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A model to decompose the performance of supplementary private health insurance markets

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Abstract

For an individual insurance firm offering supplementary private health insurance, a model is developed to decompose market performance in terms of insurer profits. For the individual contract, the model specifies the conditions under which adverse selection, cream skimming, and moral hazard occur, shows the impact of information on contracting, and the profit contribution. Contracts are determined by comparing willingness to pay for insurance with the individual’s risk position, and information on both sides of the market. Finally, performance is aggregated up to the total market. The model provides a framework to explain the attractiveness of supplementary markets to insurers.

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References

  • Armstrong K., Weber B., Genevieve F.G., Hershey J.C., Pauly M.V., Lemaire J. et al (2003) Life insurance and breast cancer risk assessment: Adverse selection, genetic testing decisions, and discrimination. American Journal of Medical Genetics 120: 539–364 doi:10.1002/ajmg.a.20025

    Google Scholar 

  • Cardon J.H., Hendel I. (2001) Asymmetric information in health insurance: Evidence from the National Medical Expenditure Survey. The Rand Journal of Economics 32(3): 408–427 doi:10.2307/2696362

    Article  Google Scholar 

  • Cawley J., Philipson T. (1999) An empirical examination of information barriers to trade insurance. The American Economic Review 89(4): 827–846

    Google Scholar 

  • Cutler D.M., Zeckhauser R.J. (2000) The anatomy of health insurance. In: Culyer A.J., Newhouse J.P.(eds) Handbook of health economics Vol. Ia. Elsevier, Amsterdam, pp 563–643

    Google Scholar 

  • Finkelstein A., McGarry K. (2006) Multiple dimensions for private information: Evidence from the long-term care insurance market. The American Economic Review 96(4): 938–958 doi:10.1257/aer.96.4.938

    Article  Google Scholar 

  • Godfried M., Oosterbeek H., van Tulder F. (2001) Adverse selection and the demand for supplementary dental insurance. De Economist 149(2): 177–190 doi:10.1023/A:1017566901875

    Article  Google Scholar 

  • Hoel M., Iversen T., Nilssen T., Vislie J. (2006) Genetic testing in competitive insurance markets with repulsion from chance: A welfare analysis. Journal of Health Economics 25: 847–860 doi:10.1016/j.jhealeco.2005.12.003

    Article  Google Scholar 

  • Leidl R. (2003) Medical progress and supplementary private health insurance. The Geneva Papers on Risk and Insurance. Issues and Practice 28(2): 222–237

    Article  Google Scholar 

  • Nelson D.E., Thompson B.L., Davenport N.J., Penaloza L.J. (2000) What people really know about their health insurance: A comparison of information obtained from individuals and their insurers. American Journal of Public Health 90(6): 924–928

    Article  Google Scholar 

  • Newhouse J.P. (1982) Is competition the answer?. Journal of Health Economics 1: 109–116 doi:10.1016/0167-6296(82)90023-6

    Article  Google Scholar 

  • Pauly M.V. (1968) The economics of moral hazard: Comment. American Economic Review 58(3): 531–537

    Google Scholar 

  • Pauly M.V. (1984) Is cream-skimming a problem for the competitive medical market?. Journal of Health Economics 3: 87–95 doi:10.1016/0167-6296(84)90029-8

    Article  Google Scholar 

  • Rothschild M., Stiglitz J. (1976) Equilibrium in competitive insurance markets: An essay on the economics of imperfect information. The Quarterly Journal of Economics 90: 629–649 doi:10.2307/1885326

    Article  Google Scholar 

  • van de Ven W.P., van Vliet R.C. (1992) How can be prevent cream skimming in a competitive health insurance market. In: Zweifel P., Frech H.E.(eds) Health economics worldwide. Kluwer, Dordrecht, pp 23–46

    Google Scholar 

  • van de Ven W.P., van Vliet R.C. (1995) Consumer information surplus and adverse selection in competitive health insurance markets: An empirical study. Journal of Health Economics 14(2): 149–169 doi:10.1016/0167-6296(94)00043-4

    Article  Google Scholar 

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Correspondence to Reiner Leidl.

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Leidl, R. A model to decompose the performance of supplementary private health insurance markets. Int J Health Care Finance Econ 8, 193–208 (2008). https://doi.org/10.1007/s10754-008-9037-z

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  • DOI: https://doi.org/10.1007/s10754-008-9037-z

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