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来源类型Working Paper
规范类型报告
DOI10.3386/w26870
来源IDWorking Paper 26870
Long-Term Health Insurance: Theory Meets Evidence
Juan Pablo Atal; Hanming Fang; Martin Karlsson; Nicolas R. Ziebarth
发表日期2020-03-23
出版年2020
语种英语
摘要To insure policyholders against contemporaneous health expenditure shocks and future reclassification risk, long-term health insurance constitutes an alternative to community-rated short-term contracts with an individual mandate. In this paper, we study the German long-term health insurance (GLTHI) from a life-cycle perspective. The GLTHI is one of the few real-world long-term health insurance markets. We first present and discuss insurer regulation, premium setting, and the main market principles of the GLTHI. Then, using unique claims panel data from 620 thousand policyholders over 7 years, we propose a new method to classify and model health transitions. Feeding the empirical inputs into our theoretical model, we assess the welfare effects of the GLTHI over policyholders’ lifecycle. We find that GLTHI achieves a high level of welfare against several benchmarks. Finally, we conduct counterfactual policy simulations to illustrate the welfare consequences of integrating GLTHI into a hybrid insurance system similar to the current system in the United States.
主题Financial Economics ; Financial Institutions ; Health, Education, and Welfare ; Health
URLhttps://www.nber.org/papers/w26870
来源智库National Bureau of Economic Research (United States)
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资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/584543
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GB/T 7714
Juan Pablo Atal,Hanming Fang,Martin Karlsson,et al. Long-Term Health Insurance: Theory Meets Evidence. 2020.
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