Medical Savings Accounts in publicly funded health care systems: enthusiasm versus evidence.

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  • Author(s): Shortt SE;Shortt SE
  • Source:
    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne [CMAJ] 2002 Jul 23; Vol. 167 (2), pp. 159-62.
  • Publication Type:
    Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Canadian Medical Association Country of Publication: Canada NLM ID: 9711805 Publication Model: Print Cited Medium: Print ISSN: 0820-3946 (Print) Linking ISSN: 08203946 NLM ISO Abbreviation: CMAJ Subsets: MEDLINE
    • Publication Information:
      Publication: Ottawa : Canadian Medical Association
      Original Publication: [Ottawa] : The Association = L'Association, [1985]-
    • Subject Terms:
      Financing, Government* ; Health Services Research*; Medical Savings Accounts/*economics ; National Health Programs/*economics; Canada ; China ; Cost Control ; Cost Sharing ; Deductibles and Coinsurance ; Evidence-Based Medicine ; Medicare ; Private Sector/economics ; Singapore ; Socioeconomic Factors ; United States
    • Abstract:
      Medical Savings Accounts (MSAs) have been suggested as a possible solution to Canada's health care funding woes. This approach is intended to reduce demand for health services by making individuals financially responsible for their pattern of consumption. MSAs may have appeal in the private insurance industry. A review of the scant literature on the experience in the public systems of Singapore and China, where such plans have been implemented, and on a simulation using United States Medicare data, suggests that the approach alone has not controlled costs and may increase inequalities in publicly funded systems. The conclusion is that current knowledge of MSAs is too limited to recommend their incorporation into the Canadian health care system.
    • Comments:
      Comment in: CMAJ. 2002 Jul 23;167(2):151-2. (PMID: 12160121)
      Comment in: CMAJ. 2002 Jul 23;167(2):152-3. (PMID: 12160122)
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    • Publication Date:
      Date Created: 20020806 Date Completed: 20020927 Latest Revision: 20240322
    • Publication Date:
      20240322
    • Accession Number:
      PMC117096
    • Accession Number:
      12160125