nep-ias New Economics Papers
on Insurance Economics
Issue of 2014‒02‒08
four papers chosen by
Soumitra K Mallick
Indian Institute of Social Welfare and Business Management

  1. Multi-payer health insurance systems in Central and Eastern Europe: lessons from the Czech Republic, Slovakia, and Russia By Galina Besstremyannaya; Jaak Simm
  2. Unemployment Insurance and Underemployment By Godøy, Anna; Røed, Knut
  3. Urban inequity in the performance of social health insurance system: evidence from Russian regions By Galina Besstremyannaya
  4. Labor Income Dynamics and the Insurance from Taxes, Transfers, and the Family By Blundell, Richard; Graber, Michael; Mogstad, Magne

  1. By: Galina Besstremyannaya (CEFIR); Jaak Simm (Tallinn University of Technology)
    Abstract: Transition countries in Central and Eastern Europe and the former Soviet Union introduced social health insurance (SHI) to foster universal coverage, stable financing revenues, and consumer euity through a principle of solidarity. In particular, the Czech Republic, Slovakia, and Russia emphasized managed between health insurance companies. Howevr, insufficient financing of the health care systems and excessive regulation led to deficienciesof the multi-payer SHI model in the three countries. The paper examines common trends in the development of the SHI systems in the Czech Republic, Slovakia, and Russia, and conducts empirical estimations with data for Russian regions.
    Keywords: Social health insurance, infant mortality, maternal mortality, managed competition, transition economies
    JEL: I13 I18
    Date: 2014–01
  2. By: Godøy, Anna (Institute for Social Research, Oslo); Røed, Knut (Ragnar Frisch Centre for Economic Research)
    Abstract: Should unemployment insurance (UI) systems provide coverage for underemployed job seekers? Based on a statistical analysis of Norwegian unemployment spells, we conclude that the answer to this question is yes. Allowing insured job seekers to retain partial UI benefits during periods of insufficient part-time work not only reduces UI expenditures during the part-time work period; it also unambiguously reduces the time until a regular self-supporting job is found. Probable explanations are that even small temporary part-time jobs provide access to useful vacancy-information and that such jobs are used by employers as a screening device when hiring from the unemployment pool.
    Keywords: unemployment insurance, part-time work, duration analysis
    JEL: C41 J65
    Date: 2014–01
  3. By: Galina Besstremyannaya (CEFIR)
    Abstract: The paper assesses the impact of urbanization on the quality related outcomes of social health insurance systems in 85 Russian regions in 2000-2006. The results of parametric and kernel regressions reveal that controlling for regional income is a significant determinant of infant and under-five mortality. Arguably, the influence of urbanization on health outcomes is due to latent processes (e.g. the development of infrastructure). The methods of provider reimbursement are related to infant and under-five mortality, which offers suggestive evidence for selective contracting. Yet, insurer competition might increase urban inequity.
    Keywords: Social determinants of health, urbanization, social health insurance, infant mortality, provider payment, kernel regression, health care systems
    JEL: I10 I18 C14 C26
    Date: 2014–01
  4. By: Blundell, Richard (University College London); Graber, Michael (University College London); Mogstad, Magne (University College London)
    Abstract: What do labor income dynamics look like over the life-cycle? What is the relative importance of persistent shocks, transitory shocks and heterogeneous profiles? To what extent do taxes, transfers and the family attenuate these various factors in the evolution of life-cycle inequality? In this paper, we use rich Norwegian data to answer these important questions. We let individuals with different education levels have a separate income process; and within each skill group, we allow for non-stationarity in age and time, heterogeneous experience profiles, and shocks of varying persistence. We find that the income processes differ systematically by age, skill level and their interaction. To accurately describe labor income dynamics over the life-cycle, it is necessary to allow for heterogeneity by education levels and account for non-stationarity in age and time. Our findings suggest that the progressive nature of the Norwegian tax-transfer system plays a key role in attenuating the magnitude and persistence of income shocks, especially among the low skilled. By comparison, spouse's income matters less for the dynamics of inequality over the life-cycle.
    Keywords: income dynamics, insurance, life cycle inequality
    JEL: C33 D3 D91 J31
    Date: 2014–01

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