Catastrophic Health Insurance

David D. Rutstein; Arthur Mazer; Steven S. Sharfstein; Benjamin Liptzin; John Rafferty; Mark Hornbrook; George H. Harris; Harry B. Wissmann

doi:10.1056/NEJM197602052940627

Catastrophic Health Insurance

David D. Rutstein, Arthur Mazer, Steven S. Sharfstein, Benjamin Liptzin, John Rafferty, Mark Hornbrook, George H. Harris, Harry B. Wissmann

School of Medicine

Research output: Contribution to journal › Letter

Abstract

To the Editor: The interpretation of the meticulous studies reported in “Impact of Nationwide Catastrophic Health Insurance,” in the editorial by Harris and Wissmann (N Engl J Med 293:721–722, 1975), is based on an untenable assumption. It assumes that if Congress enacts legislation that is restricted to catastrophic health insurance, the definition of a medical catastrophe will not change. Past experience with hospital insurance that does not cover ambulatory care — e.g., many Blue Cross-Blue Shield contracts — has clearly demonstrated that the insurance coverage has unnecessarily shifted many vertical ambulatory-care patients into the more expensive horizontal treatment in.

Original language	English (US)
Pages (from-to)	346-348
Number of pages	3
Journal	New England Journal of Medicine
Volume	294
Issue number	6
DOIs	https://doi.org/10.1056/NEJM197602052940627
State	Published - Feb 5 1976

ASJC Scopus subject areas

Medicine(all)

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10.1056/NEJM197602052940627

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Cite this

Rutstein, D. D., Mazer, A., Sharfstein, S. S., Liptzin, B., Rafferty, J., Hornbrook, M., Harris, G. H., & Wissmann, H. B. (1976). Catastrophic Health Insurance. New England Journal of Medicine, 294(6), 346-348. https://doi.org/10.1056/NEJM197602052940627

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AU - Rutstein, David D.

AU - Mazer, Arthur

AU - Sharfstein, Steven S.

AU - Liptzin, Benjamin

AU - Rafferty, John

AU - Hornbrook, Mark

AU - Harris, George H.

AU - Wissmann, Harry B.

PY - 1976/2/5

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AB - To the Editor: The interpretation of the meticulous studies reported in “Impact of Nationwide Catastrophic Health Insurance,” in the editorial by Harris and Wissmann (N Engl J Med 293:721–722, 1975), is based on an untenable assumption. It assumes that if Congress enacts legislation that is restricted to catastrophic health insurance, the definition of a medical catastrophe will not change. Past experience with hospital insurance that does not cover ambulatory care — e.g., many Blue Cross-Blue Shield contracts — has clearly demonstrated that the insurance coverage has unnecessarily shifted many vertical ambulatory-care patients into the more expensive horizontal treatment in.

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