Rec­om­mended Read­ings

The listed books are the rec­om­mended read­ing by the Knowl­edge Cen­tre of The Malaysian In­sur­ance In­sti­tute (MII)

Insurance - - CONTENTS -

Be­yond Health In­sur­ance: Pub­lic Pol­icy To Im­prove Health

Edi­tors: Lorens Helm­chen, Robert Kaest­ner, An­thony Lo Sasso

Much of the de­bate about health pol­icy in the United States has fo­cused on the avail­abil­ity of health in­sur­ance cov­er­age and the rel­a­tively large num­ber of in­di­vid­u­als who are unin­sured. While tack­ling the prob­lem of the unin­sured might im­prove ac­cess to and util­i­sa­tion of health­care, it would likely have lit­tle ef­fect on the health of the pop­u­la­tion, as there is only a weak con­nec­tion be­tween health in­sur­ance cov­er­age and health. Ex­pand­ing health in­sur­ance cov­er­age alone is un­likely to sig­nif­i­cantly im­prove the health of the pop­u­la­tion or nar­row health dis­par­i­ties within the pop­u­la­tion, given that many of the ma­jor causes of poor health such as smok­ing, obe­sity, and phys­i­cal in­ac­tiv­ity are largely un­af­fected by health in­sur­ance.

War and Health In­sur­ance Pol­icy in Ja­pan and the United States: World War II to Post­war Re­con­struc­tion

Takakazu Ya­m­ag­ishi

World War II forced ex­ten­sive and com­pre­hen­sive so­cial and po­lit­i­cal changes on na­tions across the globe. This com­par­a­tive ex­am­i­na­tion of health in­sur­ance in the United States and Ja­pan dur­ing and af­ter the war ex­plores how WWII shaped the health­care sys­tems of both coun­tries. This book makes a strong case for treat­ing to­tal war as a cen­tral fac­tor in un­der­stand­ing how the health in­sur­ance sys­tems of the two na­tions grew, while bear­ing in mind the dual na­ture of govern­ment in­ter­ven­tion – how­ever slight – in health­care.

Health In­sur­ance To­day: A Prac­ti­cal Ap­proach, 3rd ed.

Janet I. Beik

This pro­vides case stud­ies for each of the chap­ters cov­er­ing th­ese ma­jor pay­ers so you can learn how to ex­tract the in­for­ma­tion from the pa­tient's chart to com­plete the CMS-1500. You will learn to com­plete and sub­mit pa­per claims, but the em­pha­sis is on elec­tronic claims fil­ing, keep­ing you up-to-date on HIPAA, elec­tronic health records, and the lat­est in­dus­try stan­dards. Se­lect ex­er­cises on the com­pan­ion Evolve Re­source site lets you gain ex­pe­ri­ence en­ter­ing in­for­ma­tion into a prac­tice man­age­ment pro­gramme; pro­duc­ing an elec­tronic CMS-1500; and sub­mit­ting a claim elec­tron­i­cally.

Gov­ern­ing Manda­tory Health In­sur­ance Edited by Wil­liam D. Saved­off, Pablo Got­tret

This book ad­dresses the is­sues by analysing ex­pe­ri­ences from four coun­tries - Chile, Costa Rica, Es­to­nia, and the Nether­lands. It shows how gov­er­nance works in th­ese coun­tries and ex­tracts lessons for de­vel­op­ing coun­tries with manda­tory health in­sur­ance pro­grammes, fo­cus­ing on the mech­a­nisms for as­sur­ing sol­vency, fi­nan­cial pro­tec­tion, and health­care ser­vices of good qual­ity.

Health In­sur­ance De­mand And Health Risk Man­age­ment in Ru­ral China Yuan­sheng Jiang

Good health is widely be­lieved to be in­ti­mately as­so­ci­ated with eco­nomic growth and de­vel­op­ment. A num­ber of gov­ern­ments of de­vel­op­ing coun­tries have been com­bat­ing poverty and boost­ing de­vel­op­ment through pro­vid­ing ad­e­quate ac­cess to health­care. How­ever, de­vel­op­ing coun­tries have been con­strained by the limited gov­ern­men­tal rev­enue. Thus, ad­di­tional re­sources should be mo­bilised through ap­pro­pri­ate in­stru­ments. Health in­sur­ance is a highly prac­ti­cal in­stru­ment. How­ever, health in­sur­ance in ru­ral ar­eas is prob­lem­atic and the de­mand for pri­vate health in­sur­ance and com­mu­nity-based health in­sur­ance scheme is in­ad­e­quate. Tak­ing China as an ex­am­ple, this study es­ti­mates the de­mand for health in­sur­ance and analy­ses the health risk man­age­ment of ru­ral house­holds.

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