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Ajuste de las Primas por Factores de Riesgo en los Planes de Salud de las ISAPRES

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Author Info
Arístides Torche () (Instituto de Economía. Pontificia Universidad Católica de Chile.)
Carlos Williamson ()

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Abstract

This paper analyzes the premium charged by the private Chilean health insurance market, constituted by the private health management institutions, ISAPRES. A relationship between the expected expenditure and the socio-demographic variables, sex, age and type of beneficiary, is presented and analyzed. Then ratios between the expenditures of different types of beneficiaries and the expenditure of a normalized affiliate are calculated and compared with the factor weights that the ISAPRES, in compliance with the law, employ to differentiate prices among beneficiaries. The basic objective of the study consists in observing to what extent are costs used to determine the plans’ risk coefficients, of Isapres and additionally to analyze the incidence of the risk factors permitted by law, for modifying the base values.

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File URL: http://www.economia.puc.cl/index/download.asp?id_publicacion=655
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Publisher Info
Article provided by Instituto de Economía. Pontificia Universidad Católica de Chile. in its journal Cuadernos de Economía.

Volume (Year): 36 (1999)
Issue (Month): 108 ()
Pages: 761-779
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Handle: RePEc:ioe:cuadec:v:36:y:1999:i:108:p:761-779

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Related research
Keywords: Premium; Health Insurance; Adverse Selection; Risk Factors;

Find related papers by JEL classification:
I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

References listed on IDEAS
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  1. David Cutler & Richard Zeckhauser, 1998. "Adverse Selection in Health Insurance," Forum for Health Economics & Policy, Berkeley Electronic Press, vol. 1(1), pages 1056-1056. [Downloadable!] (restricted)
    Other versions:
  2. Joseph P. Newhouse, 1996. "Reimbursing Health Plans and Health Providers: Efficiency in Production versus Selection," Journal of Economic Literature, American Economic Association, vol. 34(3), pages 1236-1263, September. [Downloadable!] (restricted)
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Statistics
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