多方合约与预防

MULTILATERAL CONTRACTING AND PREVENTION

Health Economics · 2013
被引 11
人大 A-

中文导读

研究了保险公司与消费者和医疗服务提供者之间的多方合约,分析了预防努力不可观察时,如何通过激励设计平衡事前道德风险与保险覆盖,并讨论了提供者努力与消费者努力互补或替代两种情形下的合约特征。

Abstract

Incentives created through contracts can be used as a means of decentralized control in healthcare systems to ensure more efficient healthcare. In this paper, we consider an insurer contracting with a consumer and a provider. We focus on the trade-off between ex ante moral hazard and insurance, and consider both consumer and provider incentives in the insurer's contracting problem in the presence of unobservable preventive efforts. We study two cases of provider efforts: those that complement consumer efforts and those that substitute for consumer efforts. In the first case, our results show that the provider must have greater incentives when the consumer is healthy to induce effort and that inducing provider effort allows an insurer to offer a more complete insurance contract relative to the bilateral benchmark. In the second case, we state conditions under which these conclusions continue to hold. On the basis of our findings, we discuss the implications and challenges of multilateral contracting in practice.

医疗合同预防努力道德风险保险契约