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A quoi peut servir la concurrence en assurance santé ?

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  • Gabrielle Demange
  • Pierre-Yves Geoffard

Abstract

This paper studies how competition in health insurance markets may improve the health system efficiency, while respecting some equity constraints. The analysis is based upon theoretical arguments, and lessons drawn from some recent reforms in other countries. The regulation of the relationship between health care professionals and patients is central to our approach. In particular, the strategies of insurance firms in a competitive market ? actions on health care producers, differentiation of insurance contracts, risk selection? depend on how the system is regulated. We hope that this analysis helps to assess some recent reforms undertaken in France.

Suggested Citation

  • Gabrielle Demange & Pierre-Yves Geoffard, 2004. "A quoi peut servir la concurrence en assurance santé ?," Revue d'économie politique, Dalloz, vol. 114(5), pages 595-611.
    • Handle: RePEc:cai:repdal:redp_145_0595
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    References listed on IDEAS

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    1. Cutler, David M. & Zeckhauser, Richard J., 2000. "The anatomy of health insurance," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 11, pages 563-643, Elsevier.
    2. Agnès Couffinhal, 2000. "De l'antisélection à la sélection en assurance santé : pour un changement de perspective," Économie et Prévision, Programme National Persée, vol. 142(1), pages 101-121.
    3. Van de ven, Wynand P.M.M. & Ellis, Randall P., 2000. "Risk adjustment in competitive health plan markets," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 14, pages 755-845, Elsevier.
    4. Cochrane, John H, 1995. "Time-Consistent Health Insurance," Journal of Political Economy, University of Chicago Press, vol. 103(3), pages 445-473, June.
    5. Joseph P. Newhouse, 1996. "Reimbursing Health Plans and Health Providers: Efficiency in Production versus Selection," Journal of Economic Literature, American Economic Association, vol. 34(3), pages 1236-1263, September.
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