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Bonus Options in Health Insurance : Developments in Health Economics and Public Policy - Otto Waser

Bonus Options in Health Insurance

Developments in Health Economics and Public Policy

Hardcover Published: 31st May 1992
ISBN: 9780792317227
Number Of Pages: 143

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Confronted with the continuing cost expansion in the health care sector, policy makers face a dilemma: limiting moral hazard in medical care requires that consumers participate in the cost, yet copayment is strongly resisted by today's socially insured. Thus, the experiences of three private German health insurers will be of interest to physicians, social scientists, and policy makers. Insurer A writes conventional plans with deductibles and coinsurance; B pays back three-monthly premiums as a fixed rebate for no claims; while C runs an experience-rated bonus system starting with a rebate of three-monthly premiums for the first year without a claim, reaching a maximum of five after three years. While both rebates and bonuses are quite popular among insureds, this study shows that bonus options are particularly effective in limiting the demand for ambulatory and even hospital care. But what about adverse effects on health caused by the desire to save one's bonus? On this issue, there is some surprising evidence.

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'It is an economic study as it should be: clear questions are raised, hypotheses are derived from theoretical models, and the hypotheses are tested with empirical data.' Health Economics 2:1 1993

List of Tables
List of Figures
Overview and key statements of the study
Institutional framework, issues, and results
Health insurance options from the point of view of the consumer
Insurer A: Traditional cost sharing
Insurer B: Fixed rebates for no claims
Self-selection of risks with insurers A and B?
Insurer C: The dynamic bonus system
First-dollar coverage, fixed rebate, and dynamic bonus compared
Bonus option in social health insurance?
Sample construction and choice of statistical method
Index of names
Index of subjects
Table of Contents provided by Publisher. All Rights Reserved.

ISBN: 9780792317227
ISBN-10: 079231722X
Series: Developments in Health Economics and Public Policy
Audience: Professional
Format: Hardcover
Language: English
Number Of Pages: 143
Published: 31st May 1992
Publisher: Springer
Country of Publication: NL
Dimensions (cm): 23.5 x 15.5  x 1.1
Weight (kg): 0.9