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Related Experiment Videos

Adverse selection with a multiple choice among health insurance plans: a simulation analysis.

M S Marquis1

  • 1RAND Corporation, Washington, DC.

Journal of Health Economics
|July 7, 1992
PubMed
Summary
This summary is machine-generated.

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Adverse selection can eliminate high-benefit insurance plans when premiums are experience-rated. Varying premiums by demographics or using supplementary insurance markets significantly reduces this adverse selection effect.

Area of Science:

  • Health economics
  • Insurance markets
  • Risk management

Background:

  • Adverse selection occurs when individuals with higher risk are more likely to purchase insurance.
  • Accurate risk forecasting by families influences insurance purchase decisions.
  • Understanding adverse selection is crucial for insurance market stability.

Purpose of the Study:

  • To quantify the impact of adverse selection on insurance markets using simulation.
  • To investigate how different premium structures affect adverse selection.
  • To analyze adverse selection in supplementary insurance markets.

Main Methods:

  • Simulation modeling to assess adverse selection effects.
  • Utilizing data on family risk perception and insurance purchasing behavior.

Related Experiment Videos

  • Comparative analysis of single, experience-rated premiums versus demographic-rated premiums.
  • Main Results:

    • Single, experience-rated premiums can lead to the elimination of high-option benefit plans due to adverse selection.
    • Adverse selection is substantially mitigated when premiums are adjusted based on demographic factors.
    • Supplementary insurance markets exhibit restricted adverse selection due to underpricing of benefits.

    Conclusions:

    • Insurance market design significantly influences the prevalence of adverse selection.
    • Premium setting strategies, such as demographic rating, can counteract adverse selection.
    • Supplementary insurance models may offer a more stable market alternative.