IDEAS home Printed from https://ideas.repec.org/a/udc/esteco/v27y2000i1p5-32.html
   My bibliography  Save this article

Age segmentation in the Chilean health system

Author

Listed:
  • Marcelo Tokman R.

Abstract

A formal model of the Chilean dual health system is presented, which, for appropriate parameters, replicates the observed age segmentation of the population between the private insurance market and the public health insurance. The model is used to compare the level of welfare obtained in the current mixed system with the levels of welfare that could be obtained in alternative “pure” systems, either only private or only public. It is also used to determine how the result of this comparison is affected by intergenerational distribution of income. Finally, the model is used to show that the creation of a mandatory individual savings account to finance the elderly’s health insurance could improve the performance of the Chilean health sector by reducing intergenerational inequality.

Suggested Citation

  • Marcelo Tokman R., 2000. "Age segmentation in the Chilean health system," Estudios de Economia, University of Chile, Department of Economics, vol. 27(1 Year 20), pages 5-32, June.
    • Handle: RePEc:udc:esteco:v:27:y:2000:i:1:p:5-32
    as

    Download full text from publisher

    File URL: http://www.econ.uchile.cl/uploads/publicacion/f8408f86-4f74-4da3-8f15-db234b14fc47.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Ronald Fischer & Alejandra Mizala & Pilar Romaguera, 1998. "Alternativas de financiamiento de la salud en el sistema privado, para la tercera edad," Documentos de Trabajo 34, Centro de Economía Aplicada, Universidad de Chile.
    2. Ronald Fischer & Alejandra Mizala & Pilar Romaguera, 1998. "Financiamiento de la Salud en la Tercera Edad en el Sistema Isapre," Latin American Journal of Economics-formerly Cuadernos de Economía, Instituto de Economía. Pontificia Universidad Católica de Chile., vol. 35(104), pages 73-95.
    3. Ronald D. Fischer & Pablo Serra, 1997. "Análisis económico del sistema de seguros de salud en Chile," Documentos de Trabajo 17, Centro de Economía Aplicada, Universidad de Chile.
    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. Bitrán, Ricardo & Almarza, Francisco Xavier, 1997. "Las instituciones de salud previsional (ISAPRES) en Chile," Financiamiento para el Desarrollo 5265, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL).
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Kifmann, Mathias, 1997. "To commit or not to commit: A health insurance monopoly with variable quality and uncertain types of individuals," Discussion Papers, Series I 288, University of Konstanz, Department of Economics.
    2. Kifmann, Mathias, 1997. "Die private Krankenversicherung in Chile: Vollversicherung oder Zusatzversicherung für ambulante Leistungen?," Discussion Papers, Series I 287, University of Konstanz, Department of Economics.
    3. Ronald Fischer & Alejandra Mizala & Pilar Romaguera, 1998. "Financiamiento de la Salud en la Tercera Edad en el Sistema Isapre," Latin American Journal of Economics-formerly Cuadernos de Economía, Instituto de Economía. Pontificia Universidad Católica de Chile., vol. 35(104), pages 73-95.
    4. Larrañaga, Osvaldo, 1997. "Eficiencia y equidad en el sistema de salud chileno," Financiamiento para el Desarrollo 5252, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL).
    5. Lim, Terence & Lo, Andrew W. & Merton, Robert C. & Scholes, Myron S., 2006. "The Derivatives Sourcebook," Foundations and Trends(R) in Finance, now publishers, vol. 1(5–6), pages 365-572, April.
    6. Ralph S.J. Koijen & Stijn Nieuwerburgh & Motohiro Yogo, 2016. "Health and Mortality Delta: Assessing the Welfare Cost of Household Insurance Choice," Journal of Finance, American Finance Association, vol. 71(2), pages 957-1010, April.
    7. Michael Hoy & Afrasiab Mirza & Asha Sadanand, 2021. "Guaranteed renewable life insurance under demand uncertainty," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 88(1), pages 131-159, March.
    8. Friedrich Breyer & Andreas Haufler, 2000. "Health Care Reform: Separating Insurance from Income Redistribution," International Tax and Public Finance, Springer;International Institute of Public Finance, vol. 7(4), pages 445-461, August.
    9. Felipe Morandé & Raimundo Soto, "undated". "Reformas Económicas en Chile: Una Perspectiva Institucional," ILADES-UAH Working Papers inv121, Universidad Alberto Hurtado/School of Economics and Business.
    10. Florian Baumann & Volker Meier & Martin Werding, 2008. "Transferable Ageing Provisions in Individual Health Insurance Contracts," German Economic Review, Verein für Socialpolitik, vol. 9(3), pages 287-311, August.
    11. Michael Geruso & Timothy J. Layton, 2017. "Selection in Health Insurance Markets and Its Policy Remedies," Journal of Economic Perspectives, American Economic Association, vol. 31(4), pages 23-50, Fall.
    12. Sebastián Fleitas & Gautam Gowrisankaran & Anthony Lo Sasso, 2018. "Reclassification Risk in the Small Group Health Insurance Market," NBER Working Papers 24663, National Bureau of Economic Research, Inc.
    13. Juan Pablo Atal & Hanming Fang & Martin Karlsson & Nicolas R. Ziebarth, 2020. "Long-Term Health Insurance: Theory Meets Evidence," PIER Working Paper Archive 20-009, Penn Institute for Economic Research, Department of Economics, University of Pennsylvania.
    14. Soheil Ghili & Ben Handel & Igal Hendel & Michael D. Whinston, 2019. "Optimal Long-Term Health Insurance Contracts: Characterization, Computation, and Welfare Effects," Cowles Foundation Discussion Papers 2218R, Cowles Foundation for Research in Economics, Yale University, revised Jul 2020.
    15. Marcus C. Christiansen & Martin Eling & Jan-Philipp Schmidt & Lorenz Zirkelbach, 2016. "Who is Changing Health Insurance Coverage? Empirical Evidence on Policyholder Dynamics," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 83(2), pages 269-300, June.
    16. Wenan Fei & Claude Fluet & Harris Schlesinger, 2015. "Uncertain Bequest Needs and Long-Term Insurance Contracts," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 82(1), pages 125-148, March.
    17. Miranda, Ernesto & Paredes Molina, Ricardo D., 1997. "Competencia, Integración Vertical y Rendimiento en los Servicios de Salud Públicos y Privados de Chile," IDB Publications (Working Papers) 1995, Inter-American Development Bank.
    18. Igal Hendel & Alessandro Lizzeri, 2003. "The Role of Commitment in Dynamic Contracts: Evidence from Life Insurance," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 118(1), pages 299-328.
    19. Iwamoto, Yasushi & Kohara, Miki & Saito, Makoto, 2010. "On the consumption insurance effects of long-term care insurance in Japan: Evidence from micro-level household data," Journal of the Japanese and International Economies, Elsevier, vol. 24(1), pages 99-115, March.
    20. World Bank, 2000. "Chile - Health Insurance Issues : Old Age and Catastrophic Health Costs," World Bank Publications - Reports 14982, The World Bank Group.

    More about this item

    Keywords

    Health: Government Policy; Regulation; Public Health; Analysis of Health Care Markets; Distribution: General.;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • D30 - Microeconomics - - Distribution - - - General

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:udc:esteco:v:27:y:2000:i:1:p:5-32. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Verónica Kunze (email available below). General contact details of provider: https://edirc.repec.org/data/deuclcl.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.