Estimating the Uninsured Costs of Work-related Accidents


Book Description

Background Work-related accidents and their associated costs have been a serious concern for management, especially as statistics show that there is no clear relationship between the frequency of injuries and the costs of accidents. Methods A systematic appraisal of available literature was conducted to identify the best approaches to the classification and estimation of insured and uninsured components of work-related accident costs. The appraisal seeks to identify meaningful components and predictors of the cost of accidents. One part of our research specifically focused on the construction industry. The paper proposes a quantitative model to represent the real behaviour of the cost of accidents. A logarithmic distribution is proposed to represent the uninsured cost as a function of the severity of the accident and the occupation of the workforce exposed. Point estimates for administrative costs and production losses are obtained based on a generic case in order to quantify the equation in terms of monetary value. Results The selected publications introduced different methods to aggregate the cost of accidents but failed to provide an explanation of the relationship between the nature of accidents and their associated cost. Only three studies explored both insured and uninsured components and only four utilized incidence-based models. There is a need to move beyond linear ratios as predictors of the uninsured cost of accidents. Based on the exponential behaviour, it is possible to simplify the information required to provide an interval estimate of the cost of accidents. An aggregated study of the cost of accidents is used to allocate cost factors for each different component. For a given workforce composition, it is possible to obtain uninsured cost intervals that range from 0 to 3.5 times the insured costs. The evidence supports a logarithmic relationship between uninsured and insured costs, contrary to the principle of linear ratios. Conclusions An incidence-based method would best represent the nature of accidents. The proposed model requires only basic information about the accident: the severity of the injury and the composition of the workforce exposed. The value added from the model is not only an interval range for the insured costs but also the financial contribution of safety programs to the workplace that is often ignored by employers. This model is applicable in all industries, including the construction industry.







Costs of Occupational Injuries and Illnesses


Book Description

As the debate over health care reform continues, costs have become a critical measure in the many plans and proposals to come before us. Knowing costs is important because it allows comparisons across such disparate health conditions as AIDS, Alzheimer's disease, heart disease, and cancer. This book presents the results of a major study estimating the large and largely overlooked costs of occupational injury and illness--costs as large as those for cancer and over four times the costs of AIDS. The incidence and mortality of occupational injury and illness were assessed by reviewing data from national surveys and applied an attributable-risk-proportion method. Costs were assessed using the human capital method that decomposes costs into direct categories such as medical costs and insurance administration expenses, as well as indirect categories such as lost earnings and lost fringe benefits. The total is estimated to be $155 billion and is likely to be low as it does not include costs associated with pain and suffering or of home care provided by family members. Invaluable as an aid in the analysis of policy issues, Costs of Occupational Injuryand Illness will serve as a resource and reference for economists, policy analysts, public health researchers, insurance administrators, labor unions and labor lawyers, benefits managers, and environmental scientists, among others. J. Paul Leigh is Professor in the School of Medicine, Department of Epidemiology and Preventive Medicine, University of California, Davis. Stephen Markowitz, M.D., is Professor in the Department of Community Health and Social Medicine, City University of New York Medical School. Marianne Fahs is Director of the Health Policy Research Center, Milano Graduate School of Management and Urban Policy, New School University. Philip Landrigan, M.D., is Wise Professor and Chair of the Department of Community Medicine, Mount Sinai Medical Center, New York.







Estimating the Cost of Work-related Accidents and Ill-health


Book Description

The European Agency for Safety and Health at work (EU-OSHA) aims to estimate the costs of accidents at work, work-related health problems and work-related deaths in Europe. The first step towards achieving this objective entails the production of an overview of the availability and quality of the national and international data sources required for the development of such a European-level cost calculation. The current report presents these results. The availability of relevant data was checked at the international as well as the national level in the 28 Member States of the European Union (EU-28), Iceland and Norway. Data were collected with the assistance of country experts who were asked to complete forms relating to sources of cases and costs of accidents at work and work-related health problems. The resulting data were assessed against predefined quality criteria. The cost assessment was limited to an overview of availability of data. Having assessed the coverage and quality of the available data sources, it became apparent that there were insufficient data to determine cases of the work-related burden of disease at the European level. There is a paucity of robust, reliable data relating to accidents at work and work-related health problems. With regard to costs, we found that direct healthcare costs can be deduced from international data sources. Calculating indirect costs, however, would be challenging, as data relating to several additional costs and the friction period are missing. Based on the available data sources on gross salary, we recommend adopting the human capital approach. An essential prerequisite for the use of such an approach, however, is that the number of missed work days can be estimated. Despite the lack of data, some of the gaps may be filled through estimation. Suggestions for an approach to doing so can be based on the following observations: - In some countries the availability of data sources appears to be reasonably sound and may be sufficient to carry out a cautious estimation. Subsequently, these results may be used to estimate the costs in other countries with comparable structures. - Through a combination of figures on the work-related fraction of diseases, incidence and prevalence of these diseases, and costs associated with such diseases, a cost estimation may be feasible for some specific work-related diseases. - Since much research has been done on the impact of certain risk factors on specific health problems, and figures on the occurrence of certain risk factors are also available, a cost estimation by risk factor seems feasible. An approach like this may allow a partial cost estimation. However, an estimate of the total burden of work-related disease would require a considerable number of assumptions to be made.




The Costs of Accidents at Work


Book Description

This revised version of HS(G)96 (0 7176 1343 7) continues to publicizes the message that most companies do not realize the extent of their losses due to accidents. It emphasizes that there is no contradiction between profitability and good health and safety mnagement. TUC figures show that unions secured damage awards totalling 304m for workplace injuries and ill health to their members in 1995. The revision is aimed primarily at management and applies to all industries. It repalces 0 7176 1343 7, with the same series number.




Coverage Matters


Book Description

Roughly 40 million Americans have no health insurance, private or public, and the number has grown steadily over the past 25 years. Who are these children, women, and men, and why do they lack coverage for essential health care services? How does the system of insurance coverage in the U.S. operate, and where does it fail? The first of six Institute of Medicine reports that will examine in detail the consequences of having a large uninsured population, Coverage Matters: Insurance and Health Care, explores the myths and realities of who is uninsured, identifies social, economic, and policy factors that contribute to the situation, and describes the likelihood faced by members of various population groups of being uninsured. It serves as a guide to a broad range of issues related to the lack of insurance coverage in America and provides background data of use to policy makers and health services researchers.




Care Without Coverage


Book Description

Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.




Hidden Costs, Value Lost


Book Description

Hidden Cost, Value Lost, the fifth of a series of six books on the consequences of uninsurance in the United States, illustrates some of the economic and social losses to the country of maintaining so many people without health insurance. The book explores the potential economic and societal benefits that could be realized if everyone had health insurance on a continuous basis, as people over age 65 currently do with Medicare. Hidden Costs, Value Lost concludes that the estimated benefits across society in health years of life gained by providing the uninsured with the kind and amount of health services that the insured use, are likely greater than the additional social costs of doing so. The potential economic value to be gained in better health outcomes from uninterrupted coverage for all Americans is estimated to be between $65 and $130 billion each year.