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Australian Private Health Insurance Productivity Growth: Is there Scope to Limit Premium Increases?

Author

Listed:
  • ROGER CARRINGTON
  • TIM COELLI
  • D.S. PRASADA RAO

Abstract

The regulation of Australian private health insurance premiums is not conducive to restricting premium increases because the criteria used by the Commonwealth Government to help set premiums do not consider efficient service delivery. This article examines levels of efficiency and productivity growth in Australian health funds. Efficiency frontiers are constructed using data envelopment analysis (DEA) methods, and Malmquist productivity indexes are constructed for the health funds. Our results demonstrate a wide disparity in productivity growth between large funds and smaller funds and funds open to the public and funds that have restricted public access. Consequently, there is scope for health funds to potentially reduce premium increases, on average, by about 0.4 per cent per year.

Suggested Citation

  • Roger Carrington & Tim Coelli & D.S. Prasada Rao, 2011. "Australian Private Health Insurance Productivity Growth: Is there Scope to Limit Premium Increases?," The Economic Record, The Economic Society of Australia, vol. 87(276), pages 125-139, March.
    • Handle: RePEc:bla:ecorec:v:87:y:2011:i:276:p:125-139
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    File URL: http://hdl.handle.net/10.1111/j.1475-4932.2010.00684.x
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    References listed on IDEAS

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    1. Leverty, J. Tyler & Grace, Martin F., 2010. "The robustness of output measures in property-liability insurance efficiency studies," Journal of Banking & Finance, Elsevier, vol. 34(7), pages 1510-1524, July.
    2. Hugo Fuentes & Emili Grifell-Tatjé & Sergio Perelman, 2001. "A Parametric Distance Function Approach for Malmquist Productivity Index Estimation," Journal of Productivity Analysis, Springer, vol. 15(2), pages 79-94, March.
    3. Ray, Subhash C & Desli, Evangelia, 1997. "Productivity Growth, Technical Progress, and Efficiency Change in Industrialized Countries: Comment," American Economic Review, American Economic Association, vol. 87(5), pages 1033-1039, December.
    4. Brockett, Patrick L. & Cooper, William W. & Golden, Linda L. & Rousseau, John J. & Wang, Yuying, 2004. "Evaluating solvency versus efficiency performance and different forms of organization and marketing in US property--liability insurance companies," European Journal of Operational Research, Elsevier, vol. 154(2), pages 492-514, April.
    5. Antonio Estache & Tim Coelli & Sergio Perelman & Lourdes Trujillo, 2003. "A Primer on Efficiency Measurement for Utilities and Transport Regulators," ULB Institutional Repository 2013/44106, ULB -- Universite Libre de Bruxelles.
    6. H.E. Frech Iii & Sandra Hopkins & Garry Macdonald, 2003. "The Australian Private Health Insurance Boom: Was It Subsidies Or Liberalised Regulation?," Economic Papers, The Economic Society of Australia, vol. 22(1), pages 58-64, March.
    7. Berger, Allen N. & Humphrey, David B., 1997. "Efficiency of financial institutions: International survey and directions for future research," European Journal of Operational Research, Elsevier, vol. 98(2), pages 175-212, April.
    8. Roger Carrington & Tim Coelli & D. S. Prasada Rao, 2008. "Regulation of Private Health Insurance Premiums: Can Performance Assessment Play a Greater Role?," CEPA Working Papers Series WP042008, School of Economics, University of Queensland, Australia.
    9. Michael Luhnen, 2009. "Determinants of Efficiency and Productivity in German Property-Liability Insurance: Evidence for 1995–2006," The Geneva Papers on Risk and Insurance - Issues and Practice, Palgrave Macmillan;The Geneva Association, vol. 34(3), pages 483-505, July.
    10. Joshua Kirkwood & Daehoon Nahm, 2006. "Australian Banking Efficiency and Its Relation to Stock Returns," The Economic Record, The Economic Society of Australia, vol. 82(258), pages 253-267, September.
    11. Francesca Colombo & Nicole Tapay, 2003. "Private Health Insurance in Australia: A Case Study," OECD Health Working Papers 8, OECD Publishing.
    12. Mark K. Sherwood, 1999. "Output of the property and casualty insurance industry," Canadian Journal of Economics, Canadian Economics Association, vol. 32(2), pages 518-546, April.
    13. Eling, Martin & Luhnen, Michael, 2010. "Efficiency in the international insurance industry: A cross-country comparison," Journal of Banking & Finance, Elsevier, vol. 34(7), pages 1497-1509, July.
    14. Bert Balk, 2001. "Scale Efficiency and Productivity Change," Journal of Productivity Analysis, Springer, vol. 15(3), pages 159-183, May.
    15. Carrington, Roger & Coelli, Tim & Groom, Eric, 2002. "International Benchmarking for Monopoly Price Regulation: The Case of Australian Gas Distribution," Journal of Regulatory Economics, Springer, vol. 21(2), pages 191-216, March.
    16. Tim Coelli & Antonio Estache & Sergio Perelman & Lourdes Trujillo, 2003. "A Primer on Efficiency Measurement for Utilities and Transport Regulators," World Bank Publications - Books, The World Bank Group, number 15149, April.
    17. Alfons Palangkaraya & Jongsay Yong, 2005. "Effects of Recent Carrot‐and‐Stick Policy Initiatives on Private Health Insurance Coverage in Australia," The Economic Record, The Economic Society of Australia, vol. 81(254), pages 262-272, September.
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    Cited by:

    1. Andrew C. Worthington & Lan Nguyen, 2024. "COVID‐19 and Efficiency, Technology and Productivity Change in Australian Private Health Insurance Funds," Economic Papers, The Economic Society of Australia, vol. 43(2), pages 169-183, June.
    2. Lan Nguyen & Andrew C. Worthington, 2021. "Industry regulation, fund characteristics, and the efficiency of Australian private health insurers," Accounting and Finance, Accounting and Finance Association of Australia and New Zealand, vol. 61(1), pages 781-801, March.

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    Keywords

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    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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