Community Rating in Markets for Lemons

2020 ◽  
Author(s):  
Andre Veiga
Keyword(s):  

2004 ◽  
Vol 23 (4) ◽  
pp. 167-175 ◽  
Author(s):  
Alan C. Monheit ◽  
Joel C. Cantor ◽  
Margaret Koller ◽  
Kimberley S. Fox


2012 ◽  
Vol 29 (2) ◽  
pp. 419-446 ◽  
Author(s):  
Anil K. Bera ◽  
Aurobindo Ghosh ◽  
Zhijie Xiao

The two-sample version of the celebrated Pearson goodness-of-fit problem has been a topic of extensive research, and several tests like the Kolmogorov-Smirnov and Cramér-von Mises have been suggested. Although these tests perform fairly well as omnibus tests for comparing two probability density functions (PDFs), they may have poor power against specific departures such as in location, scale, skewness, and kurtosis. We propose a new test for the equality of two PDFs based on a modified version of the Neyman smooth test using empirical distribution functions minimizing size distortion in finite samples. The suggested test can detect the specific directions of departure from the null hypothesis. Specifically, it can identify deviations in the directions of mean, variance, skewness, or tail behavior. In a finite sample, the actual probability of type-I error depends on the relative sizes of the two samples. We propose two different approaches to deal with this problem and show that, under appropriate conditions, the proposed tests are asymptotically distributed as chi-squared. We also study the finite sample size and power properties of our proposed test. As an application of our procedure, we compare the age distributions of employees with small employers in New York and Pennsylvania with group insurance before and after the enactment of the “community rating” legislation in New York. It has been conventional wisdom that if community rating is enforced (where the group health insurance premium does not depend on age or any other physical characteristics of the insured), then the insurance market will collapse, since only older or less healthy patients would prefer group insurance. We find that there are significant changes in the age distribution in the population in New York owing mainly to a shift in location and scale.



1981 ◽  
Vol 48 (4) ◽  
pp. 610 ◽  
Author(s):  
Roger L. Pupp




2021 ◽  
Vol 3 ◽  
Author(s):  
Ofer Tchernichovski ◽  
Seth Frey ◽  
Nori Jacoby ◽  
Dalton Conley

To solve the problems they face, online communities adopt comprehensive governance methods including committees, boards, juries, and even more complex institutional logics. Helping these kinds of communities succeed will require categorizing best practices and creating toolboxes that fit the needs of specific communities. Beyond such applied uses, there is also a potential for an institutional logic itself to evolve, taking advantage of feedback provided by the fast pace and large ecosystem of online communication. Here, we outline an experimental strategy aiming at guiding and facilitating such an evolution. We first review the advantages of studying collective action using recent technologies for efficiently orchestrating massive online experiments. Research in this vein includes attempts to understand how behavior spreads, how cooperation evolves, and how the wisdom of the crowd can be improved. We then present the potential usefulness of developing virtual-world experiments with governance for improving the utility of social feedback. Such experiments can be used for improving community rating systems and monitoring (dashboard) systems. Finally, we present a framework for constructing large-scale experiments entirely in virtual worlds, aimed at capturing the complexity of governance dynamics, to empirically test outcomes of manipulating institutional logic.



1994 ◽  
Vol 8 (3) ◽  
pp. 3-11 ◽  
Author(s):  
Joseph P Newhouse

The papers in this symposium focus on two major issues of health economics in the context of President Clinton's Health Security Act: cost containment and labor market effects of financing insurance. The act proposes to limit public and private spending; a key issue is the extent to which, without a limit but with a standardized basic plan, supplementary insurance will exist to allow scope for individual choice. The act's financing will have an ambiguous effect on labor supply but will encourage formation of small, low-wage firms. Several features, including community rating and standardization of dependent coverage, imply substantial redistribution.



2002 ◽  
Vol 25 (6) ◽  
pp. 33 ◽  
Author(s):  
James R G Butler

From the introduction of Australia's national health insurance scheme (Medicare) in 1984 until recently, the proportion of the population covered by private health insurance declined steadily. Following an Industry Commission inquiry into the private health insurance industry in 1997,a number of policy changes were effected in an attempt to reverse this trend. The main policy changes were of two types: "carrots and sticks" financial incentives that provided subsidies for purchasing, or tax penalties for not purchasing, private health insurance; and lifetime community rating, which aimed to revise the community rating regulations governing private health insurance in Australia. This paper argues that the membership uptake that has occurred recently is largely attributable to the introduction of lifetime community rating which goes some way towards addressing the adverse selection associated with the previous community rating regulations. This policy change had virtually no cost to government. However, it was introduced after subsidies for private health insurance were already in place. The chronological sequencing of these policies has resulted in substantial increases in government expenditure on private health insurance subsidies, with such increases not being a cause but rather an effect of increased demand for private health insurance.The paper also considers whether the decline in membership that has occurred since the implementation of lifetime community rating presages the re-emergence of an adverse selection problem in private health insurance. Much of the decline to date may be attributable to failure on the part of some members to honour premium payments when they first fell due. However, the changing age composition of the insured pool since September 2000,resulting in an increasing average age of those insured, suggests the possible reappearance of an adverse selection dynamic. Thus the 'trick' delivered by lifetime community rating may not be maintained in the longer term.



1992 ◽  
Vol 11 (3) ◽  
pp. 271-271
Author(s):  
C. G. McLaughlin ◽  
W. K. Zellers
Keyword(s):  


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