Does Health Insurance Impede Trade in Health Care Services?

There is limited trade in health services despite big differences in the price of health care across countries. Whether patients travel abroad for health care depends on the coverage of treatments by their health insurance plan. Under existing health insurance contracts, the gains from trade are not...

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Main Authors:	Mattoo, Aaditya, Rathindran, Randeep
Format:	Publications & Research
Language:	English
Published:	World Bank, Washington, DC 2012
Subjects:	AGING ALCOHOL ALTERNATIVE MEDICINE ANESTHESIA BENEFICIARIES CAPITATION CERTIFICATION CHECK UPS CLAIMS PROCESSING CLINICS COINSURANCE COMMUNITY HOSPITALS CONSUMERS COST OF TREATMENT COVERAGE DENTISTRY DISABLED PEOPLE DOCTORS EMPLOYMENT EQUILIBRIUM EXCESSIVE CONSUMPTION EXPENDITURES FAMILIES GLAUCOMA GYNECOLOGY HEALTH CARE HEALTH CARE COSTS HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH INSURANCE HEALTH INSURANCE COVERAGE HEALTH PLANS HEALTH REFORM HEALTH SERVICES HMO HMOS HOSPITAL COSTS HOSPITAL SERVICES HOSPITALIZATION HOSPITALS HYPERTENSION INJURIES INSURANCE INSURANCE CONTRACTS INSURANCE COVERAGE INSURANCE INDUSTRY INSURANCE PREMIUMS INSURANCE PRODUCTS INSURANCE SYSTEM INSURERS INTERNATIONAL ORGANIZATIONS LAWS MANAGED CARE MANAGED CARE PLANS MARGINAL COST MEDICAID MEDICAL CARE MEDICAL CENTERS MEDICAL EXPENSES MEDICAL FACILITIES MEDICAL INSURANCE MEDICAL SERVICES MEDICAL TECHNOLOGY MEDICAL TREATMENT MEDICARE MORAL HAZARD MORTALITY NURSES PATIENTS PHYSICIANS POLICY RESEARCH PRESCRIPTION DRUGS PRIMARY CARE PRIVATE INSURANCE PROBABILITY PROGRAMS PUBLIC HEALTH QUALITY CONTROL QUALITY OF HEALTH CARE RATES REHABILITATION SAVINGS SCHOOLS SURGERY
Online Access:	http://documents.worldbank.org/curated/en/2005/07/6075033/health-insurance-impede-trade-health-care-services http://hdl.handle.net/10986/8199

id	okr-10986-8199
recordtype	oai_dc
spelling	okr-10986-81992021-04-23T14:02:43Z Does Health Insurance Impede Trade in Health Care Services? Mattoo, Aaditya Rathindran, Randeep AGING ALCOHOL ALTERNATIVE MEDICINE ANESTHESIA BENEFICIARIES CAPITATION CERTIFICATION CHECK UPS CLAIMS PROCESSING CLINICS COINSURANCE COMMUNITY HOSPITALS CONSUMERS COST OF TREATMENT COVERAGE DENTISTRY DISABLED PEOPLE DOCTORS EMPLOYMENT EQUILIBRIUM EXCESSIVE CONSUMPTION EXPENDITURES FAMILIES GLAUCOMA GYNECOLOGY HEALTH CARE HEALTH CARE COSTS HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH INSURANCE HEALTH INSURANCE COVERAGE HEALTH PLANS HEALTH REFORM HEALTH SERVICES HMO HMOS HOSPITAL COSTS HOSPITAL SERVICES HOSPITALIZATION HOSPITALS HYPERTENSION INJURIES INSURANCE INSURANCE CONTRACTS INSURANCE COVERAGE INSURANCE INDUSTRY INSURANCE PREMIUMS INSURANCE PRODUCTS INSURANCE SYSTEM INSURERS INTERNATIONAL ORGANIZATIONS LAWS MANAGED CARE MANAGED CARE PLANS MARGINAL COST MEDICAID MEDICAL CARE MEDICAL CENTERS MEDICAL EXPENSES MEDICAL FACILITIES MEDICAL INSURANCE MEDICAL SERVICES MEDICAL TECHNOLOGY MEDICAL TREATMENT MEDICARE MORAL HAZARD MORTALITY NURSES PATIENTS PHYSICIANS POLICY RESEARCH PRESCRIPTION DRUGS PRIMARY CARE PRIVATE INSURANCE PROBABILITY PROGRAMS PUBLIC HEALTH QUALITY CONTROL QUALITY OF HEALTH CARE RATES REHABILITATION SAVINGS SCHOOLS SURGERY There is limited trade in health services despite big differences in the price of health care across countries. Whether patients travel abroad for health care depends on the coverage of treatments by their health insurance plan. Under existing health insurance contracts, the gains from trade are not fully internalized by the consumer. The result is a strong "local-market bias" in the consumption of health care. A simple modification of existing insurance products can create sufficient incentives for consumers to travel. For just 15 highly tradable, low-risk treatments, the annual savings to the United States would be $1.4 billion even if only one in 10 patients who need these treatments went abroad. Half of these annual savings would accrue to the Medicare program alone. The authors examine how measures by destination countries to improve and credibly signal the quality of health care can enhance the scope for trade. 2012-06-15T20:05:14Z 2012-06-15T20:05:14Z 2005-07 http://documents.worldbank.org/curated/en/2005/07/6075033/health-insurance-impede-trade-health-care-services http://hdl.handle.net/10986/8199 English Policy Research Working Paper; No. 3667 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Policy Research Working Paper
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	English
topic	AGING ALCOHOL ALTERNATIVE MEDICINE ANESTHESIA BENEFICIARIES CAPITATION CERTIFICATION CHECK UPS CLAIMS PROCESSING CLINICS COINSURANCE COMMUNITY HOSPITALS CONSUMERS COST OF TREATMENT COVERAGE DENTISTRY DISABLED PEOPLE DOCTORS EMPLOYMENT EQUILIBRIUM EXCESSIVE CONSUMPTION EXPENDITURES FAMILIES GLAUCOMA GYNECOLOGY HEALTH CARE HEALTH CARE COSTS HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH INSURANCE HEALTH INSURANCE COVERAGE HEALTH PLANS HEALTH REFORM HEALTH SERVICES HMO HMOS HOSPITAL COSTS HOSPITAL SERVICES HOSPITALIZATION HOSPITALS HYPERTENSION INJURIES INSURANCE INSURANCE CONTRACTS INSURANCE COVERAGE INSURANCE INDUSTRY INSURANCE PREMIUMS INSURANCE PRODUCTS INSURANCE SYSTEM INSURERS INTERNATIONAL ORGANIZATIONS LAWS MANAGED CARE MANAGED CARE PLANS MARGINAL COST MEDICAID MEDICAL CARE MEDICAL CENTERS MEDICAL EXPENSES MEDICAL FACILITIES MEDICAL INSURANCE MEDICAL SERVICES MEDICAL TECHNOLOGY MEDICAL TREATMENT MEDICARE MORAL HAZARD MORTALITY NURSES PATIENTS PHYSICIANS POLICY RESEARCH PRESCRIPTION DRUGS PRIMARY CARE PRIVATE INSURANCE PROBABILITY PROGRAMS PUBLIC HEALTH QUALITY CONTROL QUALITY OF HEALTH CARE RATES REHABILITATION SAVINGS SCHOOLS SURGERY
spellingShingle	AGING ALCOHOL ALTERNATIVE MEDICINE ANESTHESIA BENEFICIARIES CAPITATION CERTIFICATION CHECK UPS CLAIMS PROCESSING CLINICS COINSURANCE COMMUNITY HOSPITALS CONSUMERS COST OF TREATMENT COVERAGE DENTISTRY DISABLED PEOPLE DOCTORS EMPLOYMENT EQUILIBRIUM EXCESSIVE CONSUMPTION EXPENDITURES FAMILIES GLAUCOMA GYNECOLOGY HEALTH CARE HEALTH CARE COSTS HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH INSURANCE HEALTH INSURANCE COVERAGE HEALTH PLANS HEALTH REFORM HEALTH SERVICES HMO HMOS HOSPITAL COSTS HOSPITAL SERVICES HOSPITALIZATION HOSPITALS HYPERTENSION INJURIES INSURANCE INSURANCE CONTRACTS INSURANCE COVERAGE INSURANCE INDUSTRY INSURANCE PREMIUMS INSURANCE PRODUCTS INSURANCE SYSTEM INSURERS INTERNATIONAL ORGANIZATIONS LAWS MANAGED CARE MANAGED CARE PLANS MARGINAL COST MEDICAID MEDICAL CARE MEDICAL CENTERS MEDICAL EXPENSES MEDICAL FACILITIES MEDICAL INSURANCE MEDICAL SERVICES MEDICAL TECHNOLOGY MEDICAL TREATMENT MEDICARE MORAL HAZARD MORTALITY NURSES PATIENTS PHYSICIANS POLICY RESEARCH PRESCRIPTION DRUGS PRIMARY CARE PRIVATE INSURANCE PROBABILITY PROGRAMS PUBLIC HEALTH QUALITY CONTROL QUALITY OF HEALTH CARE RATES REHABILITATION SAVINGS SCHOOLS SURGERY Mattoo, Aaditya Rathindran, Randeep Does Health Insurance Impede Trade in Health Care Services?
relation	Policy Research Working Paper; No. 3667
description	There is limited trade in health services despite big differences in the price of health care across countries. Whether patients travel abroad for health care depends on the coverage of treatments by their health insurance plan. Under existing health insurance contracts, the gains from trade are not fully internalized by the consumer. The result is a strong "local-market bias" in the consumption of health care. A simple modification of existing insurance products can create sufficient incentives for consumers to travel. For just 15 highly tradable, low-risk treatments, the annual savings to the United States would be $1.4 billion even if only one in 10 patients who need these treatments went abroad. Half of these annual savings would accrue to the Medicare program alone. The authors examine how measures by destination countries to improve and credibly signal the quality of health care can enhance the scope for trade.
format	Publications & Research
author	Mattoo, Aaditya Rathindran, Randeep
author_facet	Mattoo, Aaditya Rathindran, Randeep
author_sort	Mattoo, Aaditya
title	Does Health Insurance Impede Trade in Health Care Services?
title_short	Does Health Insurance Impede Trade in Health Care Services?
title_full	Does Health Insurance Impede Trade in Health Care Services?
title_fullStr	Does Health Insurance Impede Trade in Health Care Services?
title_full_unstemmed	Does Health Insurance Impede Trade in Health Care Services?
title_sort	does health insurance impede trade in health care services?
publisher	World Bank, Washington, DC
publishDate	2012
url	http://documents.worldbank.org/curated/en/2005/07/6075033/health-insurance-impede-trade-health-care-services http://hdl.handle.net/10986/8199
_version_	1764407476407500800

Does Health Insurance Impede Trade in Health Care Services?

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