The paper aims at the correspondence of the health care financing systems to the social models (welfare regimes) as defined in the social theory and policy, including the trends in the OECD and CEE countries and utilizing the lessons from typical countries. We compare the liberal,...

We demonstrate Medicare's influence on private insurers' payments for physicians' services. Using a large administrative change in payments for surgical versus medical care, we find that private prices follow Medicare's lead. A $1 change in Medicare's fees moved private prices by $1.16. A second...

This paper introduces a tractable model of health insurance with both moral hazard<br/>and adverse selection. We show that government sponsored universal basic insurance should cover treatments with the biggest adverse selection problems. Treatments not covered by basic insurance can be covered on...

This paper introduces a tractable model of health insurance with both moral hazard<br/>and adverse selection. We show that government sponsored universal basic insurance should cover treatments with the biggest adverse selection problems. Treatments not covered by basic insurance can be covered on...

We study whether people became less likely to switch Medicare prescription drug plans (PDPs) due to more options and more time in Part D. Panel data for a random 20 percent sample of enrollees from 2006-2010 show that 50 percent were not in their original PDPs by 2010. Individuals switched PDPs...

This paper describes how state-of-the-art methods of choice modeling can be used to analyze consumer choice behavior in "competitive" health insurance markets. I use the insurance choices of senior citizens in the U.S. as an example. I then consider the issue of whether consumers benefit when we...

This paper describes the reasons at the basis of the insufficiency of pay-as-you-go systems to provide resources for financing health care in an ageing society with the low rates of growth that will characterise western industrialised economies during next decades. Intuitive arguments are...

Mid-long term projections of the Stability Programs (SP) are elaborated to simulate the burden each active citizen or each worker will have to bear for financing, via pay-as-you-go, public health care provisions and public pensions. It is worth mentioning that projections in the (SP) are those...

To combat adverse selection, governments increasingly base payments to health plans and providers on enrollees' scores from risk-adjustment formulae. In 2004, Medicare began to risk-adjust capitation payments to private Medicare Advantage (MA) plans to reduce selection-driven overpayments. But...

We describe the risks faced by the ageing population and survey the corresponding insurance markets for these risks. We focus on income risk, health expenditure risk, long-term care expenditure risk and mortality risk. We also discuss the interactions between social insurance and private...