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Contribution Details

Type Journal Article
Scope Discipline-based scholarship
Title Supplementary health insurance as a tool for risk-selection in mandatory basic health insurance markets
Organization Unit
Authors
  • F Paolucci
  • E Schut
  • Konstantin Beck
  • S Gress
  • C Van de Voorde
  • I Zmora
Item Subtype Original Work
Refereed No
Status Published in final form
Language
  • English
Journal Title Health Economics, Policy and Law
Publisher Cambridge University Press
Geographical Reach international
ISSN 1744-1331
Volume 2
Number 2
Page Range 173 - 192
Date 2007
Abstract Text As the share of supplementary health insurance (SI) in health care finance is likely to grow, SI may become an increasingly attractive tool for risk-selection in basic health insurance (BI). In this paper, we develop a conceptual framework to assess the probability that insurers will use SI for favourable risk-selection in BI. We apply our framework to five countries in which risk-selection via SI is feasible: Belgium, Germany, Israel, the Netherlands, and Switzerland. For each country, we review the available evidence of SI being used as selection device. We find that the probability that SI is and will be used for risk-selection substantially varies across countries. Finally, we discuss several strategies for policy makers to reduce the chance that SI will be used for risk-selection in BI markets.
Digital Object Identifier 10.1017/S1744133107004124
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Additional Information Copyright: Cambridge University Press