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Regulation of private health insurance markets
Florian Heiss
其他書名
lessons from enrollment, plan type choice and adverse selection in Medicare part D
出版
National Bureau of Economic Research
, 2009
URL
http://books.google.com.hk/books?id=27rRSAAACAAJ&hl=&source=gbs_api
註釋
Abstract: We study the Medicare Part D prescription drug insurance program as a bellwether for designs of private, non-mandatory health insurance markets that control adverse selection and assure adequate access and coverage. We model Part D enrollment and plan choice assuming a discrete dynamic decision process that maximizes life-cycle expected utility, and perform counterfactual policy simulations of the effect of market design on participation and plan viability. Our model correctly predicts high Part D enrollment rates among the currently healthy, but also strong adverse selection in choice of level of coverage. We analyze alternative designs that preserve plan variety