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Risk Equalisation in Ireland and Australia: A Simulation Analysis to Compare Outcomes
Journal article   Peer reviewed

Risk Equalisation in Ireland and Australia: A Simulation Analysis to Compare Outcomes

J. Armstrong and F. Paolucci
The Geneva Papers on Risk and Insurance - Issues and Practice, Vol.35(4), pp.521-538
2010
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Abstract

Risk equalisation has been implemented in a number of countries as a means of providing explicit risk-adjusted transfers between health insurance undertakings to improve efficiency within the health insurance market, and make health insurance affordable. Two such countries are Australia and Ireland. In this article, a simulation exercise is carried out to compare the effectiveness of the two countries risk equalisation schemes in meeting the policy objectives of encouraging insurers to be efficient and discouraging them from engaging in risk selection. The results of the analysis show that the Australian scheme is less effective than the Irish scheme in reducing the incentive for risk selection and in encouraging insurers to be efficient. The results provide evidence that direct standardisation mechanisms (as used in Ireland) can lead to superior outcomes as compared to indirect standardisation mechanisms (as used in Australia) in terms of promoting efficiency and deterring risk selection.

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UN Sustainable Development Goals (SDGs)

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#3 Good Health and Well-Being

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Collaboration types
International collaboration
Citation topics
1 Clinical & Life Sciences
1.14 Nursing
1.14.364 Healthcare Policy
Web Of Science research areas
Business, Finance
ESI research areas
Economics & Business
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