scholarly journals Development of regional market of corporate voluntary health insurance: The case of St. Petersburg

2021 ◽  
Vol 20 (2) ◽  
pp. 165-191
Author(s):  
Natalia P. Drozdova ◽  
◽  
Oksana A. Marycheva ◽  
Tatiana M. Sklyar ◽  
◽  
...  
Keyword(s):  
Labor Market ◽  
Health Insurance ◽  
Well Being ◽  
Insurance Market ◽  
Leningrad Region ◽  
Voluntary Health Insurance ◽  
Insurance Policies ◽  
Regional Market ◽  
Health Insurance Market ◽  
International Companies

The paper discusses a pilot study aimed to identify the factors of development of the regional market for corporate voluntary health insurance in St. Petersburg during the period from 2015 to 2018. Based on the review of scientific works of Russian and foreign authors as well as the analysis of international experience, the key factors influencing the functioning of the corporate voluntary health insurance market are identified including the economic development of the region, demographic situation, changes in the labor market, accessibility of medical care, and personal characteristics of the insured. The results of quantitative modeling showed that the development of the corporate voluntary health insurance market in St. Petersburg is influenced by the factors related to the economic well-being of the region and the state of labor market. Such factors as the average per capita income of the population, the unemployment rate as well as the index of prices and tariffs for paid medical services turned out to be significant. In addition, a qualitative analysis of the demand for corporate voluntary health insurance was carried out. The analysis of a structured survey Russian and international companies managers proved the following assumptions: voluntary health insurance policies are more often offered to employees of large and medium-sized organizations operating mainly in Moscow and the Moscow region compared to companies whose main number of employees work in St. Petersburg and the Leningrad Region; international companies are more likely to provide voluntary health insurance policies to their employees than Russian ones. The study offers practical recommendations to stakeholders — the authorities, insurers and employers.

scholarly journals Issue of Adverse Selection in Health Insurance Market in Assam

2020 ◽  
Vol 8 (5) ◽  
pp. 1917-1920
Keyword(s):  
Health Insurance ◽  
Health Status ◽  
Asymmetric Information ◽  
Adverse Selection ◽  
Market Failure ◽  
Insurance Market ◽  
Poor People ◽  
Insurance Company ◽  
Insurance Policies ◽  
Health Insurance Market

Health insurance acts as an important support system, which protects the health as well as the wealth of people. But health insurance is hardly present in developing countries and in many countries it is totally absent. Presence of asymmetric information among the buyers and sellers makes the insurance market more complicated. Due to which insurance companies finds it is difficult to enter into the insurance market and eventually leads to market failure. To get rid of this problem insurance company increased the price of insurance policies. This has more impact on the poor people as they cannot meet their medical expenses. Adverse selection is the one of issues related to asymmetric information. This paper tries to examine the presence of adverse selection in health insurance market in Assam and about the various factors that influence on decision to buy an insurance policy. Based on primary survey this study used a probit model to analyses the presence of adverse selection in health insurance market. Findings of the study shows that adverse selection is absent in health insurance market but income is found to be an important determinant of insurance coverage. About one third of the population in Assam is living below poverty line and the cost of medical is too higher for the people. So health insurance is necessary in recent time to improve the health status of people in Assam. Therefore government should provide health insurance policies for poor people to improve their health status.

scholarly journals Voluntary health insurance as a source of funding for the health care system: the world’s experience and Ukraine

2020 ◽  
Vol 11 (1) ◽  
pp. 61-80
Author(s):  
Fedir Zhuravka ◽  
Olena Zhuravka ◽  
Eugenia Bondarenko
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care System ◽  
The State ◽  
Insurance Market ◽  
Voluntary Health Insurance ◽  
Insurance Sector ◽  
Potential Capacity ◽  
Health Insurance Market ◽  
Care System

In the conditions of insufficient budgetary financing of the health care system and low quality of medical care in the state medical establishments of Ukraine, the importance of extra-budgetary sources of financing becomes increasingly relevant. One such source is voluntary health insurance. The aim of the paper is to compare the state and structure of medical financing in developed countries and in Ukraine, to study the global experience in the functioning of the voluntary health insurance market, and to calculate the potential capacity of the voluntary health insurance sector in Ukraine. For mathematical calculations, 20 absolute indicators of the state of the voluntary health insurance sector, as well as macroeconomic indicators, were used. The annual values of absolute indicators for the period 2010–2019 were used in forming the array of input data. Based on the experience of foreign countries, the paper substantiates the development of the voluntary health insurance in Ukraine as an extra-budgetary source of health care funding. The capacity of the voluntary health insurance sector was defined by the authors as the maximum possible amount of insurance premiums that insurers can receive in the process of selling voluntary health insurance products. The calculations made it possible to conclude that the voluntary health insurance market in Ukraine has the potential for development, as evidenced by the predominance of the potential capacity of the voluntary health insurance segment over its real indicator.

scholarly journals The Factors of Influence on the Development of Voluntary Health Insurance

2021 ◽  
Vol 4 (519) ◽  
pp. 243-249
Author(s):  
D. V. Kondratenko ◽  
◽  
V. V. Hromakova ◽  
Keyword(s):  
Health Insurance ◽  
Incidence Rates ◽  
Insurance Market ◽  
Voluntary Health Insurance ◽  
Tax Legislation ◽  
Current State ◽  
Factors Influencing ◽  
Factors Of Influence ◽  
Micro Insurance ◽  
Health Insurance Market

The article is aimed at studying the theoretical and practical aspects of factors influencing the development of voluntary health insurance (VHI) in Ukraine. The place and indicators of development of the health insurance market in Ukraine for 2012-2019 are researched. The dynamics of health insurance market indicators based on the amount of gross insurance premiums and payments is analyzed; it is proved that voluntary health insurance (continuous health insurance) is characterized by growth during the last five years. The factors that significantly influenced the development of the market and the current state of voluntary health insurance, in particular the COVID-19 pandemic, the economic crisis, high incidence rates of insured persons, the significant cost of an insurance medical policy, the lack of tax preferences for business regarding medical social packages and the lack of specialized educational institutions on the VHI, are determined. The classification of factors of influence on the development of voluntary health insurance according to the level of their occurrence is carried out, and it is determined that the following factors have the greatest force of influence on the VHI: deterioration of solvency of potential insurers; pricing in the medical market; excessive tax burden for legal entities. It is substantiated that the indisputable way of motivating the introduction of voluntary health insurance is to amend the tax legislation of Ukraine; micro insurance is proposed as a basis for the development of voluntary health insurance. Prospects for further research lie in the study of factors influencing the development of micro insurance in the country.

scholarly journals Current state of voluntary medical insurance in Ukraine

2021 ◽  
Vol 70 (3) ◽  
pp. 79-88
Author(s):  
M. Myhailyuk ◽  
T. Roman ◽  
Ya. Tanchak
Keyword(s):  
Health Insurance ◽  
Private Insurance ◽  
Medical Insurance ◽  
Insurance Market ◽  
Insurance Companies ◽  
Insurance Premiums ◽  
Voluntary Health Insurance ◽  
Advantages And Disadvantages ◽  
Current State ◽  
Health Insurance Market

The current state of voluntary health insurance in Ukraine is analyzed in this paper. The place of voluntary medical insurance in the insurance market of Ukraine is determined. The essence, purpose, objectives, features, advantages and disadvantages of voluntary health insurance as one of the funding sources for medical sector are considered as well. The programs under which voluntary health insurance is currently implemented are listed, these are mainly personal and corporate ones. The main tendencies are investigated, relative indicators of the functioning level of voluntary health insurance market are calculated. The problems of voluntary health insurance are identified and measures for such insurance development in Ukraine are proposed. Our investigation is devoted, particularly, to the identification of the main problems in the development of voluntary health insurance in Ukraine. The authors investigated the availability of voluntary health insurance for population, analyzed the state of industry reforming in a certain period and substantiated the consequences of the reform impact on the voluntary health insurance market in Ukraine. The dynamics of the health insurance market indicators is analyzed on the basis of the size of gross insurance premiums and payments, as well as the calculated indicator - the insurance payments coefficient. In particular, insurance payments for voluntary health insurance in the regional context, by regions in individual insurance companies for a certain period of time are analyzed. The method of compiling the rating of insurers on the basis of insurance premiums and payments is proposed. It is determined that the level of medical services is growing, as well as the trust in voluntary health insurance in Ukraine. The main problems of the voluntary health insurance system functioning are highlighted and recommendations for improving the quality and availability of health insurance in Ukraine are proposed. These recommendations take into account a set of economic, legal and social factors of the insurance market development. Measures for state authorized bodies and private insurance companies that provide the extension of voluntary health insurance in Ukraine are proposed.

scholarly journals Development of the voluntary health insurance market in Ukraine

2021 ◽  
Vol 2 (2) ◽  
pp. 83-91
Author(s):  
Olena Zhuravka ◽  
Katherina Daher ◽  
Irina Bosak
Keyword(s):  
Health Insurance ◽  
Research Topic ◽  
Insurance Market ◽  
Market Development ◽  
External Funding ◽  
Voluntary Health Insurance ◽  
Funding Sources ◽  
Health Funding ◽  
Health Insurance Market ◽  
Promising Source

This paper is aimed to study the development trends of the domestic voluntary health insurance market. The authors analyzed the current state of the domestic voluntary health insurance market by its types. In the study framework, the main tendencies were determined, while the relative ratios of voluntary health insurance market functioning were calculated. Health insurance has a great potential to be a promising source of additional funding for medicine in Ukraine. However, the systematization of scientific sources indicated that unresolved issues of further development of health insurance and the search for effective external funding sources for medicine in Ukraine, one of which may be the market of voluntary health insurance. This research’s urgency consists of insufficient healthcare budgetary funding and low healthcare quality, provoking external funding sources’ growth in national healthcare facilities such as voluntary health insurance. The study of the features of the voluntary health insurance market development was carried out in the following logical sequence: determining the relevance of the research topic; investigating the scientific background on the research topic; establishing the methodological basis; analyzing the indicators of voluntary medical insurance market development; considering the structure of health funding sources in Ukraine and some countries of Eastern Europe. The authors determined a need to develop voluntary health insurance in Ukraine as an external health funding source based on the findings. The conclusions and recommendations were formed. The study involved the methods of deduction and induction, analogy and comparative analysis, graphical method, method of statistical comparison. The research object is the voluntary health insurance market in Ukraine. The research period is 2012-2020. The obtained results indicated that the voluntary health insurance market is undoubtedly an essential component of the Ukrainian insurance market. The authors noted that it is an effective additional way for actual funding the social needs in medicine. Therefore, it calls for further in-depth study and more attention from the population. The results of this study could be helpful for scientists, health and insurance professionals.

scholarly journals Assessment of the competitive environment of the health insurance market

2019 ◽  
Vol 17 (2) ◽  
pp. 541-549 ◽  
Author(s):  
Olga Kneysler ◽  
Olha Kryvytska ◽  
Lesia Shupa ◽  
Iryna Huzela
Keyword(s):  
Health Insurance ◽  
Complex Analysis ◽  
Market Competition ◽  
Methodological Approach ◽  
Insurance Market ◽  
Competitive Environment ◽  
Sickness Insurance ◽  
Voluntary Health Insurance ◽  
Advantages And Disadvantages ◽  
Health Insurance Market

The main purpose of this investigation is to distinguish the problematic tendencies of the health insurance market development in Ukraine and the competitive positions of the leading insurance companies on it. Accordingly, the issues of complex analysis of key indicators of the insurers’ competitiveness, and the issues of establishing the factors that determine the level of competition in the market become very urgent. The first 30 insurers out of 50 were taken for the study, and they received about 90% of insurance premiums for voluntary health insurance in Ukraine in 2017. The authors have made the assessment of the competitive environment of the health insurance market of Ukraine using the concentration index and the indicator of market competition, which resulted in defining the advantages and disadvantages of their application. Taking into account that the abovementioned indicators for assessing the competition in the insurance market can provide only approximate results, which indicates the inadequacy of the conclusions about the effectiveness of business processes management on it, the authors offered a scientific methodological approach to assessing the market environment with the use of an integrated indicator of the voluntary health insurance market competitiveness. Herewith, such an integrated indicator is calculated in terms of three segments of the market: sickness insurance; voluntary medical insurance (continuous health insurance); medical expenses insurance, simultaneously taking into account the behavior of two indicators – concentration and market competition. As a result of the research, it was found that the highest level of market concentration is typical for sickness insurance and it indicates a high monopoly in the market in terms of this segment. Thus, the integrated indicator allows to make a comprehensive investigation of market behavior of the market participants and to reveal the problematic tendencies of its competitive environment.

scholarly journals ržište privatnog zdravstvenog osiguranja u debatama o reformi zdravstvenog sistema u postsocijalističkim zemljama

2021 ◽  
Vol 20 (01) ◽  
pp. 55-62
Author(s):  
Zdravko Šolak
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care System ◽  
Social System ◽  
Social Transformation ◽  
Insurance Market ◽  
Limiting Factors ◽  
Voluntary Health Insurance ◽  
Health Care Funding ◽  
Health Insurance Market

Debates on the reform of health care fi nancing in the former socialist countries during the period of social transformation were conducted as part of a wider debate regarding changes in the overall social system. Existing financing models and innovative measures were reviewed. As part of such discussions, the voluntary health insurance market also received a lot of the attention. Diff erent views were expressed in the debates that were conducted during the 1990s, from seeing a suitable supplementary source of health care funding to those who highlighted the constraints in its implementation and modest results that can be expected. As one of the criteria for assessing the suitability of this mechanism, we could review what has been achieved so far in its application. Th e paper looks at the ground covered and the situation in the former socialist countries at the end of the second decade of this century, with particular reference to Serbia and countries in its surroundings. When it comes to Serbia it can be expected that the limiting factors from the last ten years will be still manifested in the future. It is estimated that there are weak prospects of activating voluntary health insurance as a way to alleviate the problems of insuffi cient fi nancing of the health care system.

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