International Portability of Health-Cost Cover: Mobility, Insurance, and Redistribution
AbstractPublic health insurance and other arrangements covering health-costs effectively provide insurance against changes in health status. These arrangements engage in burden-smoothing over the life cycle and entail various elements of redistribution. Lack of portability regarding this type of cover may impede international mobility and create financial losses or windfall gains on various sides, which can lead to risk segmentation across national health systems. Existing portability rules do not fully address these problems. In this paper, we try to clarify the implications of mobility for typical systems covering health costs and the requirements which have to be met to ensure full portability. When individuals are internationally mobile, compensating payments are needed based on changes in expected net costs in both of the health funds involved. Illustrative simulations show that this approach may be operative under real-world conditions.
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Bibliographic InfoPaper provided by CESifo Group Munich in its series CESifo Working Paper Series with number 3952.
Date of creation: 2012
Date of revision:
social insurance; health costs; migration; international portability; fiscal externalities; risk segmentation;
Find related papers by JEL classification:
- F22 - International Economics - - International Factor Movements and International Business - - - International Migration
- F55 - International Economics - - International Relations and International Political Economy - - - International Institutional Arrangements
- H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
- H73 - Public Economics - - State and Local Government; Intergovernmental Relations - - - Interjurisdictional Differentials and Their Effects
- J60 - Labor and Demographic Economics - - Mobility, Unemployment, and Vacancies - - - General
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- Hans-Werner Sinn, 2004.
"The New Systems Competition,"
Perspektiven der Wirtschaftspolitik,
Verein für Socialpolitik, vol. 5(1), pages 23-38, 02.
- Holzmann, Robert & Koettl, Johannes, 2011.
"Portability of pension, health, and other social benefits : facts, concepts, issues,"
Social Protection Discussion Papers
62725, The World Bank.
- Holzmann, Robert & Koettl, Johannes, 2011. "Portability of Pension, Health, and Other Social Benefits: Facts, Concepts, Issues," IZA Discussion Papers 5715, Institute for the Study of Labor (IZA).
- Florian Baumann & Volker Meier & Martin Werding, 2004.
"Transferable Ageing Provisions in Individual Health Insurance Contracts,"
CESifo Working Paper Series
1116, CESifo Group Munich.
- Florian Baumann & Volker Meier & Martin Werding, 2008. "Transferable Ageing Provisions in Individual Health Insurance Contracts," German Economic Review, Verein für Socialpolitik, vol. 9, pages 287-311, 08.
- Florian Baumann & Volker Meier & Martin Werding, 2006. "Transferable Ageing Provisions in Individual Health Insurance Contracts," Ifo Working Paper Series Ifo Working Paper No. 32, Ifo Institute for Economic Research at the University of Munich.
- Herring, Bradley & Pauly, Mark V., 2006. "Incentive-compatible guaranteed renewable health insurance premiums," Journal of Health Economics, Elsevier, vol. 25(3), pages 395-417, May.
- Wei Sun & Anthony Webb & Natalia Zhivan, 2009. "Does Staying Healthy Reduce Your Lifetime Health Care Costs?," Issues in Brief ib2010-8, Center for Retirement Research, revised May 2009.
- Wido Geis & Silke Uebelmesser & Martin Werding, 2008.
"How do Migrants Choose their Destination Country? An Analysis of Institutional Determinants,"
CESifo Working Paper Series
2506, CESifo Group Munich.
- Wido Geis & Silke Uebelmesser & Martin Werding, 2013. "How do Migrants Choose Their Destination Country? An Analysis of Institutional Determinants," Review of International Economics, Wiley Blackwell, vol. 21(5), pages 825-840, November.
- Robert Fenge & Silke Uebelmesser & Martin Werding, 2006. "On the Optimal Timing of Implicit Social Security Taxes Over the Life Cycle," FinanzArchiv: Public Finance Analysis, Mohr Siebeck, Tübingen, vol. 62(1), pages 68-107, March.
- Daniel Leigh & David Hauner & Michael Skaarup, 2007. "Ensuring Fiscal Sustainability in G-7 Countries," IMF Working Papers 07/187, International Monetary Fund.
- Li, Minqiang, 2010. "Asset Pricing - A Brief Review," MPRA Paper 22379, University Library of Munich, Germany.
- Volker Meier, 2005.
"Efficient Transfer of Aging Provisions in Private Health Insurance,"
Journal of Economics,
Springer, vol. 84(3), pages 249-275, 05.
- Volker Meier, 2003. "Efficient Transfer of Aging Provisions in Private Health Insurance," CESifo Working Paper Series 862, CESifo Group Munich.
- Munz, Sonja & Werding, Martin, 2005. "Public pensions and international migration: some clarifications and illustrative results," Journal of Pension Economics and Finance, Cambridge University Press, vol. 4(02), pages 181-207, July.
- Holzmann, Robert & Koettl, Johannes & Chernetsky, Taras, 2005. "Portability regimes of pension and health care benefits for international migrants: an analysis of issues and good practices," Social Protection Discussion Papers 32750, The World Bank.
- Werding, Martin & McLennan, Stuart, 2011. "International portability of health-cost coverage : concepts and experience," Social Protection Discussion Papers 63929, The World Bank.
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