Private Health Insurance in OECD Countries

Colombo, Francesca; Tapay, Nicole

doi:10.1787/527211067757

Cited by 71 publications

(1 citation statement)

References 86 publications

(14 reference statements)

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“…According to this logic, it is not surprising if VHI holders in Sweden use their private insurance to complement, or 'top up' the public health care system, rather than to substitute public health care services with privately financed ones. Along similar lines, it can be speculated that a moral hazard effect is at play, which would imply that individuals obtaining VHI increase their health care consumption as they get access to higher levels of protection against health risks (Colombo and Tapay, 2004).…”

Section: Discussionmentioning

confidence: 99%

Does voluntary health insurance reduce the use of and the willingness to finance public health care in Sweden?

Kullberg

Blomqvist

Winblad

2021

HEPL

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Voluntary private health insurance (VHI) has generally been of limited importance in national health service-type health care systems, especially in the Nordic countries. During the last decades however, an increase in VHI uptake has taken place in the region. Critics of this development argue that voluntary health insurance can undermine support for public health care, while proponents contend that increased private funding for health services could relieve strained public health care systems. Using data from Sweden, this study investigates empirically how voluntary health insurance affects the public health care system. The results of the study indicate that the public Swedish health care system is fairly resilient to the impact of voluntary health insurance with regards to support for the tax-based funding. No difference between insurance holders and non-holders was found in willingness to finance public health care through taxes. A slight unburdening effect on public health care use was observed as VHI holders appeared to use public health care to a lesser extent than those without an insurance. However, a majority of the insurance holders continued to use the public health care system, indicating only a modest substitution effect.

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Section: Discussionmentioning

confidence: 99%

Does voluntary health insurance reduce the use of and the willingness to finance public health care in Sweden?

Kullberg

Blomqvist

Winblad

2021

HEPL

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Lifetime Risk of Total Knee Replacement and Temporal Trends in Incidence by Health Care Setting, Socioeconomic Status, and Geographic Location

Bohensky

Ackerman

DeSteiger

et al. 2014

Arthritis Care & Research

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How and why do countries differ in their governance and financing‐related administrative expenditure in health care? An analysis of OECD countries by health care system typology

Hagenaars

Klazinga

Mueller

et al. 2017

Health Planning & Management

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These differences can partially be explained because multi-payer and voluntary private health insurance schemes require additional administrative functions and enjoy less economies of scale. Studies in hospitals and primary care indicate similar differences in administrative costs across health system typologies at the mesolevel and microlevel of health care delivery, which warrants more research on total administrative costs at all the levels of health systems.

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Private Health Insurance in OECD Countries

Cited by 71 publications

References 86 publications

Does voluntary health insurance reduce the use of and the willingness to finance public health care in Sweden?

Does voluntary health insurance reduce the use of and the willingness to finance public health care in Sweden?

Lifetime Risk of Total Knee Replacement and Temporal Trends in Incidence by Health Care Setting, Socioeconomic Status, and Geographic Location

How and why do countries differ in their governance and financing‐related administrative expenditure in health care? An analysis of OECD countries by health care system typology

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