IDEAS home Printed from https://ideas.repec.org/p/pra/mprapa/63266.html
   My bibliography  Save this paper

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: https://mpra.ub.uni-muenchen.de/63266/1/MPRA_paper_63266.pdf
    File Function: original version
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    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)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Bronfman, Javier, 2014. "Universal health insurance under a dual system, evidence of adverse selection against the public sector: the case of Chile," MPRA Paper 63262, University Library of Munich, Germany.
    2. Ricardo Henriquez Hofter, 2006. "Private health insurance and utilization of health services in Chile," Applied Economics, Taylor & Francis Journals, vol. 38(4), pages 423-439.
    3. Mercy Raquel Orellana Bravo & Juan Andrés Piedra Peña & Luis Santiago Sarmiento Moscoso, 2017. "Evidence About The Moral Hazard In The Ecuadorian Health System," Journal of Smart Economic Growth, , vol. 2(1), pages 109-132, March.
    4. 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.
    5. Bitrán, Eduardo & Duarte, Fabián & Fernandes, Dalila & Villena, Marcelo, 2017. "Impact of the Guaranteed Health Plan with a single community premium on the demand for private health insurance in Chile," Revista CEPAL, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL), December.
    6. 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.
    7. Arturo Vargas Bustamante & Claudio A. Méndez, 2016. "Regulating self-selection into private health insurance in Chile and the United States," International Journal of Health Planning and Management, Wiley Blackwell, vol. 31(3), pages 219-234, July.
    8. Grönqvist, Erik, 2004. "Information Updating and Insurance Dropout: Evidence from Dental Insurance," SSE/EFI Working Paper Series in Economics and Finance 576, Stockholm School of Economics.
    9. 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.
    10. Ekman, Bjorn, 2007. "Catastrophic health payments and health insurance: Some counterintuitive evidence from one low-income country," Health Policy, Elsevier, vol. 83(2-3), pages 304-313, October.
    11. Darkwah, Frank, 2022. "Does free health insurance improve health care use and labour market outcomes of the elderly in Ghana?," The Journal of the Economics of Ageing, Elsevier, vol. 23(C).
    12. Hudson, Eibhlin & Nolan, Anne, 2015. "Public healthcare eligibility and the utilisation of GP services by older people in Ireland," The Journal of the Economics of Ageing, Elsevier, vol. 6(C), pages 24-43.
    13. Dardanoni, Valentino & Li Donni, Paolo, 2012. "Incentive and selection effects of Medigap insurance on inpatient care," Journal of Health Economics, Elsevier, vol. 31(3), pages 457-470.
    14. Stéphane Jacobzone, 1996. "Les politiques de santé face aux propriétés incitatives et redistributives des systèmes d'assurance-maladie," Économie et Statistique, Programme National Persée, vol. 291(1), pages 49-70.
    15. Wong, Irene Oi Ling & Chan, Wai-Sum & Choi, Sarah & Lo, Su-Vui & Leung, Gabriel Matthew, 2006. "Moral hazard or realised access to care?: Empirical observations in Hong Kong," Health Policy, Elsevier, vol. 75(3), pages 251-261, February.
    16. Catarina Goulão, 2015. "Voluntary public health insurance," Public Choice, Springer, vol. 162(1), pages 135-157, January.
    17. Randall P. Ellis & Juan Gabriel Fernandez, 2013. "Risk Selection, Risk Adjustment and Choice: Concepts and Lessons from the Americas," IJERPH, MDPI, vol. 10(11), pages 1-34, October.
    18. Purcel, Alexandra-Anca & Dragos, Cristian Mihai & Mare, Codruța & Dragos, Simona Laura, 2023. "Voluntary health insurance and out-of-pocket payments in European OECD countries," Economic Modelling, Elsevier, vol. 120(C).
    19. Greg Brunner & Pablo Gottret & Birgit Hansl & Vijayasekar Kalavakonda & Somil Nagpal & Nicole Tapay, 2012. "Private Voluntary Health Insurance : Consumer Protection and Prudential Regulation," World Bank Publications - Books, The World Bank Group, number 13093, December.
    20. Ha Trong Nguyen & Huong Thu Le & Luke Connelly & Francis Mitrou, 2023. "Accuracy of self‐reported private health insurance coverage," Health Economics, John Wiley & Sons, Ltd., vol. 32(12), pages 2709-2729, December.

    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

    Statistics

    Access and download statistics

    Corrections

    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:pra:mprapa:63266. See general information about how to correct material in RePEc.

    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 bibliographic 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.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Joachim Winter (email available below). General contact details of provider: https://edirc.repec.org/data/vfmunde.html .

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

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.