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Optimal medical investment and insurance system: revenues, costs and benefits

Author

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  • Chunyuan Chen
  • Zih-Yan Lin
  • Ya-Chiao Hsieh

Abstract

This paper analyses the optimal choice of medical investment and design of health insurance system in an interactive medical context with the utility maximising patient, the net-revenue-maximising physician and the insurer pursuing the patient's benefits and a balance between revenues and costs. The feasibility of cost reduction or benefit improving is addressed. With positive payments to the physician, cost reduction or benefit improving is obtainable through a reduction in the social loss by restraining over-investment in medical capital goods. A fully prospective payment system would be a cost-minimising payment system but not definitely a benefit-improving system.

Suggested Citation

  • Chunyuan Chen & Zih-Yan Lin & Ya-Chiao Hsieh, 2008. "Optimal medical investment and insurance system: revenues, costs and benefits," International Journal of Revenue Management, Inderscience Enterprises Ltd, vol. 2(1), pages 23-41.
    • Handle: RePEc:ids:ijrevm:v:2:y:2008:i:1:p:23-41
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