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Autor/inn/enTrujillo, Antonio J.; McCalla, Dawn C.
TitelAre Colombian Sickness Funds Cream Skimming Enrollees? An Analysis with Suggestions for Policy Improvement
QuelleIn: Journal of Policy Analysis and Management, 23 (2004) 4, S.873-888 (16 Seiten)
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Spracheenglisch
Dokumenttypgedruckt; online; Zeitschriftenaufsatz
ISSN0276-8739
DOI10.1002/pam.20052
SchlagwörterPublic Policy; Diseases; Competition; Health Insurance; Health Conditions; Foreign Countries; Community Surveys; Family (Sociological Unit); Selection; Policy Analysis; Program Effectiveness; Data Interpretation; Colombia
AbstractOne of the primary objectives of Colombian social health insurance reform was to increase competition among for-profit insurers. Unfortunately, the flat capitated formula creates an opportunity for sickness funds to maximize reimbursement gains by "cream skimming"--selecting against unhealthy individuals. This paper explores sickness fund selection behavior to evaluate the efficiency losses associated with the introduction of managed competition in Colombia. Data from a 1997 Colombian household survey are analyzed with a bivariate probit model with partial observability using instrumental variables. The model yields some evidence of sickness fund selection based on health status. Public policy options to discourage risk selection by health status are discussed. (Author).
AnmerkungenJohn Wiley & Sons, Inc. Subscription Department, 111 River Street, Hoboken, NJ 07030-5774. Tel: 800-825-7550; Tel: 201-748-6645; Fax: 201-748-6021; e-mail: subinfo@wiley.com; Web site: http://www3.interscience.wiley.com/browse/?type=JOURNAL
Erfasst vonERIC (Education Resources Information Center), Washington, DC
Update2017/4/10
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