investments in the Internet, under optimal cyber-insurance coverage, where optimality is an insurer objective and 2) designing optimal cyber-insurance contracts for Internet users, where a contract is a (premium, coverage) pair

    Pre-Operative Clinical Variation by Health Insurance Carrier in 12,285 Male Surgical Patients with Moderate Morbid Obesity

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    In the ongoing obesity epidemic, every surgeon now treats patients with weight-related medical problems. In managing these medically fragile surgical patients, every clinical insight helps. While variation according to health insurance has been reported in mixed sex bariatric surgery populations, whether or not clinical characteristics in the subset of moderately obese male surgical patients vary by insurance carrier is unknown. The objective of this study was to identify clinical variation by insurance type in moderately obese men. Results showed that pre-operative clinical characteristics of moderately obese male surgical patients vary by the health insurance coverage type to which they subscribe. Medicare and Medicaid insured suffer the most from weight-related problems. Private and Self-Pay patients are at lower risk of obesity co-morbidities than Medicaid and Medicare. These results suggest that surgeons should consider moderately obese Medicare and Medicaid men at increased risk for peri-operative medical illnesses

    A Background of the Opioid Epidemic and Its Relationship to the Medicaid Expansion

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    Despite the recent increase in public awareness of the opioid epidemic, the background of this epidemic is still disappointingly unknown to the public. The opioid epidemic is a national crisis which impacts, not only individuals’ wellbeing but the economy of the United States. The federal government sought to mitigate it through the enactment of the Patient Protection and Affordable Care Act. The Medicaid expansion, which was built into this law, sparked controversy; controversy which has yet to be solved to this day. Going forward, the knowledge we gather from examining the connection between this epidemic and the Medicaid expansion will be indispensable, for it is from studying prior successes and failures that we learn to improve

    Bariatric Surgery as a Treatment to Obesity

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    This paper focuses on the efficiency and effectiveness that bariatric surgery provides as a treatment for the obesity epidemic that is ever-growing in our country. By taking into account scientific, ethnographical, scholarly, statistic-based, and various other forms of research, this paper argues for the widespread use of bariatric surgery for weight loss, decrease in obesity, and resolution of obesity comorbidities. This paper also focuses on the various factors that affect patient success in bariatric surgery, such as gaps in access, economic problems, psychological issues associated with the procedure, and more. Nevertheless, bariatric surgery, if these factors are taken into consideration, is a favorable option in treating morbid obesity and should be readily and enthusiastically utilized to treat this epidemic

    Childhood Obesity: The Role of Health Policy

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    This first policy report from the CPRC and the NICHQ Childhood Obesity Action Network was released on March 18, 2008 in Miami Florida as part of the Second Childhood Obesity Congress

    Curbing the HIV Epidemic by Supporting Effective Engagement in HIV Care: Recommendations for Health Plans and Health Care Purchasers

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    The United States is poised to dramatically reduce the scope of its HIV epidemic, but this demands increased leadership and attention from health plans and health care purchasers (including Medicaid, Medicare, marketplaces, and other private purchasers). This new amfAR report identifies changes in policy and practice in clinics, communities, and health care programs to reduce unnecessary health spending, increase the effectiveness of services, and increase the integration of services. Done right, the same steps that lead to appropriate management of care by health plans and purchasers also will help to achieve national public health goals

    Healthcare hazards and its impact on health insurance business- An overview during COVID-19

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    The present article is presenting the ‘Healthcare Hazards and Its Impact on Health Insurance Business – An Overview during COVID-19’. The present paper studied the health insurance, health insurance plans in India, Indian market size, health care industry, government actions for the COVID-19, and healthcare business in India, private health insurance in India, hazardous of the healthcare industry and health insurances, and Indian healthcare issues in 2019. The author has concluded that all insurance policies are levied higher taxes by the government, these lead higher income to the companies, and these are creating how commissions to the agents and other insurance organizations under reinsurance, but no benefits to the insured. It may not be a long term benefit, why because there is no maturity fund/income, because of these are shortterm benefits; how many of the policyholders are getting the benefits from the general health insurance companies. Hence, the research is required to calculate for the need of levy-the tax from the non-claimant portion of the income of the general health insurance on an annual basis to the health department of the nation

    The Kids Are Not Alright: Leveraging Existing Health Law to Attack the Opioid Crisis Upstream

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    The opioid crisis is now a nationwide epidemic, ravaging both rural and urban communities. The public health and economic consequences are staggering; recent estimates suggest the epidemic has contracted the U.S. labor market by over one million jobs and cost the nation billions of dollars. To tackle the crisis, scholars and health policy initiatives have focused primarily on downstream solutions designed to help those who are already in the throes of addiction. For example, the major initiative announced by the U.S. Surgeon General promotes the dissemination of naloxone, which helps save lives during opioid overdoses. This Article argues that the urgency and gravity of the opioid crisis demand a very different approach. To stop the epidemic, interventions are needed long before people are on death’s doorstep. Rather, it must focus on upstream interventions that stop people from becoming addicted in the first place. To accomplish this, we should leverage an existing legal infrastructure that is already capable of such a preventive response. Although largely overlooked as a tool in tackling this epidemic, children’s Medicaid, known as the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit, provides a mechanism to identify at-risk children and the treatment necessary to shift their life trajectories off of the road to addiction. This Article lays out a blueprint for the ways in which EPSDT, the largest provider of children’s health insurance in the country, facilitates best practices in substance abuse prevention through (1) regular mental health and substance abuse screening in the doctor’s office and (2) the provision of medically necessary treatment for children at risk for and engaged in opioid and other substance abuse. This upstream approach is consistent with Lifecourse Health Development theory, which emphasizes strategies that address risk factors and burgeoning health conditions in childhood before they become debilitating. Indeed, through the Medicaid statute and its legislative history, executive branch guidance, and judicial precedent, all three branches of the federal government have endorsed the power of Medicaid EPSDT to address health conditions early and preventively. This Article argues that this existing infrastructure should be leveraged so that at-risk children can access mental health and substance abuse services before a next generation falls victim to the greatest public health crisis of our time

    Advocacy Coalition Framework Lens on Pressing Healthcare Issues

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    In deciding how to interpret and understand public policy, many experts use theories and frameworks to justify their reasoning. One of the most common avenue of viewing policy involves the advocacy coalition framework based on its broad applicability. This popular framework consists of banding like-minded individuals together into a coalition to advance the narrative by creating acceptable policies for their group. These coalitions normally include a wide range of professional backgrounds from interest groups, elected officials, researchers in academia. These groups utilize special events to influence subfields consisting of actors who decide the solutions for policy problems. Subfields normally are made up of key players employed in government institutions and private industrial groups who willingly agree to work toward a compromise with the goal to create policy acceptable for both sides (Cairney 2014) These coalitions influence the subfield in different ways through capitalizing on their influential power or by ignoring the alliances and mergers of the groups. This paper shall explore how advocacy coalition framework works for three pressing issues facing the healthcare industry. These three policies focus on drug pricing, heath data privacy and opioid liability. This paper will explore the policy in depth, provide historical context and the major players while outlining how the specific proposals fit in the framework as well as identifying the framework’s limitations with the policy
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