Evaluating health insurance: A review of the theoretical foundations

Geneva Papers on Risk and Insurance: Issues and Practice

Volumn 31, Issue 4, 2006, Pages 720-738

  Nyman, John A ^a  

^a UNIVERSITY OF MINNESOTA   (United States)

Author keywords

Expected utility theory; Health insurance; Income transfers

Indexed keywords

EID: 33750455123     PISSN: 10185895     EISSN: 14680440     Source Type: Journal    
DOI: 10.1057/palgrave.gpp.2510103     Document Type: Review

References (48)

1. Arrow, K.J. (1950) 'A difficulty in the concept of social welfare', Journal of Political Economy 58(4): 328-346.
2. Arrow, K.J. (1963) 'Uncertainty and the welfare economics of medical care', American Economic Review 53(5): 941-973.
3. Arrow, K.J. (1968) 'The economics of moral hazard: Further comment', American Economic Review 58(3): 537-539.
4. Arrow, K.J. (1976) 'Welfare analysis of changes in health coinsurance rates', in R. Rosett (ed). The Role of Health Insurance in the Health Services Sector, New York: National Bureau of Economic Research.
5. Bernoulli, D. (1738, translated 1954) 'Exposition of a new theory on the measurement of risk', (Translated by Louise Sommer) Econometrica 22: 23-36.
6. Cohen, J.W., Machlin, S.R., Zuvekas, S.H., Stagnitti, M.N. and Thorpe, J.M. (2000) Health Care Expenses in the United States, 1996, (AHRQ Pub. No. 02-0009), MEPS Research Findings, 12, Agency for Healthcare Research and Quality, Rockville, Maryland: Department of Health and Human Services.
7. Crew, M. (1969) 'Coinsurance and the welfare economics of medical care', American Economic Review 59(5): 906-908.
8. Cutler, D.M. and Zeckhauser, R.J. (2000) 'The anatomy of health insurance', in A.J. Culyer and J.P. Newhouse (eds). Handbook of Health Economics, Volume 1A, Amsterdam: Elsevier, pp. 563-643.
9. de Meza, D. (1983) 'Health insurance and the demand for medical care', Journal of Health Economics 2(1): 47-54.
10. Eisner, R. and Strotz, R.H. (1961) 'Flight insurance and the theory of choice', Journal of Political Economy 69: 355-368.
11. Evans, W.N. and Viscusi, W.K. (1991) 'Utility-based measures of health', American Journal of Agricultural Economics 73(5): 1422-1427.
12. Feldman, R. and Dowd, B. (1991) 'A new estimate of the welfare loss of excess health insurance', American Economic Review 81(1): 297-301.
13. Feldstein, M.S. (1973) 'The welfare loss of excess health insurance', Journal of Political Economy 81: 251-280.
14. Feldstein, M. and Friedman, B. (1977) 'Tax subsidies, the rational demand for insurance and the health care crisis', Journal of Public Economics 7: 155-178.
15. Feldstein, P.J. (1988) Health Care Economics, 3rd Edition, New York, NY: John Wiley & Sons, Inc: (1993) 4th Edn.; (1999) 5th Edn. Albany, NY: Delmar Publishers; (2005) 6th Edn. Clifton Park, NY: Thomson Delmar Learning.
16. Fleurbaey, M. (2004) Health, equity and social welfare, IDEP, Université, de Pau et des pays de l' Adour, Pau, France.
17. Folland, S., Goodman, A.C. and Stano, M. (1993) The Economics of Health and Health Care, New York, NY: Macmillan Publishing Company; (1997) 2nd Edn. Upper Saddle River, NJ: Prentice-Hall, Inc.; (2001) 3rd Ed.; (2004) 4th Edn. Upper Saddle River, NJ: Pearson Education, Inc.
18. Friedman, B. (1974) 'Risk aversion and the consumer choice of health insurance option', Review of Economics and Statistics 56(2): 209-214.
19. Friedman, M. and Savage, L.J. (1948) 'The utility analysis of choices involving risk', Journal of Political Economy 66(4): 279-304.
20. Getzen, T.E. (1997) Health Economics. Fundamental and Flow of Funds. (2004) 2nd Edn. New York, NY: John Wiley & Sons, Inc.
21. Henderson, J.W. (1999) Health Economics & Policy, Cincinnati, OH: South-Western College Publishing; (2002) 2nd Edn. Cincinnati, OH: South-Western; (2005) 3rd Edn. Mason, OH: Thomson South-Western.
22. Jacobs, P. and Rapoport, J. (2004) The Economics of Health and Medical Care, 5th Edn. Sudbury, MA: Jones and Bartlett Publishers.
23. Johnson-Lans, S. (2006) A Health Economics Primer, Boston, MA: Addison Wesley.
24. Kahneman, D. and Tversky, A. (1979) 'Prospect theory: An analysis of decision under risk', Econometrica 47: 263-291.
25. Koç, Ç. (2005) 'Health-specific moral hazard effects', Southern Economic Journal 72(1): 98-119.
26. Manning, W.G. and Marquis, M.S. (1996) 'Health insurance: The tradeoff between risk pooling and moral hazard', Journal of Health Economics 15(5): 609-640.
27. Manning, W.G., Newhouse, J.P., Duan, N., Keeler, E.B., Benjamin, B., Leibowitz, A., Marquis, M.S. and Zwanziger, J. (1987) 'Health insurance and the demand for medical care: Evidence from a randomized experiment', American Economic Review 77(1): 251-277.
28. Miller, W., Richardson Vigdor, E. and Manning, W.G. (2004) 'Covering the uninsured: What is it worth?' Health Affairs W 4: 157-167.
29. Mossin, J. (1968) 'Aspects of rational insurance purchasing', Journal of Political Economy 79: 553-568.
30. Muennig, P., Franks, P. and Gold, M. (2005) 'The cost effectiveness of health insurance', American Journal of Preventive Medicine 28(1): 59-64.
31. Newhouse, J.P. (1974) 'A design for a health insurance experiment', Inquiry 11: 5-27.
32. Newhouse, J.P. and The Insurance Experiment Group (1993) Free for All? Lessons from the RAND Health Insurance Experiment, Cambridge, MA: Harvard University Press.
33. Nyman, J.A. (1999a) 'The value of health insurance: The access motive', Journal of Health Economics 18(2): 141-152.
34. Nyman, J.A. (1999b) 'The economics of moral hazard revisited', Journal of Health Economics 18(6): 811-824.
35. Nyman, J.A. (2003) The Theory of Demand for Health Insurance, Stanford, CA: Stanford University Press.
36. Nyman, J.A. (2006) 'The value of health insurance', in A.M. Jones (ed) The Elgar Companion to Health Economics, Cheltenham, UK: Edward Elgar.
37. Nyman, J.A. and Barleen, N.A. (2006) The effect of supplemental private health insurance on health care purchases, health and welfare in Brazil, unpublished manuscript Minneapolis, MN: University of Minnesota.
38. Nyman, J.A. and Maude-Griffin, R. (2001) 'The welfare economics of moral hazard', International Journal of Health Care Finance and Economics 1(1): 23-42.
39. Pauly, M.V. (1968) 'The economics of moral hazard: Comment', American Economic Review 58(3): 531-537.
40. Pauly, M.V. (1969) 'A measure of the welfare cost of health insurance', Health Services Research 4(4): 281-292.
41. Pauly, M.V. (1983) 'More on moral hazard', Journal of Health Economics 2(1): 81-86.
42. Pauly, M.V. (1995) 'When does curbing health care costs really help the economy?', Health Affairs 14(2): 68-82.
43. Phelps, C.E. (1992) Health Economics, New York, NY: HarperCollins Publishers; (1997) 2nd edn.; (2003) 3rd edn. Reading, MA: Addison Wesley Longman, Inc.
44. Santerre, R.E. and Neun, S.P. (1991) Health Economics: Theories, Insights, and Industry Studies and (2000) Health Economics: Theories, Insights, and Industry Studies, Revised Edition, Orlando, FL: Harcourt Brace & Company; (2007) 4th edn. Mason, OH: Thomson South-Western.
45. Slovic, P., Fischhoff, B. and Lichtenstein, S. (1988) 'Response mode, framing, and information-processing effects in risk assessment', in D.E. Bell, H. Raiffa and A. Tversky (eds) Decision Making: Descriptive, Normative and Prescriptive Interactions, Cambridge, UK: Cambridge University Press, pp. 152-166.
46. Viscusi, W.K. and Evans, W.N. (1990) 'Utility functions that depend on health status: Estimates and economic implications', American Economic Review 80(3): 353-374.
47. Zeckhauser, R. (1970) 'Medical insurance: A case study of the tradeoff between risk spreading and appropriate incentives', Journal of Economic Theory 2(1): 10-26.
48. Zweifel, P. and Manning, W.G. (2000) 'Moral hazard and consumer incentives in health care', in A.J. Culyer and J.P. Newhouse (eds) Handbook of Health Economics, Volume 1A, Amsterdam: Elsevier, pp. 407-459.