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Private Disability Insurance

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1. The effect of low-trauma fracture on one-year mortality rate among privately insured adults with and without neurodevelopmental disabilities. (Abstract)

The effect of low-trauma fracture on one-year mortality rate among privately insured adults with and without neurodevelopmental disabilities. Individuals with neurodevelopmental disabilities (NDDs) have poor development and preservation of skeletal health throughout the lifespan, and are especially vulnerable to low-trauma fracture and post-fracture health complications. However, no studies have examined if adults with NDDs have greater post-fracture mortality risk compared to adults without (...) by fracture location, lower extremities were associated with greater crude mortality rate (RR = 1.69; 95% CI = 1.22-2.35) and adjusted mortality risk (HR = 2.41; 95% CI = 1.73-3.35), while upper extremities were associated with greater adjusted mortality risk (HR = 1.76; 95% CI = 1.23-2.50) for adults with vs. without NDDs.Among privately insured adults with NDDs, low-trauma fracture is associated with greater mortality risk within 1 year of the fracture event, even after adjusting for pre-fracture

2019 Bone

2. Economic burden of paediatric-onset disabilities among young and middle-aged adults in the USA: a cohort study of privately insured beneficiaries. Full Text available with Trip Pro

Economic burden of paediatric-onset disabilities among young and middle-aged adults in the USA: a cohort study of privately insured beneficiaries. Individuals with paediatric-onset disabilities (PoDs) have complex healthcare needs and are susceptible to adverse health outcomes, which may impose a higher strain on healthcare resources. The burden of healthcare resource utilisation and costs attributed to the population of adults with PoDs is not clearly established. The objective here (...) was to compare healthcare resource utilisation and costs between adults with versus without PoDs.Cohort.Data were from the 2016 Optum Clinformatics Data Mart, a de-identified nationwide claims database of beneficiaries from a single private payer in the USA.International Classification of Diseases, Tenth Revision, Clinical Modification diagnosis codes were used to identify beneficiaries with PoDs that were between 18 and 64 years of age.Annual all-cause healthcare resource utilisation and total healthcare

2019 BMJ open

3. The Financial Impact of Advanced Kidney Disease on Canada Pension Plan and Private Disability Insurance Costs Full Text available with Trip Pro

The Financial Impact of Advanced Kidney Disease on Canada Pension Plan and Private Disability Insurance Costs Many working-age individuals with advanced chronic kidney disease (CKD) are unable to work, or are only able to work at a reduced capacity and/or with a reduction in time at work, and receive disability payments, either from the Canadian government or from private insurers, but the magnitude of those payments is unknown.The objective of this study was to estimate Canada Pension Plan (...) Disability Benefit and private disability insurance benefits paid to Canadians with advanced kidney failure, and how feasible improvements in prevention, identification, and early treatment of CKD and increased use of kidney transplantation might mitigate those costs.This study used an analytical model combining Canadian data from various sources.This study included all patients with advanced CKD in Canada, including those with estimated glomerular filtration rate (eGFR) <30 mL/min/m2 and those

2017 Canadian journal of kidney health and disease

4. Private Disability Insurance

Private Disability Insurance Private Disability Insurance Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Private Disability Insurance (...) Private Disability Insurance Aka: Private Disability Insurance From Related Chapters II. Background Covers inability to work longer than 90 days Insures continued income not covered by other insurance III. Definitions Insurance based on occupation Own Occupation Insurance (Professionals) Covers inability to work in own occupation Regular Occupation (non-professional occupations) Covers inability to work in regular occupation Not specific to patient returning to his usual job Reverts to Any Occupation

2018 FP Notebook

5. Confidentiality in Adolescent Health Care

parents or guardians have the ability to access some of their adolescent’s health information when comprehensive health services are provided and billing systems generate statements that detail confidential services (eg, problem lists, laboratory tests, or prescriptions). The Health Insurance Portability and Accountability Act (HIPAA) privacy rule, however, defers to state and other federal applicable laws about disclosure of protected health information for unemancipated minors that may allow health (...) should be aware that these discussions are considered private, not secret, and obstetrician–gynecologists may disclose private information when concerned for the immediate danger of patients to themselves or others, or both, and when reporting is required by public health laws . Once confidentiality is breeched, it is difficult to regain trust; so, obstetrician–gynecologists should make efforts to avoid the violation of the trust between the health care provider and patient. Many associations

2020 American College of Obstetricians and Gynecologists

6. Health-based risk neutralization in private disability insurance Full Text available with Trip Pro

Health-based risk neutralization in private disability insurance Exclusions are used by insurers to neutralize higher than average risks of sickness absence (SA). However, differentiating risk groups according to one's medical situation can be seen as discrimination against people with health problems in violation of a 2006 United Nations convention. The objective of this study is to investigate whether the risk of SA of insured persons with exclusions added to their insurance contract differs (...) from the risk of persons without exclusions.A dynamic cohort of 15 632 applicants for private disability insurance at a company insuring only college and university educated self-employed in the Netherlands. Mean follow-up was 8.94 years. Duration and number of SA periods were derived from insurance data to calculate the hazard of SA periods and of recurrence of SA periods.Self-employed with an exclusion added to their insurance policy experienced a higher hazard of one or more periods of SA

2016 The European Journal of Public Health

7. Provision of Moderately and Highly Effective Reversible Contraception to Insured Women With Intellectual and Developmental Disabilities. Full Text available with Trip Pro

Provision of Moderately and Highly Effective Reversible Contraception to Insured Women With Intellectual and Developmental Disabilities. To estimate provision of moderately and highly effective reversible contraceptives to women with intellectual and developmental disabilities.We used data from the Massachusetts All-Payer Claims Database to identify women aged 15-44 years with and without intellectual and developmental disabilities who were continuously enrolled in a private commercial (...) insurance plan, Medicaid, or Medicare in 2012. We calculated the percentage of women aged 15-44 years who were not medically or surgically sterile and were provided 1) highly effective, long-acting reversible contraception (LARC, the intrauterine device or subdermal implant); or 2) prescriptions for moderately effective methods (pill, patch, ring, shot, or diaphragm). Logistic regression models estimated the odds of LARC and moderately effective method provision by disability status, adjusted for age

2018 Obstetrics and Gynecology

8. Genome-Wide Sequencing for Unexplained Developmental Disabilities or Multiple Congenital Anomalies

at private laboratories outside Ontario (e.g., in the United States). Ontario has no standard protocol for assessing and managing the diagnostic testing pathway for people with developmental disabilities or multiple congenital anomalies. Typically, the diagnostic odyssey begins with the primary care practitioner (e.g., family doctor or pediatrician), who might perform some genetic testing. Once patients are referred to a developmental specialist, usually chromosomal microarray testing and Fragile X (...) Territory accessing services in British Columbia or Alberta; personal communication with a liaison officer from the Canadian Agency for Drugs and Technologies in Health [CADTH] about a jurisdictional scan conducted in December 2018). We are aware of a handful of (both public and private) laboratories offering next-generation sequencing for a variety of diagnostic purposes, including cancer and epilepsy (e.g., the Centre for Clinical Genomics 24 ). Internationally, more than 14 countries have invested

2020 Health Quality Ontario

9. Medicaid expansions for the working age disabled: Revisiting the crowd-out of private health insurance. Full Text available with Trip Pro

Medicaid expansions for the working age disabled: Revisiting the crowd-out of private health insurance. Disabled individuals under 65 years old account for 15% of Medicaid recipients but half of all Medicaid spending. Despite their large cost, few studies have investigated the effects of Medicaid expansions for disabled individuals on insurance coverage and crowd-out of private insurance. Using an eligibility expansion that allowed states to provide Medicaid to disabled individuals with incomes

2014 Journal of Health Economics

10. Individualized funding interventions to improve health and social care outcomes for people with a disability: A mixed?methods systematic review

and/or the purchase of services from private, voluntary or community service provider organizations (Carter Anand et al., ). Direct payments often involve considerable administrative duties for the person with a disability and are more likely, therefore, to be utilized by people with a physical or sensory disability and less so by those with an intellectual or developmental disability. However, in some cases, a person with a mild intellectual disability may have the skills to manage the direct payment (...) REVIEW Open Access Individualized funding interventions to improve health and social care outcomes for people with a disability: A mixed‐methods systematic review Corresponding Author E-mail address: Department of Psychology, Centre for Mental Health and Community Research, John Hume Building, National University of Ireland Maynooth, Maynooth, Co. Kildare, Ireland Correspondence Pádraic Fleming, Centre for Mental Health and Community Research, Maynooth University Department of Psychology, John Hume

2019 Campbell Collaboration

11. How can health care workers help patients with a health condition and/or disability remain in or get back into work?

disability. ? Vocational rehabilitation requires commitment from the employee, the employer, health professionals, and state-provided specialist employment services. ? Government programmes exist to help GPs support people with long-term conditions return to work. ? Multi-component interventions should feature a combination of health service delivery, coordination of services, and reasonable modifications at work. ? Effective communication is vital in helping people with long-term conditions return (...) the local disability employment service was re-located with a community mental health team, to help service users find employment (38) Another paper (39), looked at 15 different interventions to help disabled people, in low- and middle-income countries, return to work. The interventions included treatment and therapy, assistive devices and accommodations, occupational rehabilitation services, financial services, and community-based rehabilitation. Fourteen studies were included, of which, thirteen

2018 Public Health England - Evidence Briefings

12. Acute Whiplash Injury Study (AWIS): a protocol for a cluster randomised pilot and feasibility trial of an Active Behavioural Physiotherapy Intervention in an insurance private setting. Full Text available with Trip Pro

Acute Whiplash Injury Study (AWIS): a protocol for a cluster randomised pilot and feasibility trial of an Active Behavioural Physiotherapy Intervention in an insurance private setting. Whiplash-associated disorder (WAD) causes substantial social and economic burden internationally. Up to 60% of patients with WAD progress to chronicity. Research therefore needs to focus on effective management in the acute stage to prevent the development of chronicity. Approximately 93% of patients (...) are classified as WADII (neck complaint and musculoskeletal sign(s)), and in the UK, most are managed in the private sector. In our recent systematic review, a combination of active and behavioural physiotherapy was identified as potentially effective in the acute stage. An Active Behavioural Physiotherapy Intervention (ABPI) was developed through combining empirical (modified Delphi study) and theoretical (social cognitive theory focusing on self-efficacy) evidence. This pilot and feasibility trial has been

2016 BMJ open Controlled trial quality: predicted high

13. Private Disability Insurance

Private Disability Insurance Private Disability Insurance Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Private Disability Insurance (...) Private Disability Insurance Aka: Private Disability Insurance From Related Chapters II. Background Covers inability to work longer than 90 days Insures continued income not covered by other insurance III. Definitions Insurance based on occupation Own Occupation Insurance (Professionals) Covers inability to work in own occupation Regular Occupation (non-professional occupations) Covers inability to work in regular occupation Not specific to patient returning to his usual job Reverts to Any Occupation

2015 FP Notebook

14. Factors Determining Children’s Private Health Insurance Enrolment and Healthcare Utilization Patterns: Evidence From the 2008 to 2011 Health Panel Data Full Text available with Trip Pro

Factors Determining Children’s Private Health Insurance Enrolment and Healthcare Utilization Patterns: Evidence From the 2008 to 2011 Health Panel Data Parental socioeconomic status (SES) exerts a substantial influence on children's health. The purpose of this study was to examine factors determining children's private health insurance (PHI) enrolment and children's healthcare utilization according to PHI coverage.Korea Health Panel data from 2011 (n=3085) was used to explore the factors (...) on outpatient cost, inpatient cost, and number of admissions. Number of outpatient visits and total length of stay were not affected by PHI status. The interaction between PHI and age group increased outpatient cost significantly.Children's PHI enrolment was influenced by parents' SES, while healthcare utilization was affected by health and disability status. Therefore, the results of this study suggest disparities in healthcare utilization according to PHI enrollment.

2015 Journal of Preventive Medicine and Public Health

15. Active Labour Market Programme Participation for Unemployment Insurance Recipients: A Systematic Review Full Text available with Trip Pro

aimed at enhancing job search efficiency. The services included are job‐search courses and related forms of intensified counselling for those who have difficulty finding employment. The public employment services (PES) often target the disadvantaged and long‐term unemployed, whereas private services may focus on the more privileged employees and white‐collar workers. These programmes are usually the least expensive. 1.3 HOW THE INTERVENTION MIGHT WORK Active labour market programmes were adopted (...) and (if different) employable social assistance beneficiaries 4 , but similar principles are increasingly being applied to lone‐parent and disability beneficiaries 5 . In this review, ALMPs were understood in the narrow sense of training or employment measures for the unemployed receiving unemployment insurance benefits. A large variety of different ALMP programmes exists among countries which may be classified into four core categories. In this review, we adopted categories which broadly correspond

2015 Campbell Collaboration

16. Health Insurance-Motivated Disability Enrollment and the ACA. (Abstract)

Health Insurance-Motivated Disability Enrollment and the ACA. 22950841 2012 09 27 2018 12 01 1533-4406 367 12 2012 Sep 20 The New England journal of medicine N. Engl. J. Med. Health insurance-motivated disability enrollment and the ACA. e16 Kennedy Jae J Department of Health Policy and Administration, Washington State University, Spokane, USA. Blodgett Elizabeth E eng Journal Article 2012 09 05 United States N Engl J Med 0255562 0028-4793 AIM IM Disabled Persons Humans Insurance, Health (...) legislation & jurisprudence statistics & numerical data Patient Protection and Affordable Care Act Private Sector Social Security statistics & numerical data United States 2012 9 7 6 0 2012 9 7 6 0 2012 9 28 6 0 ppublish 22950841 10.1056/NEJMp1208212

2012 NEJM

17. [Evaluation of a Proactive Health Programme for Insured Persons with Persistent Back Pain: One-year Follow-up of a Randomised Controlled Trial]. (Abstract)

[Evaluation of a Proactive Health Programme for Insured Persons with Persistent Back Pain: One-year Follow-up of a Randomised Controlled Trial]. Background To facilitate access to evidence-based care for persisting back pain, a private medical insurance developed a health programme and offered it proactively to their members. The aim of this study was to evaluate the feasibility and efficacy of this procedure. Methods The design of the study was a Zelen randomized controlled trial. Adult (...) insured persons with persistent back pain were randomized to the control (CG) or intervention group (IG) prior to giving consent. The IG was invited to participate in the health programme, the CG in a survey. Primary outcomes were back pain intensity and disability (according to von Korff) and health-related quality of life (SF-12). At baseline, 12- and 24-month follow-up, outcomes were documented by identical online questionnaires. Results 552 of 3462 randomized insured persons agreed to participate

2017 Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) Controlled trial quality: uncertain

18. Concentration of Physician Services Across Insurers and Effects on Quality: Early Evidence From Medicare Advantage. (Abstract)

Concentration of Physician Services Across Insurers and Effects on Quality: Early Evidence From Medicare Advantage. A growing proportion of Medicare beneficiaries is covered by private insurers through Medicare Advantage, yet little is known about how these plans are structured in terms of relationships with physicians and implications for quality of care.The objective of this study was to assess whether greater physician concentration of services across insurers was associated with higher (...) was stronger in contracts with a relatively high percentage of disabled enrollees.Greater physician concentration of services across MA insurers was associated with a higher quality of care overall and especially among vulnerable enrollees.

2019 Medical Care

19. Saving GINA: Is Genetic Privacy Imperiled?

further permit workplace wellness programs to penalize much more severely employees who wish to keep their genetic and health information private, allowing penalties of up to 30 percent of the total cost of an employee’s health insurance,” Dr. Cox writes. And the Public Health Service Act permits an increase to 50%. “Penalties of this magnitude would compel Americans to choose between retaining the privacy of their health and genetic information and accessing affordable health insurance.” Is charging (...) navigation in Uncategorized Source: A bill that passed its first hurdle yesterday in Congress threatens to take away genetic privacy protections put in place with the (GINA) of 2008. , the “Preserving Employee Wellness Programs Act,” might instead be called the “telling on relatives” ruling. GINA According to GINA, employers can’t use genetic information to hire, fire, or promote an employee, or require genetic testing, and health insurers can’t require genetic tests nor use results to deny coverage

2017 PLOS Blogs Network

20. Private Information and Insurance Rejections Full Text available with Trip Pro

cause rejections. I then develop a new empirical methodology to test whether this no-trade condition can explain rejections. The methodology uses subjective probability elicitations as noisy measures of agents beliefs. I apply this approach to three non-group markets: long-term care, disability, and life insurance. Consistent with the predictions of the theory, in all three settings I find significant amounts of private information held by those who would be rejected; I find generally more private (...) Private Information and Insurance Rejections Across a wide set of non-group insurance markets, applicants are rejected based on observable, often high-risk, characteristics. This paper argues that private information, held by the potential applicant pool, explains rejections. I formulate this argument by developing and testing a model in which agents may have private information about their risk. I first derive a new no-trade result that theoretically explains how private information could

2013 Econometrica : journal of the Econometric Society

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