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Risk Variation and Fallback Insurers in Universal Coverage Insurance Plans

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Bibliographische Detailangaben
Zeitschriftentitel: Inquiry
Personen und Körperschaften: Pauly, Mark V.
In: Inquiry, 29, 1992, 2, S. 137-147
Format: E-Article
Sprache: Englisch
veröffentlicht:
Blue Cross and Blue Shield Association
Schlagwörter:
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rft.atitle Risk Variation and Fallback Insurers in Universal Coverage Insurance Plans
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abstract <p>This paper argues that optimal treatment of health expenditure risk variation over one's lifetime requires partial offsetting of experience-related premium fluctuations. It argues that government should provide protection against the risk of serious chronic illness by offering risk-related tax credits that offset some (though not all) of the changes in premiums due to such illnesses. The performance of a fallback insurer, present in most market-based health reform proposals, is shown to depend on whether or not it is permitted to risk rate. Forbidding any risk rating is likely to cause adverse selection problems, whereas permitting the fallback insurer to risk rate should help it to perform its proper role and avoid being subject to dumping of high risks.</p>
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description <p>This paper argues that optimal treatment of health expenditure risk variation over one's lifetime requires partial offsetting of experience-related premium fluctuations. It argues that government should provide protection against the risk of serious chronic illness by offering risk-related tax credits that offset some (though not all) of the changes in premiums due to such illnesses. The performance of a fallback insurer, present in most market-based health reform proposals, is shown to depend on whether or not it is permitted to risk rate. Forbidding any risk rating is likely to cause adverse selection problems, whereas permitting the fallback insurer to risk rate should help it to perform its proper role and avoid being subject to dumping of high risks.</p>
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spelling Pauly, Mark V. 0046-9580 1945-7243 Blue Cross and Blue Shield Association Barriers to Reform https://www.jstor.org/stable/29772287 <p>This paper argues that optimal treatment of health expenditure risk variation over one's lifetime requires partial offsetting of experience-related premium fluctuations. It argues that government should provide protection against the risk of serious chronic illness by offering risk-related tax credits that offset some (though not all) of the changes in premiums due to such illnesses. The performance of a fallback insurer, present in most market-based health reform proposals, is shown to depend on whether or not it is permitted to risk rate. Forbidding any risk rating is likely to cause adverse selection problems, whereas permitting the fallback insurer to risk rate should help it to perform its proper role and avoid being subject to dumping of high risks.</p> Risk Variation and Fallback Insurers in Universal Coverage Insurance Plans Inquiry
spellingShingle Pauly, Mark V., Inquiry, Risk Variation and Fallback Insurers in Universal Coverage Insurance Plans, Barriers to Reform
title Risk Variation and Fallback Insurers in Universal Coverage Insurance Plans
title_full Risk Variation and Fallback Insurers in Universal Coverage Insurance Plans
title_fullStr Risk Variation and Fallback Insurers in Universal Coverage Insurance Plans
title_full_unstemmed Risk Variation and Fallback Insurers in Universal Coverage Insurance Plans
title_short Risk Variation and Fallback Insurers in Universal Coverage Insurance Plans
title_sort risk variation and fallback insurers in universal coverage insurance plans
title_unstemmed Risk Variation and Fallback Insurers in Universal Coverage Insurance Plans
topic Barriers to Reform
url https://www.jstor.org/stable/29772287