Utilization and Selection in an Ancillaries Health Insurance Market

Kettlewell, N

Utilization and Selection in an Ancillaries Health Insurance Market

Kettlewell, N

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Publication Type:: Journal Article
Citation:: Journal of Risk and Insurance, 2019, 86 (4), pp. 989 - 1017
Issue Date:: 2019-12-01

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Field	Value	Language
dc.contributor.author	Kettlewell, N https://orcid.org/0000-0002-0478-1372	en_US
dc.date.accessioned	2020-04-05T23:18:53Z
dc.date.available	2020-04-05T23:18:53Z
dc.date.issued	2019-12-01	en_US
dc.identifier.citation	Journal of Risk and Insurance, 2019, 86 (4), pp. 989 - 1017	en_US
dc.identifier.issn	0022-4367	en_US
dc.identifier.uri	http://hdl.handle.net/10453/139807
dc.description.abstract	© 2018 The Journal of Risk and Insurance I study two important aspects of the Australian private ancillaries health insurance (PAHI) market—moral hazard and self-selection. PAHI covers out-of-hospital health services including dental, optometry, physiotherapy, and chiropractic. Using instrumental variables methods, I find evidence that PAHI increases utilization, particularly for dental, physiotherapy, chiropractic, osteopathy, and acupuncture. I also find evidence of selection effects—both adverse and favorable. Several variables jointly predict a person's propensity to insure and to utilize health services. There is little evidence of self-selection based on the joint probability of different health services, which has important implications for understanding the commercial success of PAHI.	en_US
dc.relation.ispartof	Journal of Risk and Insurance	en_US
dc.relation.isbasedon	10.1111/jori.12250	en_US
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject.classification	Finance	en_US
dc.title	Utilization and Selection in an Ancillaries Health Insurance Market	en_US
dc.type	Journal Article
utslib.citation.volume	4	en_US
utslib.citation.volume	86	en_US
utslib.for	1502 Banking, Finance and Investment	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
pubs.organisational-group	/University of Technology Sydney/Faculty of Business/Economics Discipline
utslib.copyright.status	closed_access	*
pubs.issue	4	en_US
pubs.publication-status	Published	en_US
pubs.volume	86	en_US

Abstract:

© 2018 The Journal of Risk and Insurance I study two important aspects of the Australian private ancillaries health insurance (PAHI) market—moral hazard and self-selection. PAHI covers out-of-hospital health services including dental, optometry, physiotherapy, and chiropractic. Using instrumental variables methods, I find evidence that PAHI increases utilization, particularly for dental, physiotherapy, chiropractic, osteopathy, and acupuncture. I also find evidence of selection effects—both adverse and favorable. Several variables jointly predict a person's propensity to insure and to utilize health services. There is little evidence of self-selection based on the joint probability of different health services, which has important implications for understanding the commercial success of PAHI.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/139807