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Arbeitsplätze und Beschäftigungswirkungen im und durch das System der Privaten Krankenversicherung (PKV): Kommentierter Literatur-Review unter besonderer Berücksichtigung von Transformationsmodellen zur Bürgerversicherung
[Jobs and employment impact in and by the private health insurance system: Annotated literature review with special regard to transformation models to a “Bürgerversicherung” (single-payer system)]

Author

Listed:
  • Schulze Ehring, Frank

Abstract

This paper offers a systematic literature review about jobs and related employment impacts in and by the system of private health insurance (Private Krankenversicherung, PKV). The available literature shows the varying evaluation of private health insurance’s relevance for labor policy depending on emphasis, perspective, methodology and delineation in use. The estimated employment impact of the private health insurance field as insurance carrier and as financier of health care services are complex. Therefore, the number of affected jobs of numerous transformation scenarios to a single-payer system which are discussed by political stakeholders would be substantial. Employment trade-offs in the private health insurance field as insurance carrier are explicitly regarded as unrealistic in current research literature. Neither the expansion of supplementary insurance business in the private health insurance nor employment creation in the statutory health insurance system seems expectable. Additionally, private health insurance companies might refuse to enter the single-payer system-market because of little prospect for success. That would parallel a “cold start” in an unknown and already fully occupied market. Employment impacts through a loss of funding for health care services could be compensated if the financing share of private patients doesn’t lead to a financial loss for health care service providers. In return, that would result in an increase of contribution rate by 1.5 contribution rate points as pointed out in the literature.

Suggested Citation

  • Schulze Ehring, Frank, 2018. "Arbeitsplätze und Beschäftigungswirkungen im und durch das System der Privaten Krankenversicherung (PKV): Kommentierter Literatur-Review unter besonderer Berücksichtigung von Transformationsmodellen z," MPRA Paper 86506, University Library of Munich, Germany.
  • Handle: RePEc:pra:mprapa:86506
    as

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    File URL: https://mpra.ub.uni-muenchen.de/86506/1/MPRA_paper_86506.pdf
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    References listed on IDEAS

    as
    1. Ostwald, Dennis A. & Legler, Benno & Haaf, Andreas & Schwärzler, Marion Cornelia, 2017. "Der ökonomische Fußabdruck der Privaten Krankenversicherung in Deutschland. Untersuchung der PKV als Finanzier von Gesundheitsleistungen
      [The economic footprint of private health insurance in Germa
      ," MPRA Paper 78243, University Library of Munich, Germany.
    2. Beznoska, Martin & Kolev, Galina & Pimpertz, Jochen, 2017. "Makroökonomische Effekte einer paritätischen Beitragsfinanzierung: Eine Analyse aktueller Reformvorschläge für die Gesetzliche Kranken- und die soziale Pflegeversicherung," IW policy papers 11/2017, Institut der deutschen Wirtschaft Köln (IW) / Cologne Institute for Economic Research.
    3. Beznoska, Martin & Kolev, Galina & Pimpertz, Jochen, 2017. "Makroökonomische Effekte einer paritätischen Beitragsfinanzierung: Eine Analyse aktueller Reformvorschläge für die Gesetzliche Kranken- und die soziale Pflegeversicherung," IW policy papers 15/2017, Institut der deutschen Wirtschaft Köln (IW) / Cologne Institute for Economic Research.
    Full references (including those not matched with items on IDEAS)

    More about this item

    Keywords

    Arbeitsmarktpolitik; Arbeitsplätze; Bürgerversicherung; Private Krankenversicherung; Transformationsmodell; Beschäftigungswirkung;

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J08 - Labor and Demographic Economics - - General - - - Labor Economics Policies
    • J21 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Labor Force and Employment, Size, and Structure
    • J23 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Labor Demand

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