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Managed care, AIDS, and the politics of risk

Article Abstract:

AIDS and health care financing are interrelated issues and the political aspects of each impact the other. Managed care is about the calculation and assignment of economic risk. AIDS complicates this process because HIV-infected patients follow varying courses, it is difficult to predict who will contract the infection, and future treatments and prognosis are unknown. The economic risks of health care financing are shunned by the government, employers, medical providers, and consumers. Noneconomic risks include proposed controls on insurers and health professionals that induce consumer fears of rationing or diminished quality. These economic and noneconomic risks carry political risks for the government and the health care market. AIDS complicates these political risks because it is costly and infection rates differ geographically and demographically. Political risks also impede open discussions about HIV prevention.

Economic aspects, Political aspects, Managed care plans (Medical care), Health care reform, AIDS (Disease)

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Medical savings accounts

Article Abstract:

Medical savings accounts (MSAs) can be an effective way of financing medical services. Tax-free bank accounts, MSAs are used by individuals or families to cover approved medical or health insurance costs and can be effectively coupled with high-deductible health insurance. Advantages of MSAs include having medical coverage regardless of employment status, personal control over the account, an awareness of healthcare costs and a incentive to stay healthy. Low-income persons may not be able to afford these accounts and could be at risk for reduced healthcare services.

Evaluation, Savings accounts

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Twenty years into the HIV epidemic, do we CARE enough to manage it well?

Article Abstract:

Pres. George W. Bush has not approved an increase in funding for the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act and may even transfer some services provided under CARE to faith-based organizations. This could eliminate AIDS services for many poor patients.

United States, Editorial, Laws, regulations and rules, HIV infection, HIV infections

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