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Planes Mínimos Obligatorios en Mercados de Seguros de Salud Segmentados

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  • Edmundo Beteta
  • Manuel Willington

    ()

Abstract

Se analiza el efecto de la introducción de un plan mínimo obligatorio de prestaciones (PMO) en un mercado de seguros de salud segmentado en que el seguro público y las aseguradoras privadas atienden respectivamente a riesgos altos y bajos (la segmentación es obtenida de manera endógena en el modelo). El análisis se realiza en un contexto en que ambos tipos de aseguradores deben ofrecer el PMO y los asegurados tienen una obligación de asegurarse y contribuir una prima mínima. Al comparar los equilibrios pre y post introducción del PMO, se constata que la reforma introduce indirectamente un mecanismo de subsidios implícitos que otorgan cierta solidaridad al sistema, aun cuando la reforma no lo promueva de manera explícita mediante mecanismos de compensación de riesgos. Para que este mecanismo de subsidio implícito opere es imprescindible que se regulen tanto el precio como la calidad asociados al PMO y que el regulador tenga la capacidad de coerción para que las aseguradoras privadas efectivamente ofrezcan el PMO a todos los tipos de asegurados.

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Bibliographic Info

Article provided by University of Chile, Department of Economics in its journal Estudios de Economia.

Volume (Year): 36 (2009)
Issue (Month): 2 Year 2009 (December)
Pages: 217-241

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Handle: RePEc:udc:esteco:v:36:y:2009:i:2:p:217-241

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Web page: http://www.econ.uchile.cl/
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Keywords: Seguros de salud; plan mínimo obligatorio de prestaciones; competencia administrada;

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  1. Georges Dionne & Benoit Dostie, 2005. "New Evidence on the Determinants of Absenteeism Using Linked Employer-Employee Data," Cahiers de recherche 05-04, HEC Montréal, Institut d'économie appliquée.
  2. Askildsen, Jan Erik & Bratberg, Espen & Nilsen, Øivind Anti, 2002. "Unemployment, Labour Force Composition and Sickness Absence: A Panel Data Study," IZA Discussion Papers 466, Institute for the Study of Labor (IZA).
  3. Ziebarth, Nicolas R. & Karlsson, Martin, 2010. "A natural experiment on sick pay cuts, sickness absence, and labor costs," Journal of Public Economics, Elsevier, vol. 94(11-12), pages 1108-1122, December.
  4. Nicolas R. Ziebarth & Martin Karlsson, 2009. "The Effects of Expanding the Generosity of the Statutory Sickness Insurance System," SOEPpapers on Multidisciplinary Panel Data Research 245, DIW Berlin, The German Socio-Economic Panel (SOEP).
  5. Maria De Paola & Valeria Pupo & Vincenzo Scoppa, 2009. "Absenteeism In The Italian Public Sector: The Effects Of Changes In Sick Leave Compensation," Working Papers 200916, Università della Calabria, Dipartimento di Economia, Statistica e Finanza (Ex Dipartimento di Economia e Statistica).
  6. Rigmar Osterkamp & Oliver Röhn, 2007. "Being on Sick Leave: Possible Explanations for Differences of Sick-leave Days Across Countries," CESifo Economic Studies, CESifo, vol. 53(1), pages 97-114, March.
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