nep-ias New Economics Papers
on Insurance Economics
Issue of 2019‒04‒29
nine papers chosen by
Soumitra K. Mallick
Indian Institute of Social Welfare and Business Management

  1. An Unconventional Way to Support Health Expenditure By Nizam, Ahmed Mehedi
  2. Fear, deposit insurance schemes, and deposit reallocation in the German banking system By Fecht, Falko; Thum, Stefan; Weber, Patrick
  3. Independent Evaluation of Comprehensive Primary Care Plus (CPC+): First Annual Report By Deborah Peikes; Grace Anglin; Mary Harrington; Arkadipta Ghosh; Kristin Geonnotti; Ann O'Malley; Stacy Dale; Sheia Hoag; Dana Petersen; Pragya Singh; Ha Tu; Laura Blue; Sean Orzol; Rosalind Keith; Anne Mutti; Genna Cohen; Tricia Higgins; Laurie Felland; Linda Barterian; Victoria Peebles; Amanda Lechner; Nikkilyn Morrison; Melanie Au; Jessica Laird; Grace Oh; Rachel Machta; Jasmine Little; Randall Brown
  4. A Comparison Between Merit-Based and Test-Based Higher Education Admission in Indonesia By Teguh Dartanto; Chairina Hanum Siregar; Alvin Ulido Lumbanraja; Usman; Hamdan Bintara; Wahyu Pramono; Nia Kurnia Sholihah
  5. Independent Evaluation of Comprehensive Primary Care Plus (CPC+): First Annual Report, Appendices to the Supplemental Volume By Deborah Peikes; Grace Anglin; Mary Harrington; Arkadipta Ghosh; Kristin Geonnotti; Ann O'Malley; Stacy Dale; Laura Blue; Sean Orzol; Rachel Machta; Jessica Laird; Pragya Singh; Anne Mutti; Nikkilyn Morrison; Grace Oh; Nancy Duda; Geraldine Haile; Min-Young Kim; Jeffrey Holt; John Schurrer; Jia Pu; Greg Peterson; Lauren Vollmer; Keith Kranker; Jesse Crosson; Sheila Hoag; Dana Petersen; Mariel Finucane; Carol Urato; Randall Brown
  6. Independent Evaluation of Comprehensive Primary Care Plus (CPC+): First Annual Report, Supplemental Volume By Grace Anglin; Deborah Peikes; Mary Harrington; Arkadipta Ghosh; Kristin Geonnotti; Ann O'Malley; Stacy Dale; Sheila Hoag; Dana Petersen; Pragya Singh; Ha Tu; Laura Blue; Sean Orzol; Rosalind Keith; Anne Mutti; Genna Cohen; Tricia Higgins; Laurie Felland; Linda Barterian; Victoria Peebles; Amanda Lechner; Nikkilyn Morrison; Melanie Au; Jessica Laird; Grace Oh; Rachel Machta; Jasmine Little; Randall Brown
  7. Evaluation of the Comprehensive Primary Care Plus Initiative (CPC+): First Annual Report, Findings at a Glance By Deborah Peikes; Grace Anglin; Mary Harrington; Arkadipta Ghosh; Kristin Geonnotti; Ann O'Malley; Stacy Dale; Sheia Hoag; Dana Petersen; Pragya Singh; Ha Tu; Laura Blue; Sean Orzol; Rosalind Keith; Anne Mutti; Genna Cohen; Tricia Higgins; Laurie Felland; Linda Barterian; Victoria Peebles; Amanda Lechner; Nikkilyn Morrison; Melanie Au; Jessica Laird; Grace Oh; Rachel Machta; Jasmine Little; Randall Brown
  8. "A Proposal to Create a European Safe Asset" By Paolo Savona
  9. International Consumption Risk Sharing and Trade Transaction Costs By Matthew Clance; Wei Ma; Ruthira Naraidoo

  1. By: Nizam, Ahmed Mehedi
    Abstract: Here, we propose a taxation scheme towards the implementation of universal health care under Beveridge model. In our proposed framework, a small amount of health tax is imposed on each and every non-cash transaction including transactions through debit and credit card, credit transfer, direct debit and cheque which is found to be solely sufficient to cover up entire health expenditure of a nation. We have shown empirically that a $1.84$ USD levy on every non-cash transaction is enough to meet up the annual health expenditure in the CEMEA (Central Europe, Middle East and Africa) region. For Latin America (LA), Emerging Asia (EA), Mature Asia and the Pacific (MAP) and North America (NA) this value is found to be $4.51$, $2.04$, $15.93$ and $21.07$ USD respectively. Moreover, as the proposed levy is collectable electronically without any human intervention, no additional logistic support is required for the implementation of the scheme.
    Keywords: Universal Health Care; Non-cash Transaction, Beveridge Model; Health Care Funding Model; Health Insurance
    JEL: I0 I1 I10 I13 I18 I31 I38
    Date: 2019–04–21
    URL: http://d.repec.org/n?u=RePEc:pra:mprapa:93444&r=all
  2. By: Fecht, Falko; Thum, Stefan; Weber, Patrick
    Abstract: Recent regulatory initiatives such as the European Deposit Insurance Scheme propose a change in the coverage and backing of deposit insurances. An assessment of these proposals requires a thorough understanding of what drives depositors' withdrawal decisions. We show that Google searches for 'deposit insurance' and related strings reflect depositors' fears and help to predict deposit shifts in the German banking sector from private banks to fully guaranteed public banks. After the introduction of blanket state guarantees for all deposits in the German banking system this fear driven reallocation of deposits stopped. Our findings highlight that a heterogeneous insurance of deposits can lead to a sudden, fear induced reallocation of deposits endangering the stability of the banking sector even in absence of redenomination risks.
    Keywords: Depositor expectations,Google,Deposit insurance,Competition for depositors,Bank runs
    JEL: G01 G10 G20
    Date: 2019
    URL: http://d.repec.org/n?u=RePEc:zbw:bubdps:122019&r=all
  3. By: Deborah Peikes; Grace Anglin; Mary Harrington; Arkadipta Ghosh; Kristin Geonnotti; Ann O'Malley; Stacy Dale; Sheia Hoag; Dana Petersen; Pragya Singh; Ha Tu; Laura Blue; Sean Orzol; Rosalind Keith; Anne Mutti; Genna Cohen; Tricia Higgins; Laurie Felland; Linda Barterian; Victoria Peebles; Amanda Lechner; Nikkilyn Morrison; Melanie Au; Jessica Laird; Grace Oh; Rachel Machta; Jasmine Little; Randall Brown
    Abstract: This first report to Centers for Medicare & Medicaid Services (CMS( covers the first year of Comprehensive Primary Care Plus (CPC+) for the 2,905 practices in regions that began CPC+ in 2017.
    Keywords: Comprehensive Primary Care Plus, CPC+, CPC Plus, first annual report, advanced primary care, care delivery requirements, access and continuity, risk-stratified care management, comprehensiveness and coordination, patient and caregiver engagement, planned care and population health, patient-centered medical home model, Medicare fee-for-service, multi-payer, health information technology, quality-of-care outcomes, value-based purchasing, enhanced payment, data feedback, learning supports, payment reform
    JEL: I
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:0bbb8a28b6b44622aa58dd9bf15eaa6d&r=all
  4. By: Teguh Dartanto (Department of Economics, Faculty of Economics and Business, Universitas Indonesia); Chairina Hanum Siregar (Institute for Economic and Social Research, Faculty of Economics and Business, Universitas Indonesia (LPEM FEB UI)); Alvin Ulido Lumbanraja (Institute for Economic and Social Research, Faculty of Economics and Business, Universitas Indonesia (LPEM FEB UI)); Usman (Institute for Economic and Social Research, Faculty of Economics and Business, Universitas Indonesia (LPEM FEB UI)); Hamdan Bintara (Institute for Economic and Social Research, Faculty of Economics and Business, Universitas Indonesia (LPEM FEB UI)); Wahyu Pramono (Institute for Economic and Social Research, Faculty of Economics and Business, Universitas Indonesia (LPEM FEB UI)); Nia Kurnia Sholihah (Institute for Economic and Social Research, Faculty of Economics and Business, Universitas Indonesia (LPEM FEB UI))
    Abstract: One of the main challenges to Universal Health Coverage in developing countries like Indonesia is a high prevalence of those working in the informal sector that by the system they have to voluntarily register in the National Health Insurance System (NHIS) as Self Enroled Member. Therefore, challenges are administrative dif?culties in recruiting, registering and collecting regular contribution in the most of cost-effective way. This condition hinders some individuals for being covered NHIS. This research aims to analyze qualitatively some aspects that in?uence the decisions of individuals or households to join NHIS in Indonesia. By conducting in-depth interviews with some of the informants who were surveyed in 2014, and some new additional informants in the three selected regions of Deli Serdang, Pandeglang, and Kupang, the study found that regional socio-economic characteristics, demographics, culture and belief systems have varying degrees of in?uence on individual decisions to join the NHIS. The general pattern across all the regions reveals three main factors that in?uence the decisions of those working in the informal sector to join the NHIS: health conditions; family and peers; and existing knowledge and experience. High-risk individuals tend to join the NHIS through interactions with health workers, family members, and friends, concerning their illnesses or health risks. These groups tend to advocate NHIS as a means of reducing overall health expenses, particularly for expensive procedures. This creates an adverse selection problem and a pressing challenge for Social Security Agency for Health (SSAH) to attract healthy, young and low-risk groups in the informal sector to join the NHIS. The stories provided by the informants regarding their decision-making processes in joining NHIS also reveal the necessary and suf?cient conditions that enable informal sector workers to join the program. The necessary conditions are individual-speci?c and may differ between people, depending on individual characteristics, regional socio-economic and demographic characteristics, as well as belief systems. All the factors, apart from knowledge and experience, are necessary conditions for joining the NHIS, while knowledge and experience are suf?cient conditions that encourage informal sector (PBPU) to join NHIS. Without reliable information and knowledge about the NHIS, PBPU will not join NHIS, although they may like to join because of various individual factors.
    Keywords: NHIS — Universal Health Coverage — missing middle problem — informality — qualitative study — Indonesia
    JEL: I13 I14 I18 I3
    Date: 2019–03
    URL: http://d.repec.org/n?u=RePEc:lpe:wpaper:201933&r=all
  5. By: Deborah Peikes; Grace Anglin; Mary Harrington; Arkadipta Ghosh; Kristin Geonnotti; Ann O'Malley; Stacy Dale; Laura Blue; Sean Orzol; Rachel Machta; Jessica Laird; Pragya Singh; Anne Mutti; Nikkilyn Morrison; Grace Oh; Nancy Duda; Geraldine Haile; Min-Young Kim; Jeffrey Holt; John Schurrer; Jia Pu; Greg Peterson; Lauren Vollmer; Keith Kranker; Jesse Crosson; Sheila Hoag; Dana Petersen; Mariel Finucane; Carol Urato; Randall Brown
    Abstract: This first report to CMS covers the first year of CPC+ for the 2,905 practices in regions that began CPC+ in 2017.
    Keywords: Comprehensive Primary Care Plus, CPC+, CPC Plus, first annual report supplemental volume appendices, advanced primary care, care delivery requirements, access and continuity, risk-stratified care management, comprehensiveness and coordination, patient and caregiver engagement, planned care and population health, patient-centered medical home model, Medicare fee-for-service, multi-payer, health information technology, quality-of-care outcomes, value-based purchasing, enhanced payment, data feedback, learning supports, payment reform
    JEL: I
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:cec544e671ee4c7ba2aa930400d1a11b&r=all
  6. By: Grace Anglin; Deborah Peikes; Mary Harrington; Arkadipta Ghosh; Kristin Geonnotti; Ann O'Malley; Stacy Dale; Sheila Hoag; Dana Petersen; Pragya Singh; Ha Tu; Laura Blue; Sean Orzol; Rosalind Keith; Anne Mutti; Genna Cohen; Tricia Higgins; Laurie Felland; Linda Barterian; Victoria Peebles; Amanda Lechner; Nikkilyn Morrison; Melanie Au; Jessica Laird; Grace Oh; Rachel Machta; Jasmine Little; Randall Brown
    Abstract: This first report to CMS covers the first year of CPC+ for the 2,905 practices in regions that began CPC+ in 2017.
    Keywords: Comprehensive Primary Care Plus, CPC+, CPC Plus, first annual report supplemental volume, advanced primary care, care delivery requirements, access and continuity, risk-stratified care management, comprehensiveness and coordination, patient and caregiver engagement, planned care and population health, patient-centered medical home model, Medicare fee-for-service, multi-payer, health information technology, quality-of-care outcomes, value-based purchasing, enhanced payment, data feedback, learning supports, payment reform
    JEL: I
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:ff2eb5db31364fe3bfbac65080f734b8&r=all
  7. By: Deborah Peikes; Grace Anglin; Mary Harrington; Arkadipta Ghosh; Kristin Geonnotti; Ann O'Malley; Stacy Dale; Sheia Hoag; Dana Petersen; Pragya Singh; Ha Tu; Laura Blue; Sean Orzol; Rosalind Keith; Anne Mutti; Genna Cohen; Tricia Higgins; Laurie Felland; Linda Barterian; Victoria Peebles; Amanda Lechner; Nikkilyn Morrison; Melanie Au; Jessica Laird; Grace Oh; Rachel Machta; Jasmine Little; Randall Brown
    Abstract: Comprehensive Primary Care Plus (CPC+) is the largest and most ambitious primary care payment and delivery reform ever tested in the United States.
    Keywords: Comprehensive Primary Care Plus, CPC+, CPC Plus, first annual report, findings at a glance, advanced primary care, care delivery requirements, access and continuity, risk-stratified care management, comprehensiveness and coordination, patient and caregiver engagement, planned care and population health, patient-centered medical home model, Medicare fee-for-service, multi-payer, health information technology, quality-of-care outcomes, value-based purchasing, enhanced payment, data feedback, learning supports, payment reform
    JEL: I
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:3db5e29f9b9a4c77a128d44cc2ec0d0c&r=all
  8. By: Paolo Savona
    Abstract: While a consensus has formed that the eurozone's economic governance mechanisms must be reformed, and some progress has been made on this front, what has been agreed to so far falls short of what is needed to address the central imbalances caused by the eurozone setup, according to Paolo Savona. The key elements that are missing from the current package of reforms are interrelated: a common insurance scheme for bank deposits, the possible regulation of banks' sovereign exposure, and the existence of a common safe asset. Savona outlines a proposal to increase the supply of safe assets provided by a common European issuer (the European Stability Mechanism) and explains how the plan could be made economically and politically satisfactory to all member states while facilitating progress on the deposit insurance and sovereign exposure issues.
    Date: 2019–04
    URL: http://d.repec.org/n?u=RePEc:lev:levypn:19-1&r=all
  9. By: Matthew Clance (University of Pretoria, Department of Economics, Pretoria, 0002, South Africa); Wei Ma (Xi'an Jiaotong-Liverpool University, International Business School Suzhou, Suzhou, People's Republic of China); Ruthira Naraidoo (University of Pretoria, Department of Economics, Pretoria, 0002, South Africa)
    Abstract: This paper investigates the implications of international consumption risk sharing for a panel 69 developed and developing countries over the period 1986-2006. We theoretically derive the international consumption insurance proposition within an international real business cycle setup that involves consumption correlation with the real exchange rate to incorporate salient features that impede consumption risk sharing, namely trade costs and capital market imperfections, making use of the gravity structural model to obtain the trade costs estimates and output volatility to proxy capital market imperfections. We analyze the implications of the theory based on panel data estimation. We find that trade costs significantly impede risk sharing for the aggregate sample of countries and a 10% increase in trade costs can decrease consumption by almost 0:7% and 0:6% for trade between developed and developing countries and for intra-developing country trade respectively while intra-developed country trade seems to be affected by temporary changes in trade costs. Developed countries seem to be in line with insuring against output volatility while low income group face asset market constraints as output uncertainty increases. Policy implication hence involves lowering international trade costs in an attempt to alleviate issues of consumption allocations.
    Keywords: Trade costs, international consumption insurance, developed, developing, low income countries, capital market imperfection
    JEL: E21 E44 F14 F41 G15
    Date: 2019–04
    URL: http://d.repec.org/n?u=RePEc:pre:wpaper:201932&r=all

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