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Related Experiment Videos

Risk segmentation: goal or problem?

R Feldman1, B Dowd

  • 1Division of Health Services Research and Policy, University of Minnesota, Minneapolis 55455, USA. feldm002@tc.umn.edu

Journal of Health Economics
|September 30, 2000
PubMed
Summary
This summary is machine-generated.

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Economists

Area of Science:

  • Health economics
  • Insurance market dynamics

Background:

  • Historically, risk segmentation in health insurance was viewed favorably.
  • Current perspectives link it to market inefficiencies and coverage limitations.

Purpose of the Study:

  • To analyze the evolving economic perspectives on health insurance risk segmentation.
  • To evaluate the efficiency of risk segmentation under different viewpoints (ex ante vs. ex post).

Main Methods:

  • Literature review of economists' views on risk segmentation.
  • Theoretical analysis of ex post efficiency in health insurance markets.
  • Comparison of managed care with coverage limitations for risk segmentation.

Main Results:

  • Risk segmentation, once desirable, is now often seen as detrimental.

Related Experiment Videos

  • Ex post analysis suggests risk segmentation can be efficient.
  • Managed care may be a superior mechanism for ex post risk segmentation.
  • Conclusions:

    • The efficiency of risk segmentation depends on the temporal perspective.
    • Managed care offers a potential solution for efficient risk segmentation.
    • A key concern remains the impact on long-term insurance contracts and consumer protection against lifetime risk changes.