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I model how customers with limited attention choose among health plans. The model predicts people to overweight the premium in their decision and thus underappreciate the value of health insurance. This creates incentives for insurance companies to reduce quality and to hide these shortcomings...
Persistent link: https://www.econbiz.de/10012857155
We introduce new risk groups to a standard capitation formula and evaluate risk selection incentives of insurers. The study uses a unique data set of almost 24 million affiliates to Government's mandatory health insurance system. This data set is very rich in the sense of reporting all claims...
Persistent link: https://www.econbiz.de/10013048214
We develop a stylized principal-agent model with moral hazard and adverse selection to provide a unified framework for understanding some of the most salient features of the recent physician payment reform in Ontario and its impact on physician behavior. These features include: (1) physicians...
Persistent link: https://www.econbiz.de/10013016351
adverse selection, switching costs, and regulation. I first document novel evidence of adverse selection and switching costs …
Persistent link: https://www.econbiz.de/10013040458
Recent empirical studies have shown that ownership by large institutional investors of a partial stake in multiple publicly traded firms within an industry, may lead to anti-competitive behavior. This is because the common owner wants to maximize its portfolio’s return and not the return from...
Persistent link: https://www.econbiz.de/10013293066
To equalize differences in health plan premiums due to differences in risk pools, the German legislature introduced a simple Risk Adjustment Scheme (RAS) based on age, gender and disability status in 1994. In addition, effective 1996, consumers gained the freedom to choose among hundreds of...
Persistent link: https://www.econbiz.de/10011631504
Using the MEDSIM microsimulation model, developed by researchers at the Agency for Health Care Policy and Research, we explore the possible consequences of making tax-preferred medical savings accounts (MSAs) combined with catastrophic health plans (CHPs) available to the entire...
Persistent link: https://www.econbiz.de/10014073689
The effects of television advertising in the market for health insurance are of distinct interest to both firms and regulators. Regulators are concerned about firms potentially using ads to "cream skim," or attract an advantageous risk pool, as well as the potential for firms to use...
Persistent link: https://www.econbiz.de/10014034968
INTRODUCTION: The Brazilian private health insurance sector has operated since 1940’s without regulation. In 1998, the … Brazilian Government stating the regulation of this sector. The reform improved the health insurance coverage level, stating no … individuals have exhibited changes in their behavior on medical services consumption, it is whether the regulation augmented the …
Persistent link: https://www.econbiz.de/10014206685
Given heterogeneity in incomes and health risks, with asymmetric information in the latter, preferences over the public-private mix in health insurance and care are derived. Results concerning crowding-out in the presence of adverse selection are established. For low-risk individuals,...
Persistent link: https://www.econbiz.de/10010443330