Pricing Institutions and the Welfare Cost of Adverse Selection
研究了保险市场中两种定价制度(总定价与增量定价)对逆向选择福利损失的影响,发现增量定价可将福利损失降低一个数量级,对健康保险市场设计有参考价值。
To mitigate adverse selection in insurance markets, individuals are often mandated to buy at least a baseline plan, but may choose to opt into a premium plan. In some markets, such as US health exchanges, each plan is responsible for the full expenses of those who buy it (“total pricing”). In other markets, such as the privately supplied “Medigap” top-ups to traditional government-provided Medicare, premium providers are only responsible for the incremental expenses they top up (“incremental pricing”). For parameter values calibrated to health exchanges, the shift from total to incremental pricing reduces the welfare loss from adverse selection by an order of magnitude.