Fulltext

International Portability of Health-Cost Cover: Mobility, Insurance, and Redistribution

Werding, Martin ; McLennan, Stuart R.

In: CESifo Economic Studies, 2015, vol. 61, no. 2, p. 484-519

Ajouter à la liste personnelle
    Titre
    • International Portability of Health-Cost Cover: Mobility, Insurance, and Redistribution
    Auteur
    • Werding, Martin. *Chair in Social Policy and Public Finance, Ruhr Universität Bochum, [Ifo Institute for Economic Research] & CESifo, 44780 Bochum, Germany. e-mail: martin.werding@ruhr-uni-bochum.de
    • McLennan, Stuart R.. **Institute for Biomedical Ethics, Universität Basel, Basel, Switzerland e-mail: s.mclennan@unibas.ch
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • CESifo Economic Studies, 2015, vol. 61, no. 2, p. 484-519. Oxford University Press
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:302605
    Summary
    Public health insurance and other arrangements covering health costs effectively provide insurance against changes in health status. These arrangements engage in burden-smoothing over the life cycle and entail various elements of redistribution. Lack of portability regarding this type of cover may impede international mobility and create financial losses or windfall gains on various sides, which can lead to risk segmentation across national health systems. Existing portability rules do not fully address these problems. In this article, we try to clarify the implications of mobility for typical systems covering health costs and the requirements which have to be met to ensure full portability. When individuals are internationally mobile, compensating payments are needed based on changes in expected net costs in both of the health funds involved. Illustrative simulations show that this approach may be operative under real-world conditions. (JEL codes: F22, F55, H51, H73, J6)