IDEAS home Printed from
   My bibliography  Save this article

A global overview of health insurance administrative costs: what are the reasons for variations found?


  • Mathauer, Inke
  • Nicolle, Emmanuelle


Administrative costs are an important spending category in total health insurance expenditure. Yet, they have rarely been a topic outside the US and there is no cross-country comparison available. This paper provides a global overview and analysis of administrative costs for social security schemes (SSS) and private health insurance schemes (PHI).

Suggested Citation

  • Mathauer, Inke & Nicolle, Emmanuelle, 2011. "A global overview of health insurance administrative costs: what are the reasons for variations found?," Health Policy, Elsevier, vol. 102(2), pages 235-246.
  • Handle: RePEc:eee:hepoli:v:102:y:2011:i:2:p:235-246
    DOI: 10.1016/j.healthpol.2011.07.009

    Download full text from publisher

    File URL:
    Download Restriction: Full text for ScienceDirect subscribers only

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    1. William C. Hsiao & R. Paul Shaw, 2007. "Social Health Insurance for Developing Nations," World Bank Publications, The World Bank, number 6860.
    2. William D. Savedoff & Pablo Gottret, 2008. "Governing Mandatory Health Insurance : Learning from Experience," World Bank Publications, The World Bank, number 6526.
    3. Eva Orosz & David Morgan, 2004. "SHA-Based National Health Accounts in Thirteen OECD Countries: A Comparative Analysis," OECD Health Working Papers 16, OECD Publishing.
    4. Iriart, Celia & ElĂ­as Merhy, Emerson & Waitzkin, Howard, 2001. "Managed care in Latin America: the new common sense in health policy reform," Social Science & Medicine, Elsevier, vol. 52(8), pages 1243-1253, April.
    5. Kutzin, Joseph, 2001. "A descriptive framework for country-level analysis of health care financing arrangements," Health Policy, Elsevier, vol. 56(3), pages 171-204, June.
    6. Maarse, Hans & Paulus, Aggie & Kuiper, Gerard, 2005. "Supervision in social health insurance: a four country study," Health Policy, Elsevier, vol. 71(3), pages 333-346, March.
    7. Rowena Jacobs & Maria Goddard, 2000. "Social health insurance systems in European countries: the role of the insurer in the health care system: a comparative study of four European countries," Working Papers 039cheop, Centre for Health Economics, University of York.
    8. Ensor, Tim, 1999. "Developing health insurance in transitional Asia," Social Science & Medicine, Elsevier, vol. 48(7), pages 871-879, April.
    9. Bärnighausen, Till & Sauerborn, Rainer, 2002. "One hundred and eighteen years of the German health insurance system: are there any lessons for middle- and low-income countries?," Social Science & Medicine, Elsevier, vol. 54(10), pages 1559-1587, May.
    Full references (including those not matched with items on IDEAS)


    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.

    Cited by:

    1. Onoka, Chima A. & Hanson, Kara & Mills, Anne, 2016. "Growth of health maintenance organisations in Nigeria and the potential for a role in promoting universal coverage efforts," Social Science & Medicine, Elsevier, vol. 162(C), pages 11-20.
    2. Connolly, Sheelah & Wren, Maev-Ann, 2016. "The 2011 proposal for Universal Health Insurance in Ireland: Potential implications for healthcare expenditure," Health Policy, Elsevier, vol. 120(7), pages 790-796.


    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:102:y:2011:i:2:p:235-246. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Dana Niculescu) or (). General contact details of provider: .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.