Public Intervention in Health Insurance Markets : Theory and Four Examples from Latin America

This article examines rationales for public intervention in health insurance markets from the perspective of public economics. It draws on the literature of organizational design to examine alternative public intervention strategies, including issu...

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Main Author:	Jack, William
Format:	Journal Article
Language:	English en_US
Published:	World Bank 2013
Subjects:	ADMINISTRATIVE COSTS ADVERSE SELECTION ADVERSE SELECTION PROBLEMS ALLOCATIVE EFFICIENCY BARGAINING BORROWING BUDGET CONSTRAINTS CAPITAL MARKETS CAPITATION CLINICS COMMUNITY RATING COMPENSATION COMPETITION AMONG PROVIDERS COMPETITIVE INSURANCE MARKET CONSUMER PROTECTION CONSUMERS CONTRACTUAL ARRANGEMENTS CONTRACTUAL RELATIONSHIPS COST CONTROL CRISES CROWDING DEBT DEGREE OF COMPETITION DELIVERY SYSTEMS DEMAND FOR INSURANCE DEVELOPMENT ECONOMICS DOCTORS ECONOMIC ANALYSIS ECONOMIC REVIEW ECONOMIC THEORY EMPLOYMENT EQUILIBRIUM EQUITY HOLDERS EXPENDITURES EXPLICIT CONTRACTS EXTERNALITIES EXTERNALITY FAMILIES FEE-FOR-SERVICE FEE-FOR-SERVICE BASIS FINANCIAL INCENTIVES FINANCIAL RISK FINANCIAL SECTOR FINANCING OF HEALTH CARE FIXED COSTS FORMAL LABOR MARKET HEALTH AFFAIRS HEALTH CARE HEALTH CARE MARKETS HEALTH CARE NEEDS HEALTH CARE PROVIDERS HEALTH CARE SYSTEMS HEALTH DELIVERY HEALTH DELIVERY SYSTEM HEALTH ECONOMICS HEALTH INSURANCE HEALTH INSURANCE COVERAGE HEALTH INSURANCE MARKET HEALTH INSURANCE MARKETS HEALTH INSURANCE SYSTEM HEALTH INSURERS HEALTH MAINTENANCE HEALTH MAINTENANCE ORGANIZATION HEALTH MAINTENANCE ORGANIZATIONS HEALTH MINISTRIES HEALTH NEEDS HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH PLANS HEALTH PROJECTS HEALTH REFORM HEALTH SECTOR HEALTH SECTOR REFORM HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HOSPITAL CARE HOSPITALS HUMAN RESOURCES ILLNESS IMPERFECT INFORMATION INCENTIVE SCHEMES INCOME COUNTRIES INCOME GROUPS INCOMPLETE CONTRACTS INCOMPLETE MARKETS INFORMAL SECTOR INFORMATION ASYMMETRIES INFORMATION IMPERFECTIONS INNOVATION INNOVATIONS INSURANCE COMPANIES INSURANCE CONTRACTS INSURANCE COVERAGE INSURANCE OPTIONS INSURANCE PACKAGE INSURANCE PLANS INSURANCE POLICIES INSURANCE PRODUCTS INSURERS INTEGRATION INTERMEDIARIES INTERVENTION LABOR UNIONS LOW INCOME MANAGED CARE MARGINAL VALUE MARKET FAILURES MEDICAL ATTENTION MEDICAL CARE MEDICAL EXPENSES MEDICAL INSURANCE MEDICAL SERVICES MEDICARE MONOPSONY MONOPSONY POWER MORAL HAZARD MOTIVATION NATIONAL HEALTH ORGANIZATIONAL STRUCTURE PATIENT PATIENTS PHYSICIAN PHYSICIANS POLITICAL ECONOMY PRICE COMPETITION PRIMARY CARE PRISONS PRIVATE AMBULATORY CARE PRIVATE CONTRACTORS PRIVATE INSURANCE PRIVATE INSURANCE SYSTEMS PRIVATE INSURERS PRIVATE SECTOR PRIVATE SECTOR INSURANCE PRIVATE SECTORS PROVIDER PAYMENT PUBLIC HEALTH PUBLIC HEALTH EXPENDITURES PUBLIC HEALTH INSURANCE PUBLIC HEALTH SPENDING PUBLIC HOSPITAL PUBLIC HOSPITAL SYSTEM PUBLIC HOSPITALS PUBLIC INSURANCE PUBLIC INSURANCE SYSTEM PUBLIC PROVIDERS PUBLIC PROVISION PUBLIC PROVISION OF INSURANCE PUBLIC SECTOR PURCHASER-PROVIDER SPLIT RENTS RISK SHARING RURAL HEALTH CARE SERVANTS SOCIAL POLICY SOCIAL SECURITY SOCIAL SECURITY SYSTEMS SUPPLIERS UNEMPLOYED WAGES WORKERS
Online Access:	http://documents.worldbank.org/curated/en/2002/01/17591913/public-intervention-health-insurance-markets-theory-four-examples-latin-america http://hdl.handle.net/10986/16421

id	okr-10986-16421
recordtype	oai_dc
spelling	okr-10986-164212021-04-23T14:03:29Z Public Intervention in Health Insurance Markets : Theory and Four Examples from Latin America Jack, William ADMINISTRATIVE COSTS ADVERSE SELECTION ADVERSE SELECTION PROBLEMS ALLOCATIVE EFFICIENCY BARGAINING BORROWING BUDGET CONSTRAINTS CAPITAL MARKETS CAPITATION CLINICS COMMUNITY RATING COMPENSATION COMPETITION AMONG PROVIDERS COMPETITIVE INSURANCE MARKET CONSUMER PROTECTION CONSUMERS CONTRACTUAL ARRANGEMENTS CONTRACTUAL RELATIONSHIPS COST CONTROL CRISES CROWDING DEBT DEGREE OF COMPETITION DELIVERY SYSTEMS DEMAND FOR INSURANCE DEVELOPMENT ECONOMICS DOCTORS ECONOMIC ANALYSIS ECONOMIC REVIEW ECONOMIC THEORY EMPLOYMENT EQUILIBRIUM EQUITY HOLDERS EXPENDITURES EXPLICIT CONTRACTS EXTERNALITIES EXTERNALITY FAMILIES FEE-FOR-SERVICE FEE-FOR-SERVICE BASIS FINANCIAL INCENTIVES FINANCIAL RISK FINANCIAL SECTOR FINANCING OF HEALTH CARE FIXED COSTS FORMAL LABOR MARKET HEALTH AFFAIRS HEALTH CARE HEALTH CARE MARKETS HEALTH CARE NEEDS HEALTH CARE PROVIDERS HEALTH CARE SYSTEMS HEALTH DELIVERY HEALTH DELIVERY SYSTEM HEALTH ECONOMICS HEALTH INSURANCE HEALTH INSURANCE COVERAGE HEALTH INSURANCE MARKET HEALTH INSURANCE MARKETS HEALTH INSURANCE SYSTEM HEALTH INSURERS HEALTH MAINTENANCE HEALTH MAINTENANCE ORGANIZATION HEALTH MAINTENANCE ORGANIZATIONS HEALTH MINISTRIES HEALTH NEEDS HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH PLANS HEALTH PROJECTS HEALTH REFORM HEALTH SECTOR HEALTH SECTOR REFORM HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HOSPITAL CARE HOSPITALS HUMAN RESOURCES ILLNESS IMPERFECT INFORMATION INCENTIVE SCHEMES INCOME COUNTRIES INCOME GROUPS INCOMPLETE CONTRACTS INCOMPLETE MARKETS INFORMAL SECTOR INFORMATION ASYMMETRIES INFORMATION IMPERFECTIONS INNOVATION INNOVATIONS INSURANCE COMPANIES INSURANCE CONTRACTS INSURANCE COVERAGE INSURANCE OPTIONS INSURANCE PACKAGE INSURANCE PLANS INSURANCE POLICIES INSURANCE PRODUCTS INSURERS INTEGRATION INTERMEDIARIES INTERVENTION LABOR UNIONS LOW INCOME MANAGED CARE MARGINAL VALUE MARKET FAILURES MEDICAL ATTENTION MEDICAL CARE MEDICAL EXPENSES MEDICAL INSURANCE MEDICAL SERVICES MEDICARE MONOPSONY MONOPSONY POWER MORAL HAZARD MOTIVATION NATIONAL HEALTH ORGANIZATIONAL STRUCTURE PATIENT PATIENTS PHYSICIAN PHYSICIANS POLITICAL ECONOMY PRICE COMPETITION PRIMARY CARE PRISONS PRIVATE AMBULATORY CARE PRIVATE CONTRACTORS PRIVATE INSURANCE PRIVATE INSURANCE SYSTEMS PRIVATE INSURERS PRIVATE SECTOR PRIVATE SECTOR INSURANCE PRIVATE SECTORS PROVIDER PAYMENT PUBLIC HEALTH PUBLIC HEALTH EXPENDITURES PUBLIC HEALTH INSURANCE PUBLIC HEALTH SPENDING PUBLIC HOSPITAL PUBLIC HOSPITAL SYSTEM PUBLIC HOSPITALS PUBLIC INSURANCE PUBLIC INSURANCE SYSTEM PUBLIC PROVIDERS PUBLIC PROVISION PUBLIC PROVISION OF INSURANCE PUBLIC SECTOR PURCHASER-PROVIDER SPLIT RENTS RISK SHARING RURAL HEALTH CARE SERVANTS SOCIAL POLICY SOCIAL SECURITY SOCIAL SECURITY SYSTEMS SUPPLIERS UNEMPLOYED WAGES WORKERS This article examines rationales for public intervention in health insurance markets from the perspective of public economics. It draws on the literature of organizational design to examine alternative public intervention strategies, including issues of contracting, purchaser provider splits, and regulation of competition. Health insurance reforms in four Latin American countries are then considered in light of the insights provided by the theoretical literature. This article addresses the role of government in spreading and reducing health risks with particular emphasis on the design and organization of the relevant institutions in Latin America. 2013-12-19T22:08:10Z 2013-12-19T22:08:10Z 2002 Journal Article http://documents.worldbank.org/curated/en/2002/01/17591913/public-intervention-health-insurance-markets-theory-four-examples-latin-america World Bank Research Observer http://hdl.handle.net/10986/16421 English en_US CC BY-NC-ND 3.0 IGO http://creativecommons.org/licenses/by-nc-nd/3.0/igo/ World Bank World Bank Publications & Research :: Journal Article Publications & Research :: Journal Article Latin America & Caribbean ARGENTINA Brazil Chile Colombia
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	English en_US
topic	ADMINISTRATIVE COSTS ADVERSE SELECTION ADVERSE SELECTION PROBLEMS ALLOCATIVE EFFICIENCY BARGAINING BORROWING BUDGET CONSTRAINTS CAPITAL MARKETS CAPITATION CLINICS COMMUNITY RATING COMPENSATION COMPETITION AMONG PROVIDERS COMPETITIVE INSURANCE MARKET CONSUMER PROTECTION CONSUMERS CONTRACTUAL ARRANGEMENTS CONTRACTUAL RELATIONSHIPS COST CONTROL CRISES CROWDING DEBT DEGREE OF COMPETITION DELIVERY SYSTEMS DEMAND FOR INSURANCE DEVELOPMENT ECONOMICS DOCTORS ECONOMIC ANALYSIS ECONOMIC REVIEW ECONOMIC THEORY EMPLOYMENT EQUILIBRIUM EQUITY HOLDERS EXPENDITURES EXPLICIT CONTRACTS EXTERNALITIES EXTERNALITY FAMILIES FEE-FOR-SERVICE FEE-FOR-SERVICE BASIS FINANCIAL INCENTIVES FINANCIAL RISK FINANCIAL SECTOR FINANCING OF HEALTH CARE FIXED COSTS FORMAL LABOR MARKET HEALTH AFFAIRS HEALTH CARE HEALTH CARE MARKETS HEALTH CARE NEEDS HEALTH CARE PROVIDERS HEALTH CARE SYSTEMS HEALTH DELIVERY HEALTH DELIVERY SYSTEM HEALTH ECONOMICS HEALTH INSURANCE HEALTH INSURANCE COVERAGE HEALTH INSURANCE MARKET HEALTH INSURANCE MARKETS HEALTH INSURANCE SYSTEM HEALTH INSURERS HEALTH MAINTENANCE HEALTH MAINTENANCE ORGANIZATION HEALTH MAINTENANCE ORGANIZATIONS HEALTH MINISTRIES HEALTH NEEDS HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH PLANS HEALTH PROJECTS HEALTH REFORM HEALTH SECTOR HEALTH SECTOR REFORM HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HOSPITAL CARE HOSPITALS HUMAN RESOURCES ILLNESS IMPERFECT INFORMATION INCENTIVE SCHEMES INCOME COUNTRIES INCOME GROUPS INCOMPLETE CONTRACTS INCOMPLETE MARKETS INFORMAL SECTOR INFORMATION ASYMMETRIES INFORMATION IMPERFECTIONS INNOVATION INNOVATIONS INSURANCE COMPANIES INSURANCE CONTRACTS INSURANCE COVERAGE INSURANCE OPTIONS INSURANCE PACKAGE INSURANCE PLANS INSURANCE POLICIES INSURANCE PRODUCTS INSURERS INTEGRATION INTERMEDIARIES INTERVENTION LABOR UNIONS LOW INCOME MANAGED CARE MARGINAL VALUE MARKET FAILURES MEDICAL ATTENTION MEDICAL CARE MEDICAL EXPENSES MEDICAL INSURANCE MEDICAL SERVICES MEDICARE MONOPSONY MONOPSONY POWER MORAL HAZARD MOTIVATION NATIONAL HEALTH ORGANIZATIONAL STRUCTURE PATIENT PATIENTS PHYSICIAN PHYSICIANS POLITICAL ECONOMY PRICE COMPETITION PRIMARY CARE PRISONS PRIVATE AMBULATORY CARE PRIVATE CONTRACTORS PRIVATE INSURANCE PRIVATE INSURANCE SYSTEMS PRIVATE INSURERS PRIVATE SECTOR PRIVATE SECTOR INSURANCE PRIVATE SECTORS PROVIDER PAYMENT PUBLIC HEALTH PUBLIC HEALTH EXPENDITURES PUBLIC HEALTH INSURANCE PUBLIC HEALTH SPENDING PUBLIC HOSPITAL PUBLIC HOSPITAL SYSTEM PUBLIC HOSPITALS PUBLIC INSURANCE PUBLIC INSURANCE SYSTEM PUBLIC PROVIDERS PUBLIC PROVISION PUBLIC PROVISION OF INSURANCE PUBLIC SECTOR PURCHASER-PROVIDER SPLIT RENTS RISK SHARING RURAL HEALTH CARE SERVANTS SOCIAL POLICY SOCIAL SECURITY SOCIAL SECURITY SYSTEMS SUPPLIERS UNEMPLOYED WAGES WORKERS
spellingShingle	ADMINISTRATIVE COSTS ADVERSE SELECTION ADVERSE SELECTION PROBLEMS ALLOCATIVE EFFICIENCY BARGAINING BORROWING BUDGET CONSTRAINTS CAPITAL MARKETS CAPITATION CLINICS COMMUNITY RATING COMPENSATION COMPETITION AMONG PROVIDERS COMPETITIVE INSURANCE MARKET CONSUMER PROTECTION CONSUMERS CONTRACTUAL ARRANGEMENTS CONTRACTUAL RELATIONSHIPS COST CONTROL CRISES CROWDING DEBT DEGREE OF COMPETITION DELIVERY SYSTEMS DEMAND FOR INSURANCE DEVELOPMENT ECONOMICS DOCTORS ECONOMIC ANALYSIS ECONOMIC REVIEW ECONOMIC THEORY EMPLOYMENT EQUILIBRIUM EQUITY HOLDERS EXPENDITURES EXPLICIT CONTRACTS EXTERNALITIES EXTERNALITY FAMILIES FEE-FOR-SERVICE FEE-FOR-SERVICE BASIS FINANCIAL INCENTIVES FINANCIAL RISK FINANCIAL SECTOR FINANCING OF HEALTH CARE FIXED COSTS FORMAL LABOR MARKET HEALTH AFFAIRS HEALTH CARE HEALTH CARE MARKETS HEALTH CARE NEEDS HEALTH CARE PROVIDERS HEALTH CARE SYSTEMS HEALTH DELIVERY HEALTH DELIVERY SYSTEM HEALTH ECONOMICS HEALTH INSURANCE HEALTH INSURANCE COVERAGE HEALTH INSURANCE MARKET HEALTH INSURANCE MARKETS HEALTH INSURANCE SYSTEM HEALTH INSURERS HEALTH MAINTENANCE HEALTH MAINTENANCE ORGANIZATION HEALTH MAINTENANCE ORGANIZATIONS HEALTH MINISTRIES HEALTH NEEDS HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH PLANS HEALTH PROJECTS HEALTH REFORM HEALTH SECTOR HEALTH SECTOR REFORM HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HOSPITAL CARE HOSPITALS HUMAN RESOURCES ILLNESS IMPERFECT INFORMATION INCENTIVE SCHEMES INCOME COUNTRIES INCOME GROUPS INCOMPLETE CONTRACTS INCOMPLETE MARKETS INFORMAL SECTOR INFORMATION ASYMMETRIES INFORMATION IMPERFECTIONS INNOVATION INNOVATIONS INSURANCE COMPANIES INSURANCE CONTRACTS INSURANCE COVERAGE INSURANCE OPTIONS INSURANCE PACKAGE INSURANCE PLANS INSURANCE POLICIES INSURANCE PRODUCTS INSURERS INTEGRATION INTERMEDIARIES INTERVENTION LABOR UNIONS LOW INCOME MANAGED CARE MARGINAL VALUE MARKET FAILURES MEDICAL ATTENTION MEDICAL CARE MEDICAL EXPENSES MEDICAL INSURANCE MEDICAL SERVICES MEDICARE MONOPSONY MONOPSONY POWER MORAL HAZARD MOTIVATION NATIONAL HEALTH ORGANIZATIONAL STRUCTURE PATIENT PATIENTS PHYSICIAN PHYSICIANS POLITICAL ECONOMY PRICE COMPETITION PRIMARY CARE PRISONS PRIVATE AMBULATORY CARE PRIVATE CONTRACTORS PRIVATE INSURANCE PRIVATE INSURANCE SYSTEMS PRIVATE INSURERS PRIVATE SECTOR PRIVATE SECTOR INSURANCE PRIVATE SECTORS PROVIDER PAYMENT PUBLIC HEALTH PUBLIC HEALTH EXPENDITURES PUBLIC HEALTH INSURANCE PUBLIC HEALTH SPENDING PUBLIC HOSPITAL PUBLIC HOSPITAL SYSTEM PUBLIC HOSPITALS PUBLIC INSURANCE PUBLIC INSURANCE SYSTEM PUBLIC PROVIDERS PUBLIC PROVISION PUBLIC PROVISION OF INSURANCE PUBLIC SECTOR PURCHASER-PROVIDER SPLIT RENTS RISK SHARING RURAL HEALTH CARE SERVANTS SOCIAL POLICY SOCIAL SECURITY SOCIAL SECURITY SYSTEMS SUPPLIERS UNEMPLOYED WAGES WORKERS Jack, William Public Intervention in Health Insurance Markets : Theory and Four Examples from Latin America
geographic_facet	Latin America & Caribbean ARGENTINA Brazil Chile Colombia
description	This article examines rationales for public intervention in health insurance markets from the perspective of public economics. It draws on the literature of organizational design to examine alternative public intervention strategies, including issues of contracting, purchaser provider splits, and regulation of competition. Health insurance reforms in four Latin American countries are then considered in light of the insights provided by the theoretical literature. This article addresses the role of government in spreading and reducing health risks with particular emphasis on the design and organization of the relevant institutions in Latin America.
format	Journal Article
author	Jack, William
author_facet	Jack, William
author_sort	Jack, William
title	Public Intervention in Health Insurance Markets : Theory and Four Examples from Latin America
title_short	Public Intervention in Health Insurance Markets : Theory and Four Examples from Latin America
title_full	Public Intervention in Health Insurance Markets : Theory and Four Examples from Latin America
title_fullStr	Public Intervention in Health Insurance Markets : Theory and Four Examples from Latin America
title_full_unstemmed	Public Intervention in Health Insurance Markets : Theory and Four Examples from Latin America
title_sort	public intervention in health insurance markets : theory and four examples from latin america
publisher	World Bank
publishDate	2013
url	http://documents.worldbank.org/curated/en/2002/01/17591913/public-intervention-health-insurance-markets-theory-four-examples-latin-america http://hdl.handle.net/10986/16421
_version_	1764433548911050752

Public Intervention in Health Insurance Markets : Theory and Four Examples from Latin America

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