The United States spends more than twice as much on health care as the average of other developed nations, all of which boast universal coverage. Yet more than 41 million Americans have no health insurance. Many more are underinsured. Confronted by the rising costs and capabilities of modern medicine, other nations have chosen national health insurance (NHI). The United States alone treats heal...

We show that an equilibrium always exists in the Rothschild-Stiglitz insurance market model with adverse selection when insurers can o¤er either nonparticipating or participating policies, i.e. insurance contracts which may involve policy dividends or supplementary calls for premium. The equilibrium allocation coincides with the Miyazaki-Spence-Wilson equilibrium allocation, which may involve c...

This article examines a model of competition between two types of health insurer: Health Maintenance Organizations (HMOs) and nonintegrated insurers. HMOs vertically integrate health care providers and pay them at a competitive price, while nonintegrated health insurers work as indemnity plans and pay the health care providers freely chosen by policyholders at a wholesale price. Such difference...

Information ambiguity and conflict are prevalent in insurance decision because experts may not agree on the probability of the risk. This research investigates insurance decision under either ambiguous and consensual or ambiguous and conflicting information about the probability of the risk. Seventy-eight professional insurers completed a questionnaire that contained two scenario: ”Pollution” a...

Fannie Mae and Freddie Mac’s implicit government guarantee is widely argued to cause irresponsible risk taking. Despite moral-hazard concerns, this paper presents evidence that Fannie Mae and Freddie Mac (the GSEs) more effectively managed home price risks during the 2000-2006 housing boom than private insurers. Mortgage origination data reveal that the GSEs were selecting loans with increasing...

s: This paper attempts to understand the outcomes when each party of the insurance contracts simultaneously has superior information to the other. We decompose the risk of a policyholder into a general risk and a specific risk. We assume that policyholders have superior information about specific risks while insurers have superior information about general risks. When each risk can be either hi...

Abstract The relevance of the article due to fact that insurance industry Ukraine at present stage is developing in global financial, economic and CORONA crisis, which deepens a number unresolved problems: increases risk companies, reduces demand for products; distrust on part potential insurers has increased, increasing competition between sphere influence customers. purpose articles prepare t...

The Affordable Care Act prohibited insurers from denying or limiting cover­age for children under the age of 19 in 2010. In response, some insurers ceased to offer coverage to children in need of individual health insurance, known as a "child-only" pol­icy. This issue brief examines new state legislative and regulatory action to promote the availability of child-only policies in response to thi...

We retrospectively analysed 219 consecutive treatment plans submitted to a large New South Wales workers' compensation insurer for workers coded by the insurer as suffering from back pain. The purpose was to (i) describe the quality of goals of treatment provided to insurers by physiotherapists for workers with back pain using guidelines provided by the WorkCover Authority of New South Wales (W...