International Portability of Health-Cost Coverage : Concepts and Experience
Social insurance and other arrangements for funding health-care benefits often establish long-term relationships, effectively providing insurance against lasting changes in an individual's health status, engaging in burden-smoothing over the l...
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| Format: | Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2017
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| Online Access: | http://documents.worldbank.org/curated/en/144321468177841767/International-portability-of-health-cost-coverage-concepts-and-experience http://hdl.handle.net/10986/27341 |
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okr-10986-27341 |
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oai_dc |
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Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
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World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ACCESS TO HEALTH CARE ACCESS TO HEALTH SERVICES ACCOUNTABILITY ACT ADMINISTRATIVE COSTS ADVERSE SELECTION AGE GROUPS AGED BASIC RIGHTS BIOETHICS COMPENSATION COMPETENT AUTHORITIES CONTRIBUTION RATES COSTS OF HEALTH CARE COSTS OF TREATMENT ECONOMIC POLICY ECONOMIES OF SCALE EMPLOYMENT ENTITLEMENT EQUAL TREATMENT EXTERNALITIES FAMILIES FINANCIAL SITUATION FINANCIAL VIABILITY FINANCING HEALTH CARE FRAUD FUNDAMENTAL PRINCIPLES GENETIC INFORMATION HEALTH CARE HEALTH CARE COSTS HEALTH CARE REFORM HEALTH COST HEALTH COSTS HEALTH COVERAGE HEALTH EXPENDITURE HEALTH INSURANCE HEALTH INSURANCE COVERAGE HEALTH INSURANCE FUNDS HEALTH INSURANCE POLICIES HEALTH INSURANCE PORTABILITY HEALTH INSURANCE SCHEME HEALTH INSURANCE SCHEMES HEALTH INSURANCE SYSTEM HEALTH INSURERS HEALTH PLAN HEALTH PLANS HEALTH SERVICES HEALTH STATUS HEALTH SYSTEMS HEALTH-CARE HEALTH-CARE FUNDING HEALTH-CARE PROVIDERS HEALTH-CARE SYSTEMS HEALTHCARE HOSPITALIZATION IMMIGRANTS INCOME INFLATION INSURANCE INSURANCE ARRANGEMENTS INSURANCE BENEFITS INSURANCE COMPANIES INSURANCE CONTRACTS INSURANCE OPTIONS INTEGRATION INTERNATIONAL LAW LAWS LEGAL FRAMEWORK LIFE EVENTS LIFE EXPECTANCIES LIFE EXPECTANCY LIFE EXPECTANCY AT BIRTH MARKET FORCES MEDICAL CONDITIONS MEDICAL ETHICS MEDICAL EXPENDITURE MEDICAL SERVICES MEDICAL TREATMENT MEDICARE MEDICINES MIGRANTS MIGRATION MORAL HAZARD MORTALITY NATIONAL HEALTH OLDER PEOPLE PATIENT PATIENTS POCKET PAYMENTS POLITICAL DEBATES PRIVATE HEALTH INSURANCE PRIVATE HEALTH-INSURANCE PRIVATE INSURANCE PRIVATE SECTOR PROBABILITY PROGRAMS PROTECTIONS PROVISION OF HEALTH CARE PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH INSURANCE PUBLIC HEALTH INSURANCE SCHEME PUBLIC HEALTH SERVICES PUBLIC HEALTH-CARE PUBLIC PROVISION PUBLIC SCHEME PUBLIC SCHEMES SOCIAL INSURANCE SOCIAL POLICY SOCIAL SECURITY SOCIAL SECURITY BENEFITS SOCIAL SECURITY SYSTEMS SUSTAINABILITY WORKERS WORKPLACE |
| spellingShingle |
ACCESS TO HEALTH CARE ACCESS TO HEALTH SERVICES ACCOUNTABILITY ACT ADMINISTRATIVE COSTS ADVERSE SELECTION AGE GROUPS AGED BASIC RIGHTS BIOETHICS COMPENSATION COMPETENT AUTHORITIES CONTRIBUTION RATES COSTS OF HEALTH CARE COSTS OF TREATMENT ECONOMIC POLICY ECONOMIES OF SCALE EMPLOYMENT ENTITLEMENT EQUAL TREATMENT EXTERNALITIES FAMILIES FINANCIAL SITUATION FINANCIAL VIABILITY FINANCING HEALTH CARE FRAUD FUNDAMENTAL PRINCIPLES GENETIC INFORMATION HEALTH CARE HEALTH CARE COSTS HEALTH CARE REFORM HEALTH COST HEALTH COSTS HEALTH COVERAGE HEALTH EXPENDITURE HEALTH INSURANCE HEALTH INSURANCE COVERAGE HEALTH INSURANCE FUNDS HEALTH INSURANCE POLICIES HEALTH INSURANCE PORTABILITY HEALTH INSURANCE SCHEME HEALTH INSURANCE SCHEMES HEALTH INSURANCE SYSTEM HEALTH INSURERS HEALTH PLAN HEALTH PLANS HEALTH SERVICES HEALTH STATUS HEALTH SYSTEMS HEALTH-CARE HEALTH-CARE FUNDING HEALTH-CARE PROVIDERS HEALTH-CARE SYSTEMS HEALTHCARE HOSPITALIZATION IMMIGRANTS INCOME INFLATION INSURANCE INSURANCE ARRANGEMENTS INSURANCE BENEFITS INSURANCE COMPANIES INSURANCE CONTRACTS INSURANCE OPTIONS INTEGRATION INTERNATIONAL LAW LAWS LEGAL FRAMEWORK LIFE EVENTS LIFE EXPECTANCIES LIFE EXPECTANCY LIFE EXPECTANCY AT BIRTH MARKET FORCES MEDICAL CONDITIONS MEDICAL ETHICS MEDICAL EXPENDITURE MEDICAL SERVICES MEDICAL TREATMENT MEDICARE MEDICINES MIGRANTS MIGRATION MORAL HAZARD MORTALITY NATIONAL HEALTH OLDER PEOPLE PATIENT PATIENTS POCKET PAYMENTS POLITICAL DEBATES PRIVATE HEALTH INSURANCE PRIVATE HEALTH-INSURANCE PRIVATE INSURANCE PRIVATE SECTOR PROBABILITY PROGRAMS PROTECTIONS PROVISION OF HEALTH CARE PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH INSURANCE PUBLIC HEALTH INSURANCE SCHEME PUBLIC HEALTH SERVICES PUBLIC HEALTH-CARE PUBLIC PROVISION PUBLIC SCHEME PUBLIC SCHEMES SOCIAL INSURANCE SOCIAL POLICY SOCIAL SECURITY SOCIAL SECURITY BENEFITS SOCIAL SECURITY SYSTEMS SUSTAINABILITY WORKERS WORKPLACE Werding, Martin McLennan, Stuart International Portability of Health-Cost Coverage : Concepts and Experience |
| relation |
SP Discussion Paper;No. 1115 |
| description |
Social insurance and other arrangements
for funding health-care benefits often establish long-term
relationships, effectively providing insurance against
lasting changes in an individual's health status,
engaging in burden-smoothing over the life cycle, and
entailing additional elements of redistribution.
International portability regarding this type of cover is,
therefore, difficult to establish, but at the same time
rather important both for the individuals affected and for
the health funds involved in any instance of an
international change in work place or residence. In this
paper, full portability of health-cost cover is taken to
mean that mobile individuals can, at a minimum, find
comparable continuation of coverage under a different system
and that this does not impose external costs or benefits on
other members of the systems in the source and destination
countries. Both of these aspects needs to be addressed in a
meaningful portability framework for health systems, as
lacking or incomplete portability may not only lead to
significant losses in coverage for an individual who
considers becoming mobile which may impede mobility that is
otherwise likely to be beneficial. It may also lead to
financial losses, or windfall gains, for sources of
health-cost funding which can ultimately lead to a
detrimental process of risk segmentation across national
health systems. Against this background, even the most
advanced sets of existing portability rules, such as those
agreed upon multilaterally at the EU-level or laid down in
bilateral agreements on social protection, appear to be
untargeted, inconsistent and therefore potentially harmful,
either for migrants or for health funds operated at both
ends of the migration process, and hence for other
individuals who are covered there. |
| format |
Working Paper |
| author |
Werding, Martin McLennan, Stuart |
| author_facet |
Werding, Martin McLennan, Stuart |
| author_sort |
Werding, Martin |
| title |
International Portability of Health-Cost Coverage : Concepts and Experience |
| title_short |
International Portability of Health-Cost Coverage : Concepts and Experience |
| title_full |
International Portability of Health-Cost Coverage : Concepts and Experience |
| title_fullStr |
International Portability of Health-Cost Coverage : Concepts and Experience |
| title_full_unstemmed |
International Portability of Health-Cost Coverage : Concepts and Experience |
| title_sort |
international portability of health-cost coverage : concepts and experience |
| publisher |
World Bank, Washington, DC |
| publishDate |
2017 |
| url |
http://documents.worldbank.org/curated/en/144321468177841767/International-portability-of-health-cost-coverage-concepts-and-experience http://hdl.handle.net/10986/27341 |
| _version_ |
1764464178974687232 |
| spelling |
okr-10986-273412021-04-23T14:04:41Z International Portability of Health-Cost Coverage : Concepts and Experience Werding, Martin McLennan, Stuart ACCESS TO HEALTH CARE ACCESS TO HEALTH SERVICES ACCOUNTABILITY ACT ADMINISTRATIVE COSTS ADVERSE SELECTION AGE GROUPS AGED BASIC RIGHTS BIOETHICS COMPENSATION COMPETENT AUTHORITIES CONTRIBUTION RATES COSTS OF HEALTH CARE COSTS OF TREATMENT ECONOMIC POLICY ECONOMIES OF SCALE EMPLOYMENT ENTITLEMENT EQUAL TREATMENT EXTERNALITIES FAMILIES FINANCIAL SITUATION FINANCIAL VIABILITY FINANCING HEALTH CARE FRAUD FUNDAMENTAL PRINCIPLES GENETIC INFORMATION HEALTH CARE HEALTH CARE COSTS HEALTH CARE REFORM HEALTH COST HEALTH COSTS HEALTH COVERAGE HEALTH EXPENDITURE HEALTH INSURANCE HEALTH INSURANCE COVERAGE HEALTH INSURANCE FUNDS HEALTH INSURANCE POLICIES HEALTH INSURANCE PORTABILITY HEALTH INSURANCE SCHEME HEALTH INSURANCE SCHEMES HEALTH INSURANCE SYSTEM HEALTH INSURERS HEALTH PLAN HEALTH PLANS HEALTH SERVICES HEALTH STATUS HEALTH SYSTEMS HEALTH-CARE HEALTH-CARE FUNDING HEALTH-CARE PROVIDERS HEALTH-CARE SYSTEMS HEALTHCARE HOSPITALIZATION IMMIGRANTS INCOME INFLATION INSURANCE INSURANCE ARRANGEMENTS INSURANCE BENEFITS INSURANCE COMPANIES INSURANCE CONTRACTS INSURANCE OPTIONS INTEGRATION INTERNATIONAL LAW LAWS LEGAL FRAMEWORK LIFE EVENTS LIFE EXPECTANCIES LIFE EXPECTANCY LIFE EXPECTANCY AT BIRTH MARKET FORCES MEDICAL CONDITIONS MEDICAL ETHICS MEDICAL EXPENDITURE MEDICAL SERVICES MEDICAL TREATMENT MEDICARE MEDICINES MIGRANTS MIGRATION MORAL HAZARD MORTALITY NATIONAL HEALTH OLDER PEOPLE PATIENT PATIENTS POCKET PAYMENTS POLITICAL DEBATES PRIVATE HEALTH INSURANCE PRIVATE HEALTH-INSURANCE PRIVATE INSURANCE PRIVATE SECTOR PROBABILITY PROGRAMS PROTECTIONS PROVISION OF HEALTH CARE PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH INSURANCE PUBLIC HEALTH INSURANCE SCHEME PUBLIC HEALTH SERVICES PUBLIC HEALTH-CARE PUBLIC PROVISION PUBLIC SCHEME PUBLIC SCHEMES SOCIAL INSURANCE SOCIAL POLICY SOCIAL SECURITY SOCIAL SECURITY BENEFITS SOCIAL SECURITY SYSTEMS SUSTAINABILITY WORKERS WORKPLACE Social insurance and other arrangements for funding health-care benefits often establish long-term relationships, effectively providing insurance against lasting changes in an individual's health status, engaging in burden-smoothing over the life cycle, and entailing additional elements of redistribution. International portability regarding this type of cover is, therefore, difficult to establish, but at the same time rather important both for the individuals affected and for the health funds involved in any instance of an international change in work place or residence. In this paper, full portability of health-cost cover is taken to mean that mobile individuals can, at a minimum, find comparable continuation of coverage under a different system and that this does not impose external costs or benefits on other members of the systems in the source and destination countries. Both of these aspects needs to be addressed in a meaningful portability framework for health systems, as lacking or incomplete portability may not only lead to significant losses in coverage for an individual who considers becoming mobile which may impede mobility that is otherwise likely to be beneficial. It may also lead to financial losses, or windfall gains, for sources of health-cost funding which can ultimately lead to a detrimental process of risk segmentation across national health systems. Against this background, even the most advanced sets of existing portability rules, such as those agreed upon multilaterally at the EU-level or laid down in bilateral agreements on social protection, appear to be untargeted, inconsistent and therefore potentially harmful, either for migrants or for health funds operated at both ends of the migration process, and hence for other individuals who are covered there. 2017-06-27T16:28:02Z 2017-06-27T16:28:02Z 2011-07 Working Paper http://documents.worldbank.org/curated/en/144321468177841767/International-portability-of-health-cost-coverage-concepts-and-experience http://hdl.handle.net/10986/27341 English en_US SP Discussion Paper;No. 1115 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research |