Supplementary health insurance as a tool for risk-selection in mandatory basic health insurance markets

Health Economics, Policy and Law

Volumn 2, Issue 2, 2007, Pages 173-192

  Paolucci, Francesco ^a   Schut, Erik ^a   Beck, Konstantin ^b   Greß, Stefan ^c   Van de Voorde, Carine ^d   Zmora, Irit ^e  

^a ERASMUS UNIVERSITY ROTTERDAM   (Netherlands)

^b UNIVERSITY OF ZURICH   (Switzerland)

^c FULDA UNIVERSITY OF APPLIED SCIENCES   (Germany)

^d UNIVERSITY OF LEUVEN   (Belgium)

^e CLALIT HEALTH SERVICES   (Israel)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; EUROPE; HEALTH INSURANCE; HUMAN; INSURANCE; MANAGEMENT; MANDATORY PROGRAM; RISK ASSESSMENT;

EUROPE; HUMANS; INSURANCE COVERAGE; INSURANCE SELECTION BIAS; INSURANCE, HEALTH; MANDATORY PROGRAMS; POLICY MAKING; RISK ADJUSTMENT;

EID: 49249095134     PISSN: 17441331     EISSN: 1744134X     Source Type: Journal    
DOI: 10.1017/S1744133107004124     Document Type: Article

References (33)

1. Andersen, H.H. and M.M. Grabka (2006), 'Kassenwechsel in der GKV 1997-2004: Profile - Trends - Perspektiven', in D. Göpffarth, S. Greß, K. Jacobs, and J. Wasem (eds), Jahrbuch Risikostrukturausgleich 2006 - Zehn Jahre Kassenwahlfreiheit, St. Augustin: Asgard Verlag, pp. 145-189.
2. Beobachter Kompakt (2006), Krankenkassen, Der Schweizerische Beobachter, 80(21), special issue, www.beobachter.ch/kompakt.
3. Beck K., S. Spycher, A. Holly, and L. Gardiol (2003), 'Risk adjustment in Switzerland', Health Policy, 65(1): 63-74.
4. Beck, K. (2004), 'Risiko Krankenversicherung - Risikomanagement in einem regulierten. Krankenversicherungsmarkt', Haupt, Bern.
5. Beck, K. (2006), 'Risk-adjustment and its impact on selection and efficiency: Social health insurer's strategic decision making', presented at the European Conference on Health Economics, Budapest.
6. Berghman, J. and E. Meerbergen (2005), 'Aanvullende sociale voorzieningen in de tweede en derde pijler', research project AG/01/084, CESO, Leuven.
7. Brammli-Greenberg S. and R. Gross (2003), 'The private health insurance market in Israel', JDC-Brookdale Institute.
8. Bruijn, D. de, F.J. Prinsze, F.T. Schut, and W.P.M.M. van de Ven (2005), 'Monitor Risicoselectie', report for the MPCF, Erasmus University Rotterdam.
9. Bruijn, D. de and F.T. Schut (2006), 'Evaluatie aanvullende verzekeringen 2006', report for the NPCF, Erasmus University Rotterdam.
10. Buchner, F. and J. Wasem (2003), 'Needs for further improvement: Risk adjustment in the German health insurance system', Health Policy, 65(1): 21-35.
11. Christian Mutualities (2003), 'Resultaten CM-enquête', CM-informatie (June), 18-26.
12. Colombo, F. (2001), 'Towards more choice in social protection? Individual choice of insurer in basis mandatory health insurance in Switzerland', Occasional papers No 53, Paris: OECD.
13. Colombo, F. and N. Tapay (2004), 'Private health insurance in OECD countries', The OECD Health Project, Paris: OECD.
14. Controledienst (2004), 'Jaarverslag 2004, Controledienst voor de ziekenfondsen en de landsbonden van ziekenfondsen', Brussel.
15. Cutler, D.M. and S.J. Reber (1998), 'Paying for health insurance: The trade-off between competition and adverse selection', Quarterly Journal of Economics, 113(2): 433-466.
16. Cutler, D.M. (2002), 'Equality, efficiency and market fundamentals: The dynamics of international medical-care reform', Journal of Economic Literature, 40: 881-906.
17. Douven, R. and F.T. Schut (2006), 'Health plan pricing behaviour and managed competition', Discussion Paper 61, CPB, The Hague.
18. Kifman, M. (2005), 'Risk-selection and complementary health insurance: the Swiss approach', Diskussionsbeitragäge Serie I - Nr. 328, Universität Konstanz.
19. Laske-Aldershof, T., F.T. Schut, K. Beck, S. Greß, A. Shmueli, and C. Van de Voorde (2004), 'Consumer mobility in social health insurance markets: A five-country comparison', Applied Health Economics and Health Policy, 3(4): 229-241.
20. Laske-Aldershof, T. and F.T. Schut (2005), 'Monitor verzekerdenmobiliteit', report for the Ministry of Health, Erasmus University Rotterdam.
21. Nuscheler, R. and T. Knaus (2005), 'Risk-selection in the German public health insurance system', Health Economics, 14(12): 1253-1271.
22. NZa i.o. (2006), 'De tussenstand op de zorgverzekeringsmarkt', Utrecht.
23. Paolucci, F., A. den Exter, and W.PM.M. van de Ven (2006), 'Solidarity in competitive health insurance markets: Analysing the relevant EC legal framework', Health Economics, Policy and Law, 1(2): 107-126.
24. Paolucci, F., F.T. Schut, and W.P.M.M. van de Ven (2006), 'Economic rationales for the design of health care financing schemes', working paper 2006: 3. www.med.uio.no/heled/publikasjoner/HORN/HORN_2006_3.pdf
25. Prinsze, F.J., W.P.M.M. van de Ven, D. de Bruijn, and F.T. Schut (2005), 'Verbetering risicoverevening in de zorgverzekering', report for the NPCF, Erasmus University Rotterdam.
26. Schokkaert, E. and C. Van de Voorde (2003), 'Belgium: Risk adjustment and financial responsibility in a centralized system', Health Policy 65(1): 5-19.
27. Schut, F.T. and W.H.J. Hassink (2002), 'Managed competition and consumer price sensitivity in social health insurance', Journal of Health Economics, 802: 1-21.
28. Schut, F.T., T. Laske-Aldershof, and D. de Bruijn (2004), 'Effecten van de aanvullende ziekenfondsverzekering op de hoofdverzekering', report for the Ministry of Health, Erasmus University Rotterdam.
29. Shmueli, A.,D. Chernivkovsky, and I. Zmora (2003), 'Risk Adjustment and risk sharing: The Israeli experience', Health Policy, 65(1 : 37-48.
30. Tamm, M., H. Tauchmann, J. Wasem, and S. Greß (2006), 'Elasticities of market shares and social health insurance choice in Germany - a dynamic panel data approach', Health Economics, forthcoming, DOI: 10.1002/hec.167.
31. Tegenbos, G. (2005) 'Oorlog onder ziekenfondsen' (War amongst sickness funds), De Standaard, 28 September.
32. Van de Ven, W.P.M.M., et al. (2003), 'Risk adjustment and risk-selection on the sickness fund insurance market in five European countries', Health Policy, 65(1): 75-98.
33. Wasem, J., S. Greß, and K.G.H. Okma (2004), 'The role of private health insurance in social health insurance countries', in R. Saltman, R. Busse and J. Figueras (eds), Social Health Insurance in Western Europe, London: Open University Press, pp. 227-247.