Adverse Selection and Risk Rating in Insurance Markets: Final Report PDF Download
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Author: James C. Robinson
Publisher:
ISBN:
Category :
Languages : en
Pages : 72
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Book Description
Author: James C. Robinson
Publisher:
ISBN:
Category :
Languages : en
Pages : 72
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Book Description
Author: J. Robinson
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
Author: Paolo Belli
Publisher: World Bank Publications
ISBN:
Category : Adverse selection (Insurance)
Languages : en
Pages : 38
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Book Description
There may be a price to pay (in terms of inefficient coverage) if competition among health insurers is encouraged as a way to give patients greater choice and to achieve better control over insurance providers.
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 72
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Book Description
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309048273
Category : Medical
Languages : en
Pages : 381
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Book Description
The United States is unique among economically advanced nations in its reliance on employers to provide health benefits voluntarily for workers and their families. Although it is well known that this system fails to reach millions of these individuals as well as others who have no connection to the work place, the system has other weaknesses. It also has many advantages. Because most proposals for health care reform assume some continued role for employers, this book makes an important contribution by describing the strength and limitations of the current system of employment-based health benefits. It provides the data and analysis needed to understand the historical, social, and economic dynamics that have shaped present-day arrangements and outlines what might be done to overcome some of the access, value, and equity problems associated with current employer, insurer, and government policies and practices. Health insurance terminology is often perplexing, and this volume defines essential concepts clearly and carefully. Using an array of primary sources, it provides a store of information on who is covered for what services at what costs, on how programs vary by employer size and industry, and on what governments doâ€"and do not doâ€"to oversee employment-based health programs. A case study adapted from real organizations' experiences illustrates some of the practical challenges in designing, managing, and revising benefit programs. The sometimes unintended and unwanted consequences of employer practices for workers and health care providers are explored. Understanding the concepts of risk, biased risk selection, and risk segmentation is fundamental to sound health care reform. This volume thoroughly examines these key concepts and how they complicate efforts to achieve efficiency and equity in health coverage and health care. With health care reform at the forefront of public attention, this volume will be important to policymakers and regulators, employee benefit managers and other executives, trade associations, and decisionmakers in the health insurance industry, as well as analysts, researchers, and students of health policy.
Author: Patricia Born
Publisher:
ISBN:
Category :
Languages : en
Pages : 23
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Book Description
Evidence of adverse selection in insurance markets is well-documented in the literature. Recent healthcare reform in the United States imposed substantial changes to health insurer operations, including rating restrictions. We provide evidence of the presence of adverse selection following the enactment of the Patient Protection and Affordable Care Act of 2010. Using a rich, unique dataset consisting of information on health insurance plans from multiple health insurers, across states for the years 2013-2017, we document a statistically significant correlation between coverage and risk, indicating the presence of adverse selection that varies over time and across the individual and group markets.
Author: Guy Thomas
Publisher: Cambridge University Press
ISBN: 110710033X
Category : Business & Economics
Languages : en
Pages : 285
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Book Description
A novel book that argues that, contrary to received wisdom, some adverse selection in insurance markets is beneficial to society as a whole. It is for all those interested in public policy arguments about insurance and discrimination: policymakers, academics, actuaries, underwriters, disability activists, geneticists and other medical professionals.
Author: United States. Congress. Joint Economic Committee
Publisher:
ISBN:
Category : Adverse selection (Insurance)
Languages : en
Pages : 62
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Book Description
Author: J. David Cummins
Publisher: Springer Science & Business Media
ISBN: 9401729115
Category : Business & Economics
Languages : en
Pages : 345
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Book Description
The research project leading to this book was initiated in the fall of 1979 when the American Council of Life Insurance (ACLI) contacted Dan McGill, chairman of the Wharton School Insurance Department, about conducting a study on risk classification in life insurance. The ACLI was concerned about legislative and judicial activity in this area and its potential effects on the life insurance industry. A meeting was held at the ACLI offices in Washington, D.C., between several members of the ACLI staff and Dan McGill and David Cummins representing the Wharton School insurance department. An agreement was reached that a study would be conducted at Wharton dealing with issues in risk classification. Although the staff of the ACLI suggested directions the study might take, it was agreed that the design and execution of the study would be solely under the control of the researchers. The researchers also retained unrestricted publication rights in the results of the study. This agreement has been honored by the ACLI during the course of the project.
Author: Guy Thomas
Publisher: Cambridge University Press
ISBN: 110815834X
Category : Business & Economics
Languages : en
Pages : 285
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Book Description
Most academic and policy commentary represents adverse selection as a severe problem in insurance, which should always be deprecated, avoided or minimised. This book gives a contrary view. It details the exaggeration of adverse selection in insurers' rhetoric and insurance economics, and presents evidence that in many insurance markets, adverse selection is weaker than most commentators suggest. A novel arithmetical argument shows that from a public policy perspective, 'weak' adverse selection can be a good thing. This is because a degree of adverse selection is needed to maximise 'loss coverage', the expected fraction of the population's losses which is compensated by insurance. This book will be valuable for those interested in public policy arguments about insurance and discrimination: academics (in economics, law and social policy), policymakers, actuaries, underwriters, disability activists, geneticists and other medical professionals.
