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Health Insurance Choice, Moral Hazard and Adverse Selection: A Study of the Chilean Case Using Panel Data

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  • Bronfman, Javier

Abstract

Using panel data from Chile’s National Socio Economic Characterization Survey 1996-2001- 2006, this article examines health insurance choice and its dynamics. The article takes advantage of the panel data to examine the dynamics and determinants of insurance change. Evidence indicates that private insurance is losing customers to the public sector. Two analyses are undertaken in the article using logistic regressions. For each of the three years studied, the paper looks at insurance choice and its determinants. Income seems to be highly important in determining the choice, as well as age, education, gender, geographical location and health shocks. Evidence of moral hazard and adverse selection was found in the longitudinal and cross sectional analysis. The results of this research are aligned with most of the previous investigations done on Chile’s health insurance system and advance previous knowledge on the topic by including the dynamism that panel data permits.

Suggested Citation

  • Bronfman, Javier, 2011. "Health Insurance Choice, Moral Hazard and Adverse Selection: A Study of the Chilean Case Using Panel Data," MPRA Paper 63266, University Library of Munich, Germany.
    • Handle: RePEc:pra:mprapa:63266
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    References listed on IDEAS

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    1. Ricardo Sanhueza & Jaime Ruiz-Tagle, 2002. "Choosing Health Insurance in a Dual Health Care System: The Chilean Case," Journal of Applied Economics, Taylor & Francis Journals, vol. 5(1), pages 157-184, May.
    2. Sapelli, Claudio & Vial, Bernardita, 2003. "Self-selection and moral hazard in Chilean health insurance," Journal of Health Economics, Elsevier, vol. 22(3), pages 459-476, May.
    3. Cameron, A. Colin & Trivedi, Pravin K., 1991. "The role of income and health risk in the choice of health insurance : Evidence from Australia," Journal of Public Economics, Elsevier, vol. 45(1), pages 1-28, June.
    4. Claudio Sapelli & Arístides Torche, 1998. "El Seguro Previsional de Salud: Determinantes de la Elección entre Seguro Público y Privado, 1990-1994," Latin American Journal of Economics-formerly Cuadernos de Economía, Instituto de Economía. Pontificia Universidad Católica de Chile., vol. 35(106), pages 383-406.
    Full references (including those not matched with items on IDEAS)

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    More about this item

    Keywords

    Health systems; Chile;

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private

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