Carroll M S, Arnett R H
Health Care Financ Rev. 1981 Sep;3(1):55-87.
The private health insurance industry collected $55.9 billion in premiums in 1979 and returned $50.2 billion in benefits to its subscribers. Premiums rose 12.4 percent, slightly faster than in 1978 when premiums rose 11.4 percent, to $49.7 billion. Benefits rose 11.4 percent in 1979, down from the 12.6 rate in 1978. After operating expenses were deducted, the industry showed underwriting losses of $1.4 billion in 1979 and $1.5 billion in 1978. About 78 percent of the population was insured for hospital care, 76 percent for x-ray and laboratory examinations, and about 76 percent for surgical services in 1979. Smaller percentages had coverage for other types of care. An estimated 64 percent of the aged bought private hospital insurance, and about 43 percent bought surgical insurance, mostly to supplement Medicare benefits. An estimated 12 percent of persons under age 65 had no protection against the cost of hospital care either through private insurance or a public program such as Medicare or Medicaid.
1979年,私人医疗保险行业收取了559亿美元的保费,并向其订阅者返还了502亿美元的保险金。保费上涨了12.4%,略高于1978年的11.4%,达到497亿美元。1979年保险金上涨了11.4%,低于1978年12.6%的涨幅。扣除运营费用后,该行业在1979年出现了14亿美元的承保亏损,1978年为15亿美元。1979年,约78%的人口拥有住院护理保险,76%的人拥有X光和实验室检查保险,约76%的人拥有外科手术服务保险。其他类型护理的参保比例较低。估计64%的老年人购买了私立医院保险,约43%的人购买了外科手术保险,主要是为了补充医疗保险福利。估计12%年龄在65岁以下的人没有通过私人保险或医疗保险或医疗补助等公共项目获得住院护理费用的保障。