Idee und Ziele des Risikostrukturausgleichs - Der Risikostrukturausgleich (im folgenden: RSA) in der Gesetzlichen Krankenversicherung wurde mit dem Gesundheits-Strukturgesetz von 1993 eingeführt und trat am 1.1.1994 in Kraft. Mit dem selben Gesetz wurden auch die Wahl- und Wechselmöglichkeiten...

As one possible solution to the well-known financing crisis of unfunded social security systems, an increase in the retirement age is a popular option. To induce workers to retire later, it has been proposed to strengthen the link between retirement age and benefit level. The present paper is...

In this paper we identify a number of objectionable features of the German retirement benefit formula. We show that groups of insureds with higher than average life expectancy, in particular high-income groups, are subsidized by the rest of the membership because the formula neglects differences...

In letzter Zeit mehren sich die Stimmen, die das gegenwärtige System der Beitragserhebung in der Gesetzlichen Krankenversicherung, nämlich die Anknüpfung der Beiträge am Arbeitseinkommen, kritisieren und vorschlagen, zu einer einheitlichen Prämie je erwachsenem Versicherten nach dem Vorbild...

This paper examines the consequences of including the self-employed in the German pay-as-you-go pension system. The effects on the implicit tax rate of the different generations and groups are analysed. It is demonstrated that the inclusion of the self-employed can be used to reach two...

In several OECD countries, public pay-as-you-go financed pension systems have undergone major reforms in which future retirement benefit promises have been scaled down. A consequence of these reforms is that especially in countries with a tight tax-benefit linkage, the retirement benefit claims...

It is still an open question whether increasing life expectancy as such is causing higher health care expenditures (HCE) in a population. According to the "red herring" hypothesis, the positive correlation between age and HCE is exclusively due to the fact that mortality rises with age and a...

The empirical relationship between income and longevity has been addressed by a large number of studies, but most were confined to men. In particular, administrative data from public pension systems are less reliable for women because of the loose relationship between own earnings and household...

We report results of a survey of a representative sample of the German population in which respondents were asked for their willingness-to-pay (WTP) for either an extension of their life or an improvement in their health corresponding to a gain of one quality-adjusted life year (QALY). While one...

It is now a commonplace that the unfunded public pension systems of many OECD countries will run into severe financing problems in the coming decades due to a dramatically increasing pensioner/worker ratio. While this diagnosis is completely undisputed, there is still a vigorous debate on the...