nep-ias New Economics Papers
on Insurance Economics
Issue of 2013‒11‒14
three papers chosen by
Soumitra K Mallick
Indian Institute of Social Welfare and Business Management

  1. Health insurance and health care in India: a supply-demand perspective By Perianayagam , Arokiasamy; Goli, Srinivas
  2. Unemployment benefits and unemployment in the Great Recession: the role of macro effects By Marcus Hagedorn; Fatih Karahan; Iourii Manovskii; Kurt Mitman
  3. Il Pay-as-You-Go pubblico e privato: davvero diversi? Un confronto Europa - Us By SALERNO, Nicola Carmine

  1. By: Perianayagam , Arokiasamy; Goli, Srinivas
    Abstract: India’s health care and health financing provision is characterized by too little Government spending on health, meager health insurance coverage, declining public health care use contrasted by highest levels of private out-of-pocket health spending in the world. To understand the interconnectedness of these disturbing outcomes, this paper envisions a theoretical framework of health insurance and health care revisits the existing health insurance schemes and assesses the health insurance cover in relation to the pattern of health care use using data from myriad official statistics and the recent NFHS, 2005-06. Theoretical exploration of the axis of supply-demand determinants unfolds that a complex of factors such as sparse health financing options, self-obstructing heavily risk protected insurance market and weak consumer demand contribute to the measly level of health insurance penetration in India. Health insurance cover is found to be a strong determinant of modern health care use. Regional and rural-urban disparities in health insurance and health care are significant. Health insurance coverage is positively related while public health care use is negatively related with household economic condition and education status. The complex axis of critical supply side imperfections and considerable demand side weaknesses necessitate a major health care reform with the viable financing and health care options.
    Keywords: Health insurance, health care, supply-demand perspective, India
    JEL: I11 I13 I14 I18
    Date: 2013–10–31
  2. By: Marcus Hagedorn; Fatih Karahan; Iourii Manovskii; Kurt Mitman
    Abstract: We exploit a policy discontinuity at U.S. state borders to identify the effects of unemployment insurance policies on unemployment. Our estimates imply that most of the persistent increase in unemployment during the Great Recession can be accounted for by the unprecedented extensions of unemployment benefit eligibility. In contrast to the existing recent literature that mainly focused on estimating the effects of benefit duration on job search and acceptance strategies of the unemployed—the micro effect—we focus on measuring the general equilibrium macro effect that operates primarily through the response of job creation to unemployment benefit extensions. We find that it is the latter effect that is very important quantitatively.
    Keywords: Recessions ; Unemployment ; Unemployment insurance ; Wages ; Employment ; Job creation
    Date: 2013
  3. By: SALERNO, Nicola Carmine
    Abstract: Data from Stability Programs (European Countries) and from Us Congress Budget Office and Us Bureau of Census are collected to investigate the burden each worker will have to bear in the future in order to finance pension and health care provisions. If the private side of the system is based, exclusively or mainly, on the insurance pooling, is there any substantial difference between Europe and Us, with respect to future challenges. Is insurance pooling really different from pay-as-you-go financing, in a context of rapid population ageing? The structural roots of future challenges appears the same for Europe and Us, and perhaps also the policy solution. This paper is self standing but, at the same time, it is part of the broader project "Present and Future of PayGo in Italy, Europe and Us". All chapters will be collected in a book edited by Nicola Carmine Salerno.
    Keywords: multipillar; multipillar system; pension; pensions; health care; insurance; paygo; pay as you go; pay-as-you-go; accumulation; pooling; insurance pooling; burden; active people; workers; long term; mid-long term; projections; welfare; welfare system; welfare institutions; structural reform; welfare reforming; welfare restructuring; ageing; population ageing; distortive effects; depressive effects; endogenous; endogenous growth; endogenous inefficiencies; finanza pubblica; public finances; scienza delle finanze; sustainability; public budget; pillar; pillars; private pillars; complementary pillars; pension funds; health care funds; Obama; Medicare; Medicaid
    JEL: E0 E6 H0 H50 H53 H60 I00 I18 J1 J10 J11
    Date: 2013–11–04

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