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  • The United States spends nearly twice as much per capita on health care as several OECD countries. Based on previous research, universal health care decreases the total health care expenditure due to the single-payer system; it is still unknown whether a mixed health care system has superiority. In this study, we compare and evaluate both quality of care and administrative costs among six developed countries, upon three groups: single-payer universal health care system (Australia and Canada), two-tier health care system (France and Japan), and insurance mandate health care system (Switzerland and the US). The results show that both single-payer system and two-tier system are superior to insurance mandate system on health insurance administration costs. Also, regarding insurance mandate system, the healthcare system in Switzerland is more efficient than that in the US. So, we conclude that it is possible for the US to choose a diverse healthcare system, instead of focusing on one system, to trim the healthcare administration cost and improve the quality of care for the entire country.

  • Selecting the appropriate, reasonable, and affordable health insurance plan becomes a very important question to solve for both employers and employees. Our research tries to locate the factors determining private sector health insurance plan enrolment decision, and also provides a guideline to both private companies and employees on health insurance plan selection strategies. By using Kaiser Family Foundation Annual Employer Health Benefits Survey (KFF EHBS) data, we apply random decision forest machine learning methodology to study the determinants of employees' health insurance selection, as well as to compare the prediction accuracy among different methodologies. The results indicate: 1) the employees at large firms and the firms with higher eligible rate would tend to choose PPO plan; 2) employees who need family coverage would have different choices comparing employees who seek for single coverage only; 3) employer's contribution and annual total contribution to the health insurance plan are the most important determinants on employees' insurance selection. The conclusion also can provide some suggestions to insurance companies on health insurance package design for different types of employers and employees.

Last update from database: 3/13/26, 4:15 PM (UTC)

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