Private Health Insurance Incentives in Australia: The Effects of Recent Changes to Price Carrots and Income Sticks

Robson, Alex and Paolucci, Francesco (2012) Private Health Insurance Incentives in Australia: The Effects of Recent Changes to Price Carrots and Income Sticks. The Geneva Papers on Risk and Insurance Issues and Practice, 37. pp. 725-744. ISSN 1018-5895

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Official URL: http://dx.doi.org/10.1057/gpp.2012.38

Abstract

Three major policy tools govern the demand for private health insurance (PHI) in Australia: premium-related subsidies (i.e. PHI-rebate); income tax surcharges (i.e. the Medicare Levy Surcharge (MLS)); and lifetime community-rating (i.e. Lifetime Health Cover). The first two provide a system of "carrots and sticks" to create incentives for increasing the demand for PHI. The third creates incentives for consumers to purchase PHI earlier than they otherwise would have, and to maintain this coverage over time even when prices rise. This paper makes a number of contributions to the existing literature. We develop a diagrammatic model that incorporates income heterogeneity and use it to consider two important policy issues: the effect of policy changes on consumer price responsiveness, and the effect of policy changes on the PHI take-up rates. The model suggests that recent changes to the income tax surcharge are likely to reduce the price elasticity of demand for insurance, which could have further consequences for outcomes in the PHI market and the health system more generally. Increases in premiums will reduce take-up, but could worsen the government's budget position, even if tax revenues were to rise. Finally, we conduct numerical simulations to examine the possible effects of recent policy changes, which are aimed at further means-testing the PHI rebate and the MLS. The simulation results suggest that these recently adopted policy changes are likely to reduce the take-up of PHI as well as consumers' responsiveness to future premium increases.

Item Type: Article
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 > Nursing, Midwifery and Health
Depositing User: Ay Okpokam
Date Deposited: 24 Apr 2012 13:33
Last Modified: 10 Aug 2015 11:34
URI: http://nrl.northumbria.ac.uk/id/eprint/6436

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