Pricing behaviour of nonprofit insurers in a weakly competitive social health insurance market
In this paper we examine the pricing behaviour of nonprofit health insurers in the Dutch social health insurance market. Since for-profit insurers were not allowed in this market, potential spillover effects from the presence of for-profit insurers on the behaviour of nonprofit insurers were absent. Using a panel data set for all health insurers operating in the Dutch social health insurance market over the period 1996-2004, we estimate a premium model to determine which factors explain the price setting behaviour of nonprofit health insurers. We find that financial stability rather than profit maximisation offers the best explanation for health plan pricing behaviour. In the presence of weak price competition, health insurers did not set premiums to maximize profits. Nevertheless, our findings suggest that regulations on financial reserves are needed to restrict premiums.
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- Rudy Douven & Marco Ligthart & H. Lieverdink & I. Vermeulen, 2007. "Measuring annual price elasticities in Dutch health insurance; a new method," CPB Discussion Paper 90, CPB Netherlands Bureau for Economic Policy Analysis.
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- Schut, Frederik T. & Hassink, Wolter H. J., 2002. "Managed competition and consumer price sensitivity in social health insurance," Journal of Health Economics, Elsevier, vol. 21(6), pages 1009-1029, November.
- Lieverdink, Harm, 2001. "The marginal success of regulated competition policy in the Netherlands," Social Science & Medicine, Elsevier, vol. 52(8), pages 1183-1194, April.
- Rudy Douven, 2004. "Risk adjustment in the Netherlands; an analysis of insurers' health care expenditures," CPB Discussion Paper 39, CPB Netherlands Bureau for Economic Policy Analysis.
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