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The Role of Evidence in the Consensus Process: Results from a Canadian Consensus Exercise

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S:\users\wilcocks\CHEPA WEB PAGE\chepa wp 01-11.wpd CHEPA WORKING PAPER SERIES Paper 01-11 Medical Savings Accounts in Publicly Financed Health Care Systems: What Do We Know? J. Hurley Centre for Health Economics and Policy Analysis NOT FOR CITATION WITHOUT PERMISSION Medical Savings Accounts in Publicly Financed Health Care Systems: What Do We Know? Jeremiah Hurley, Ph.D. Centre for Health Economics and Policy Analysis and Department of Economics McMaster University Address Correspondence to: Jeremiah Hurley, Ph.D. Department of Economics Kenneth Taylor Hall - Rm 430 McMaster University 1280 Main Street West Hamilton, Ontario L8S 4M4 Fax: 905-521-8232 E-mail: [email protected] Financial support for this paper was provided by the Canadian Institutes of Health Research and by the Canadian Health Services Research Foundation. Background research on MSAs was done as part of a project on public and private roles in health care finances funded by Health Canada (6606/06/2000/2590194). I would also like to acknowledge the financial support of the Ontario Ministry of Health to the Centre for Health Economics and Policy Analysis. I would like the thank Morris Barer, Jonathan Lomas, and Steve Morgan for helpful comments. All views expressed herein are my own and are not intended to represent the views of the above organizations or individuals. Cite as: J. Hurley. Medical Savings Accounts in Publicly Financed Health Care Systems: What Do we Know?, McMaster University Centre for Health Economics and Policy Analysis. Research Working Paper 01-12, December 2001. Medical Savings Accounts in Publicly Financed Health Care Systems: What Do We Know? CHEPA Working Paper Series 01-11 2 Executive Summary Medical Savings Accounts (MSAs) are a method of financing health care that includes two essential features: C an individual (or household)-specific account whose balances are earmarked for health care expenses; C a high-deductible, catastrop

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