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Less Social Health Insurance – More Private Supplementary Insurance? – Empirical Evidence from Germany

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  • Boris Augurzky

    ()

  • Harald Tauchmann

    ()

Abstract

This paper uses individual level data to analyze the effect of changes in the compulsory benefit package of the German statutory health insurance scheme on the demand for private supplementary insurance. In particular, we aim at measuring the effect of excluding dentures from the benefit package in 1997 as well as the effect of re-including them in 1999.Adifference-in-differences estimator is used. Individuals born prior to 1979 serve as control group because only the young were affected by the reform.Our results do not exhibit any significant effects on the demand for supplementary health insurance. Thus, the hypothesis that clients do make informed choices about their health insurances’ coverage is not supported.

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File URL: http://repec.rwi-essen.de/files/REP_08_046.pdf
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Bibliographic Info

Paper provided by Rheinisch-Westfälisches Institut für Wirtschaftsforschung, Ruhr-Universität Bochum, Universität Dortmund, Universität Duisburg-Essen in its series Ruhr Economic Papers with number 0046.

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Length: 21 pages
Date of creation: May 2008
Date of revision:
Handle: RePEc:rwi:repape:0046

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Keywords: Supplementary private health insurance; dentures; difference- indifferences;

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  1. Marcus Tamm & Harald Tauchmann & Jürgen Wasem & Stefan Gre�, 2007. "Elasticities of market shares and social health insurance choice in germany: a dynamic panel data approach," Health Economics, John Wiley & Sons, Ltd., vol. 16(3), pages 243-256.
  2. Warshawsky, Mark J., 1999. "An Enhanced Macroeconomic Approach to Long-Range Projections of Health Care and Social Security Expenditures as a Share of GDP," Journal of Policy Modeling, Elsevier, vol. 21(4), pages 413-426, July.
  3. Bauer, Thomas K. & Bender, Stefan & Bonin, Holger, 2004. "Dismissal Protection and Worker Flows in Small Establishments," IZA Discussion Papers 1105, Institute for the Study of Labor (IZA).
  4. Chamberlain, Gary, 1980. "Analysis of Covariance with Qualitative Data," Review of Economic Studies, Wiley Blackwell, vol. 47(1), pages 225-38, January.
  5. Correa, H. & Namkoong, K., 1992. "Determinants and effects of health policy," Journal of Policy Modeling, Elsevier, vol. 14(1), pages 41-63, February.
  6. Kate Bundorf, M., 2002. "Employee demand for health insurance and employer health plan choices," Journal of Health Economics, Elsevier, vol. 21(1), pages 65-88, January.
  7. Boris Augurzky & Thomas Bauer & Sandra Schaffner, 2006. "Copayments in the German Health System – Do They Work?," RWI Discussion Papers 0043, Rheinisch-Westfälisches Institut für Wirtschaftsforschung.
  8. Axel Olaf Kern, 2003. "Ausgliederung von Leistungen fuer Zahnersatz aus der gesetzlichen Krankenversicherung - Eigenverantwortung der Versicherten und Folgen fuer die GKV -," Discussion Paper Series 248, Universitaet Augsburg, Institute for Economics.
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