scholarly journals Collusion in the Private Health Insurance Market: Empirical Evidence for Chile

2008 ◽  
Author(s):  
Claudio A. Agostini ◽  
Eduardo H Saavedra ◽  
Manuel Manuel Willington
Keyword(s):  
Health Insurance ◽  
Empirical Evidence ◽  
Private Health Insurance ◽  
Insurance Market ◽  
Health Insurance Market

scholarly journals Thriving in a changing world – opportunities and challenges for private health insurance companies

2018 ◽  
Vol 1 (2018/1) ◽  
Keyword(s):  
Health Insurance ◽  
Private Health Insurance ◽  
Health Impact ◽  
Insurance Market ◽  
Insurance Companies ◽  
Full Potential ◽  
Global Trends ◽  
Health Insurance Companies ◽  
Health Insurance Market

The health insurance market in Poland reflects global trends – such as the rising awareness of personal health impact on quality of life. As a consequence, the health insurance market has seen substantial growth during the last years, which is forecasted to continue at over 20 percent more than life or P&C insurance globally. However, private health insurance has not yet unlocked its full potential.

scholarly journals Can universal access be achieved in a voluntary private health insurance market? Dutch private insurers caught between competing logics

2018 ◽  
Vol 14 (03) ◽  
pp. 315-336 ◽  
Author(s):  
Robert A. A. Vonk ◽  
Frederik T. Schut
Keyword(s):  
Health Insurance ◽  
Welfare State ◽  
Consumer Choice ◽  
Private Health Insurance ◽  
Universal Access ◽  
Social Health Insurance ◽  
Insurance Market ◽  
Primary Sources ◽  
Health Insurance Market ◽  
Health Insurers

AbstractFor almost a century, the Netherlands was marked by a large market for voluntary private health insurance alongside state-regulated social health insurance. Throughout this period, private health insurers tried to safeguard their position within an expanding welfare state. From an institutional logics perspective, we analyze how private health insurers tried to reconcile the tension between a competitive insurance market pressuring for selective underwriting and actuarially fair premiums (the insurance logic), and an upcoming welfare state pressuring for universal access and socially fair premiums (the welfare state logic). Based on primary sources and the extant historiography, we distinguish six periods in which the balance between both logics changed significantly. We identify various strategies employed by private insurers to reconcile the competing logics. Some of these were temporarily successful, but required measures that were incompatible with the idea of free entrepreneurship and consumer choice. We conclude that universal access can only be achieved in a competitive individual private health insurance market if this market is effectively regulated and mandatory cross-subsidies are effectively enforced. The Dutch case demonstrates that achieving universal access in a competitive private health insurance market is institutionally complex and requires broad political and societal support.

Community rating in the absence of risk equalisation: lessons from the Irish private health insurance market

2012 ◽  
Vol 8 (2) ◽  
pp. 209-224 ◽  
Author(s):  
Brian Turner ◽  
Edward Shinnick
Keyword(s):  
Health Insurance ◽  
High Risk ◽  
Supreme Court ◽  
Market Segmentation ◽  
Private Health Insurance ◽  
Low Risk ◽  
Insurance Market ◽  
Risk Profiles ◽  
Community Rating ◽  
Health Insurance Market

AbstractIreland's private health insurance market operates on the basis of community rating, alongside open enrolment and lifetime cover. A risk equalisation scheme was introduced in 2003 to bolster community rating. However, in July 2008 the Irish Supreme Court set aside this scheme, on the basis of the interpretation of community rating in Irish legislation. This decision has significant implications for the Irish private health insurance market. This paper reviews the development of the market, focusing in particular on community rating. The breakdown of community rating in a market with multiple insurers with differing risk profiles is discussed. Applying this to the Irish market, it can be seen that the Irish Supreme Court judgment has significant implications for the application of community rating. Specifically, while community rating operates within plans, it no longer operates across the market, leading to high-risk lives paying more, on average, than low-risk lives. It has also led to greater opportunities for insurers to engage in market segmentation. This may have relevance for the design and operation of other community rated markets.

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