Die private (PKV) und die gesetzliche Krankenversicherung (GKV) werden durch die so genannte Friedensgrenze getrennt. Um die daraus resultierende Risikoselektion zu vermindern, wird die Einführung einer sogenannten Ausscheidegrenze nach niederländischem Vorbild mit Hilfe der...

A common approach to avoid risk selection in health insurance markets is to define and enforce a community-rated basic benefit package. The market for complementary insurance is usually completely separate from the market for basic health insurance. In Switzerland, however, the basic benefit...

In the absence of a perfect risk adjustment scheme, reimbursing health insurers' costs can reduce risk selection in community-rated health insurance markets. In this paper, we develop a model in which insurers determine the cost efficiency of health care and have incentives for risk selection....

Anhaltend niedrige Geburtenraten und eine steigende Lebenserwartung gehen nicht spurlos an der umlagefinanzierten Sozialversicherung vorüber. Gäbe es in den kommenden Jahrzehnten keinerlei Zuwanderung, die die Auswirkungen dieser Faktoren etwas abmildern kann, müssten in 2050 weniger als zwei...

The paper examines whether a worker's sick absence behaviour influences the risk of becoming unemployed. Swedish panel data are used to estimate the relationship between the incidence and duration of sick leave and subsequent unemployment. The results indicate that an increase in the number of...

This paper examines the incentive effects caused by the interactions between unemployment insurance (UI) and sickness insurance (SI), two important components of Sweden's social insurance system. There are two main topics of interest: how the sickness report rate and the length of the subsequent...

One of the main features of health insurance is moral hazard, as defined by Pauly (1968); people face incentives for excess utilization of medical care since they do not pay the full marginal cost for provision. To mitigate the moral hazard problem, a coinsurance can be included in the insurance...

This paper analyses possible options how to improve the risk adjustment of the health insurance system in the Czech Republic. Out of possible options it argues for including Pharmaceutical Cost Groups (PCGs) as additional risk factors since it is an improvement that can be implemented almost...

Das präsentierte und diskutierte Modell eines sozialgebundenen Krankenversicherungswettbewerbs zeigt zum Ersten, dass ein derartiges System an vielen Stellen vom Staat reguliert werden muss. Es ist deutlich komplizierter als die bislang in der Diskussion befindlichen Lehrbuchmodelle und die...

Does medical insurance affect health care demand and in the end contribute to improvements in the health status? Evidence for China for the year 2004, by means of the China Health and Nutrition Survey (CHNS), shows that health insurance does not affect health care demand in a significant manner....