scholarly journals Advertising and Risk Selection in Health Insurance Markets

2015 ◽  
Vol 2015 (101) ◽  
pp. 1-50 ◽  
Author(s):  
Naoki Aizawa ◽  
◽  
You Suk Kim
Keyword(s):  
Health Insurance ◽  
Insurance Markets ◽  
Risk Selection ◽  
Health Insurance Markets

Contending with Risk Selection in Health Insurance Markets in Germany

2006 ◽  
Vol 7 (Supplement) ◽  
pp. 75-91 ◽  
Author(s):  
Jacob Glazer ◽  
Thomas G. McGuire
Keyword(s):  
Health Insurance ◽  
Risk Adjustment ◽  
Simple Approach ◽  
Insurance Markets ◽  
Risk Selection ◽  
Health Plans ◽  
Health Insurance Markets ◽  
The U.S

Abstract In many countries, competition among health plans or sickness funds raises issues of risk selection. Funds may discourage or encourage potential enrollees from joining, and these actions may have efficiency or fairness implications. This article reviews the experience in the U.S., and comments on the evidence for risk selection in Germany. There is little evidence that risk selection causes efficiency problems in Germany, but risk selection does lead to an inequality in contribution rates. A simple approach to equalizing contribution rates that does not involve risk adjustment is presented and discussed.

Risk Selection in Health Insurance Markets

2009 ◽  
pp. 253-291
Author(s):  
Peter Zweifel ◽  
Friedrich Breyer ◽  
Mathias Kifmann
Keyword(s):  
Health Insurance ◽  
Insurance Markets ◽  
Risk Selection ◽  
Health Insurance Markets

scholarly journals Supplementary health insurance as a tool for risk-selection in mandatory basic health insurance markets

2007 ◽  
Vol 2 (2) ◽  
pp. 173-192 ◽  
Author(s):  
FRANCESCO PAOLUCCI ◽  
ERIK SCHUT ◽  
KONSTANTIN BECK ◽  
STEFAN GREß ◽  
CARINE VAN DE VOORDE ◽  
...  
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Insurance Markets ◽  
Risk Selection ◽  
Policy Makers ◽  
Basic Health Insurance ◽  
Health Care Finance ◽  
Basic Health ◽  
Health Insurance Markets ◽  
Supplementary Health Insurance

Abstract:As the share of supplementary health insurance (SI) in health care finance is likely to grow, SI may become an increasingly attractive tool for risk-selection in basic health insurance (BI). In this paper, we develop a conceptual framework to assess the probability that insurers will use SI for favourable risk-selection in BI. We apply our framework to five countries in which risk-selection via SI is feasible: Belgium, Germany, Israel, the Netherlands, and Switzerland. For each country, we review the available evidence of SI being used as selection device. We find that the probability that SI is and will be used for risk-selection substantially varies across countries. Finally, we discuss several strategies for policy makers to reduce the chance that SI will be used for risk-selection in BI markets.

scholarly journals Selection in Health Insurance Markets and Its Policy Remedies

2017 ◽  
Vol 31 (4) ◽  
pp. 23-50 ◽  
Author(s):  
Michael Geruso ◽  
Timothy J. Layton
Keyword(s):  
Health Insurance ◽  
State Level ◽  
Decision Makers ◽  
Insurance Markets ◽  
Risk Selection ◽  
Medicare Advantage ◽  
Medium Term ◽  
Health Insurance Markets ◽  
The Common ◽  
Care Costs

Selection (adverse or advantageous) is the central problem that inhibits the smooth, efficient functioning of competitive health insurance markets. Even—and perhaps especially—when consumers are well-informed decision makers and insurance markets are highly competitive and offer choice, such markets may function inefficiently due to risk selection. Selection can cause markets to unravel with skyrocketing premiums and can cause consumers to be under- or overinsured. In its simplest form, adverse selection arises due to the tendency of those who expect to incur high health care costs in the future to be the most motivated purchasers. The costlier enrollees are more likely to become insured rather than to remain uninsured, and conditional on having health insurance, the costlier enrollees sort themselves to the more generous plans in the choice set. These dual problems represent the primary concerns for policymakers designing regulations for health insurance markets. In this essay, we review the theory and evidence concerning selection in competitive health insurance markets and discuss the common policy tools used to address the problems it creates. We emphasize the two markets that seem especially likely to be targets of reform in the short and medium term: Medicare Advantage (the private plan option available under Medicare) and the state-level individual insurance markets.

Community Rating And Sustainable Individual Health Insurance Markets In New Jersey

2004 ◽  
Vol 23 (4) ◽  
pp. 167-175 ◽  
Author(s):  
Alan C. Monheit ◽  
Joel C. Cantor ◽  
Margaret Koller ◽  
Kimberley S. Fox
Keyword(s):  
Health Insurance ◽  
New Jersey ◽  
Insurance Markets ◽  
Community Rating ◽  
Individual Health ◽  
Health Insurance Markets
Sign in / Sign up

Export Citation Format

Share Document