Mix pubblico e privato nel finanziamento dei servizi sanitari in Australia: opt-out con sussidi aggiustati per il profilo di rischio degli assicurati?

Paolucci, Francesco, Butler, James and van de Ven, Wynand (2012) Mix pubblico e privato nel finanziamento dei servizi sanitari in Australia: opt-out con sussidi aggiustati per il profilo di rischio degli assicurati? Politiche Sanitarie, 13 (3). pp. 147-159. ISSN 1590-069X

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Abstract

Australia’s existing health financing arrangements lead to partial duplication in coverage for private health insurance holders. The two options to remove duplication are: 1) allowing individuals to ‘opt-out’ from Medicare either (a) by purchasing private health insurance or (b) by self-insuring via medical savings accounts or other pre-payment arrangements; 2) confining private health insurance to the coverage of supplementary services. This paper argues in favour of option 1(a), and argues that from an efficiency perspective: private health insurance should be fully substitutive of Medicare coverage (i.e. ‘opting-out’ should be allowed); community-rating should be replaced by premium bands; and the 30-40% ad valorem subsidy for private health insurance should be replaced by ex-ante risk-adjusted subsidies.

Item Type: Article
Additional Information: Title translation:Mix public and private financing of health services in Australia: opt-out with subsidies adjusted for the risk profile of the insured?
Uncontrolled Keywords: Health financing arrangements, Medicare, private health insurance
Subjects: B900 Others in Subjects allied to Medicine
L100 Economics
T800 Australasian studies
Department: Faculties > Health and Life Sciences > School of Health, Community and Education Studies > Healthcare
Related URLs:
Depositing User: Ay Okpokam
Date Deposited: 23 Apr 2012 15:12
Last Modified: 10 Aug 2015 11:37
URI: http://nrl.northumbria.ac.uk/id/eprint/6416

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