Community rating, entry-age rating and adverse selection in private health insurance in Australia

Geneva Papers on Risk and Insurance: Issues and Practice

Volumn 33, Issue 4, 2008, Pages 588-609

  Buchmueller, Thomas ^a  

^a UNIVERSITY OF MICHIGAN   (United States)

Author keywords

Adverse selection; Community rating; Private insurance

Indexed keywords

EID: 55549130479     PISSN: 10185895     EISSN: 14680440     Source Type: Journal    
DOI: 10.1057/gpp.2008.24     Document Type: Article

References (41)

1. Australian Bureau of Statistics (1995) Demographic estimates and projections: Concepts, sources and methods, 1995, Information Paper 3228.0, Canberra, Australia.
2. Australian Industry Commission (1997) Private Health Insurance in Australia, Canberra, Australia.
3. Australian Institute of Health and Welfare (2006) Australian hospital statistics, 2004-05, Health Services Series No. 26, Canberra: Australian Institute of Health and Welfare, pp. 1-371.
4. Barrett, G. and Conlon, R. (2003) 'Adverse selection and the decline of health insurance coverage in Australia: 1989 to 1995', The Economic Record 79(246): 279-296.
5. Blumberg, L., Nichols, L. and Banthin, J. (2001) 'Worker decisions to purchase health insurance', International Journal of Health Care Finance and Economics 1: 305-325.
6. Brown, H.S. and Connelly, L.B. (2005) 'Lifetime cover in private insurance markets', International Journal of Health Care Finance and Economics 5: 75-88.
7. Brown, H.S. and Connelly, L.B. (2006) 'Lifetime subsidies in Australian private health insurance markets with community rating', The Geneva Papers on Risk and Insurance - Issues and Practice 31: 705-719.
8. Buchmueller, T.C., Couffinhal, A., Grignon, M. and Perronnin, M. (2004) 'Access to physician services: Does supplemental insurance matter? Evidence from France', Health Economics 13: 669-687.
9. Buchmueller, T.C. and Dinardo, J. (2002) 'Did community rating induce an adverse selection death spiral? Evidence from New York, Pennsylvania and Connecticut', American Economic Review 92: 280-294.
10. Buchmueller, T.C. and Jensen, G.A. (1997) 'Small group reform in a competitive managed care market: The case of California, 1993-1995', Inquiry 34: 249-263.
11. Buchmueller, T.C. and Liu, S. (2005/2006) Health insurance reform and HMO penetration in the small group market, NBER Working Paper No. W11446, Washington, DC.
12. Buchmueller, T.C. and Ohri, S. (2006) 'Health insurance take-up by the near-elderly', Health Services Research 41: 2054-2073.
13. Butler, J.R. (1999) Estimating elasticities of demand for private health insurance in Australia, National Centre for Epidemiology and Population Health Working Paper no. 43, The Australian National University, Canberra.
14. Butler, J.R. (2002) 'Policy change and private health insurance: Did the cheapest policy do the trick?', Australian Health Review 25: 33-41.
15. Chernew, M., Frick, K. and McLaughlin, C. (1997) 'The demand for health insurance coverage by low-income workers: Can reduced premiums achieve full coverage?', Health Services Research 32: 453-470.
16. Colombo, F. and Tapay, N. (2003) Private health insurance in Australia: A case study, OECD Health Working Paper no. 8, Paris: OECD.
17. Doiron, D., Jones, G. and Savage, E. (2008) 'Healthy, wealthy and insured? The role of self-assessed health in the demand for private health insurance', Health Economics 17: 317-334.
18. Ellis, R.P. and Savage, E. (2005) Where do you run after you run for cover? The impact of premium changes on the characteristics of the privately insured in Australia, Unpublished manuscript, Centre for Health Economics Research and Evaluation, University of Technology, Sydney.
19. Ettner, S. (1997) 'Adverse selection and the purchase of medigap insurance by the elderly', The Journal of Health Economics 16: 543-562.
20. Fang, H., Keane, M. and Silverman, D. (2006) Sources of advantageous selection: Evidence from the medigap insurance market, NBER Working Paper No. 12289, Washington, DC.
21. Frech, H., Hopkins, S. and McDonald, G. (2003) 'The Australian private health insurance boom: Was it subsidies or liberalized regulation?', Economic Papers 22: 58-64.
22. Gale, A. (2005) What price health? Private health insurance cost pressures and product pricing, Unpublished manuscript, Institute of Actuaries of Australia.
23. Gale, A. and Brown, A. (2003) Health after lifetime cover: Recent health insurance experience, Unpublished manuscript, Institute of Actuaries of Australia, Sydney.
24. Gans, J.A. and King, S.P. (2003) 'Anti-insurance: Analysing the health insurance system in Australia', The Economic Record 79(247): 473-486.
25. Hall, J., De Abreau Lourenco, R. and Viney, R. (1999) 'Carrots and sticks-the fall and fall of private health insurance in Australia', Health Economics 8: 653-660.
26. Hall, J. and Savage, E. (2005) 'An unhealthy conflict: Private interests and the public purse', in A. Maynard (ed) The Public-Private Mix for Health, Abingdon, UK: Radcliffe Publishing.
27. Harper, I.R. (2003) 'Health sense: When spending money saves money', Policy 19: 19-24.
28. Herring, B. and Pauly, M.V. (2001) 'Premium variation in the individual health insurance market', International Journal of Health Care Finance and Economics 1: 43-58.
29. Hindle, D. and McAuley, I. (2004) 'The effects of private health insurance: A review of the evidence', Australian Health Review 28: 119-138.
30. Hurd, M.D. and McGarry, K. (1997) 'Medical insurance and the use of health care services by the elderly', The Journal of Health Economics 16: 129-154.
31. Marquis, M.S. and Long, S.H. (2001) 'Effects of 'second generation' small group health insurance market reforms, 1993 to 1997', Inquiry 38: 365-380.
32. Monheit, A. and Schone, B. (2004) 'How has small group market reform affected employee health insurance coverage', Journal of Public Economics 88: 237-254.
33. Palangkaraya, A. and Yong, J. (2005) 'Effects of recent carrot-and-sticks policy initiatives on private health insurance coverage in Australia', The Economic Record 81: 262-272.
34. Palangkaraya, A. and Yong, J. (2007) 'How effective is 'lifetime health cover' in raising private health insurance coverage in Australia? An assessment using regression discontinuity', Applied Economics 39: 1361-1374.
35. Pauly, M.V. and Herring, B. (1999) Pooling Health Insurance Risks, Washington, DC: AEI Press.
36. Private Health Insurance Administration Council (PHIAC) (2006) Operations of the Registered Health Benefits Organizations Annual Report, 2005-06, PHIAC, Kingston, Australia.
37. Rothschild, M. and Stiglitz, J. (1976) 'Equilibrium in competitive insurance markets: An essay on the economics of imperfect information', Quarterly Journal of Economics 90: 630-649.
38. Shmueli, A. (2001) 'The effect of health on acute care supplemental insurance ownership: An empirical analysis', Health Economics 10: 341-350.
39. Simon, K. (2004) 'Adverse selection in health insurance markets? Evidence from state small-group health insurance reforms', Journal of Public Economics 89: 1865-1877.
40. Vaithianathan, R. (2004) 'A critique of the private health insurance regulations', The Australian Economic Review 37: 257-270.
41. Zuckerman, S. and Rajan, S. (1999) 'An alternative approach to measuring the effects of insurance market reforms', Inquiry 36: 44-56.