TAILIEUCHUNG - Adverse Selection and Private Health Insurance Coverage in India

Unable to impassively watch as health care spending spiraled upward, federal health care planners imposed an armada of regulations on the manner in which health care was provided to Medicare and Medicaid patients. The reg- ulatory binge in . health care since the 1970s has produced nearly 50 kinds of federal and state health services’ regulations, which by 2002 was costing roughly $340 billion, about 20% of total health spending of $1,560 billion. More promising recent reforms emphasize a return to consumer-directed health spending in which consumers who spend less on their health benefit directly. Health Savings Accounts made their debut in 2002. Early. | Working Paper No. 233 Adverse Selection and Private Health Insurance Coverage in India A Rational Behaviour Model of Insurance Agents under Asymmetric Information Sukumar Vellakkal February 2009 INDIAN COUNCIL FOR RESEARCH ON INTERNATIONAL ECONOMIC RELATIONS Contents 1 2 Data and 3 Conceptual and analytical Awareness about the Insurance Asymmetric Information on Health Status and Health Insurance 4 Problem of Adverse 5 Rational Behaviour of Insurance 6 Empirical 7 Discussions and List of Tables Table 1 Basic awareness about Insurance providers by the Insured and Un-insured . .16 Table 2 Awareness about various health insurance products .17 Table 3 Other forms of insurance joining status of insured and un-insured people . 17 Table 4 Main source of information on health insurance Mediclaim Policy scheme for both Insured and Un-insured .18 Table 5 Definitions of Table 6 Marginal Effects of Probit List of Figures Figure 1 Indian Private Health Insurance Model Partner-Agent Model .2 Figure 2 Case 1 nh Figure 3 Case 2 nh Foreword Financial barrier is still a dominant problem for access to necessary healthcare for majority of the Indians. To ensure universal and comprehensive healthcare to its citizens alternative healthcare financing strategies like health insurance are being widely accepted. However despite health insurance being an equitable and efficient solution the health insurance coverage still remains at an infant stage in our country. This study specifically addresses the issue of low level of health insurance coverage with special reference to private health insurance. The study analyses the rational behaviour of insurance agents in the scale-up process of health insurance in an imperfect market. Moreover the study discusses the impact of such rational behaviour of insurance .

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