Private Voluntary Health Insurance : Consumer Protection and Prudential Regulation

Health care expenditures can be financed through a mix of public resources and private spending. Private spending is a much larger share of total health spending in low- and middle-income countries than in higher income countries. Moreover, a significant percentage of private spending in those count...

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Bibliographic Details
Main Authors:	Brunner, Greg, Gottret, Pablo, Hansl, Birgit, Kalavakonda, Vijayasekar, Nagpal, Somil, Tapay, Nicole
Format:	Publication
Language:	en_US
Published:	Washington, DC: World Bank 2013
Subjects:	access to health care access to health services accident insurance actuaries administrative costs adverse selection Agents ambulance annual financial statements Assurance auditors beneficiaries Capital Requirements capitation capitation payment capitation payments care plans choice of provider clinics coinsurance commissions compensation complementary medicine Consumer Protection consumers contracts with providers cost of health care Cost sharing costs of health care Coverage credit risk delivery of health care dental care economies of scale equitable access to health care expenditures Families fiduciary financial incentive financial incentives Financial Information financial management financial resources financial risk financing health care general insurance health budgets health care health care costs health care expenditures health care financing health care needs health care provider health care providers health care services health care spending health care system health expenditures health financing Health Industry Health Institutions Health Insurance health insurance coverage health insurance fund health insurance industry health insurance market health insurance markets health insurance policies health insurance regulation health insurance scheme health insurance schemes health insurance system Health maintenance Health maintenance organization health maintenance organizations health plans Health Policy health reforms health service health services health spending health status Health Systems HMO HMOs hospitalization hospitals human resources illness income income countries income groups income population Indemnity informal sector information systems inspections insurance activities insurance benefits Insurance brokers insurance buyers insurance claims Insurance Commissioners insurance companies insurance contracts insurance coverage insurance function insurance industries insurance industry insurance law insurance licenses insurance market insurance markets insurance policies insurance premium insurance premium rates insurance premiums insurance products insurance rates insurance regulation insurance risk insurance supervision insurance supervisors insurance systems insurancerisk insurers integrity Intermediaries internal controls intervention investigations laws legal framework level playing field Life Insurance low-income countries managed care managed care plans market failures market forces marketing medical care medical conditions medical expenses medical insurance Medicare moral hazard mutual insurance companies national health National Health Insurance National Health Policy national health services Non-Life Insurance nongovernmental organizations Nutrition patient payments for health care policyholders price competition primary care private health coverage Private Health Insurance private health insurers private hospitals private insurance private insurers Private Sector private spending programs provision of health services public health public health care Public health insurance public health system public insurance public insurer public providers public sector rehabilitation Reinsurance reinsurance companies reinsurers renewals Reserves Risk Factors risk management risk managers smoking social health insurance Solvency Solvency Requirements supervisory agencies supervisory authorities supervisory framework supervisory infrastructure supervisory system surgery underwriting workers workers compensation
Online Access:	http://hdl.handle.net/10986/13093

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http://hdl.handle.net/10986/13093

Private Voluntary Health Insurance : Consumer Protection and Prudential Regulation

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