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Hedging Medical Spending Growth: An Adaptive Expectations Approach
1Jefferson College of Population Health, Thomas Jefferson University, Philadelphia, PA; Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA.
Financial assets like bonds can hedge against medical spending growth risk, but strategies involve shorting assets. Health insurers should use bond hedges and diversification for long-term contracts.
Area of Science:
- Health Economics
- Financial Risk Management
- Insurance Markets
Background:
- Long-term health insurance protects against sustained negative health events.
- Rising medical spending growth introduces uncertainty and challenges in insuring health risks.
- Financial assets are explored as potential hedges against medical spending growth risk.
Purpose of the Study:
- To investigate the existence and nature of financial hedges for medical spending growth risk.
- To identify asset classes that can effectively mitigate the financial impact of unpredictable healthcare cost increases.
Main Methods:
- Statistical analysis of asset class performance against medical spending growth.
- Examination of hedging strategies, including asset shorting.
Main Results:
- Bonds demonstrated stronger statistical evidence as hedges compared to stocks.
- Effective hedging strategies for medical spending growth necessitate shorting assets (betting against the market).
Conclusions:
- Health insurers should integrate bond market hedges with portfolio diversification for long-term contracts.
- Policy interventions aimed at moderating medical spending growth uncertainty could benefit insurers.
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