多种医疗技术并存下的综合保险设计

Integrated Insurance Design in the Presence of Multiple Medical Technologies

American Economic Review · 2007
被引 0
人大 A+FT50ABS 4*

中文导读

扩展了经典道德风险理论,分析多种医疗商品(如医疗服务与处方药)同时保险时的最优共保率设计,发现当商品互补或替代时,传统单一商品模型结论不成立,并提供了市场采用综合定价结构的实证证据。

Abstract

The classic theory of moral hazard concerns the insurance of a single good and predicts that co-insurance is larger when the elasticity of demand is higher and when small risks are insured. We extend this analysis to the insurance of multiple goods; for example, the simultaneous insurance of medical services and prescription drugs. We show that when multiple goods are either complements or substitutes--so that a change in co-insurance for one service affects the demand of others--the classic moral hazard results do not hold. For example, the single good model would predict high co-payments for prescription drugs since drug demand is elastic and of modest financial risk. However, a model of multi-good insurance suggests such drug coverage may optimally involve zero or even negative co-insurance when it is a substitute to other services insured such as hospital care or physician services. We summarize some of the empirical evidence in support of markets adopting optimal integrated pricing structures rather than individually optimal pricing structures.

道德风险多商品保险医疗技术共保率