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The case for risk-based premiums in public health insurance


Zweifel, Peter; Breuer, Michael (2006). The case for risk-based premiums in public health insurance. Health Economics, Policy and Law, 1(2):171-188.

Abstract

Uniform, risk-independent insurance premiums are accepted as part of ‘managed competition’ in health care. However, they are not compatible with optimality of health insurance contracts in the presence of both ex ante and ex post moral hazard. They have adverse effects on insurer behaviour even if risk adjustment is taken into account. Risk-based premiums combined with means-tested, tax-financed transfers are advocated as an alternative.

Uniform, risk-independent insurance premiums are accepted as part of ‘managed competition’ in health care. However, they are not compatible with optimality of health insurance contracts in the presence of both ex ante and ex post moral hazard. They have adverse effects on insurer behaviour even if risk adjustment is taken into account. Risk-based premiums combined with means-tested, tax-financed transfers are advocated as an alternative.

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18 citations in Web of Science®
23 citations in Scopus®
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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:03 Faculty of Economics > Department of Economics
Dewey Decimal Classification:330 Economics
Language:English
Date:23 March 2006
Deposited On:11 Feb 2008 12:21
Last Modified:05 Apr 2016 12:17
Publisher:Cambridge University Press
ISSN:1744-1331
Publisher DOI:10.1017/S1744133105001064
Related URLs:http://ideas.repec.org/a/cup/hecopl/v1y2006i02p171-188_00.html#download
http://econpapers.repec.org/article/cuphecopl/v_3a1_3ay_3a2006_3ai_3a02_3ap_3a171-188_5f00.htm
Permanent URL: http://doi.org/10.5167/uzh-1228

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