| Deductibles in health insurance: can the actuarially fair premium reduction exceed the deductible? | |
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MedLine Citation:
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PMID: 10958993 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The actuarially fair premium reduction in case of a deductible relative to full insurance is affected by: (1) out-of-pocket payments, (2) moral hazard, (3) administrative costs, and, in case of a voluntary deductible, (4) adverse selection. Both the partial effects and the total effect of these factors are analyzed. Moral hazard and adverse selection appear to have a substantial effect on the expected health care costs above a deductible but a small effect on the expected out-of-pocket expenditure. A premium model indicates that for a broad range of deductible amounts the actuarially fair premium reduction exceeds the deductible. |
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Authors:
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F M Bakker; R C van Vliet; W P van de Ven |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Health policy (Amsterdam, Netherlands) Volume: 53 ISSN: 0168-8510 ISO Abbreviation: Health Policy Publication Date: 2000 Sep |
Date Detail:
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Created Date: 2000-09-06 Completed Date: 2000-09-06 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8409431 Medline TA: Health Policy Country: IRELAND |
Other Details:
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Languages: eng Pagination: 123-41 Citation Subset: H |
Affiliation:
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Department of Health Policy and Management, Erasmus University, Rotterdam, The Netherlands. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Actuarial Analysis Cost Sharing / statistics & numerical data* Deductibles and Coinsurance / statistics & numerical data* Fees and Charges / standards, statistics & numerical data* Health Expenditures / statistics & numerical data Health Services Humans Insurance Selection Bias Insurance, Health / economics*, statistics & numerical data Motivation Netherlands Rate Setting and Review / methods, standards |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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