Journal of Public Health Policy

, Volume 34, Issue 2, pp 320–329

Managing moral hazard in motor vehicle accident insurance claims

  • Shanil Ebrahim
  • Jason W Busse
  • Gordon H Guyatt
  • Stephen Birch
Original Article

DOI: 10.1057/jphp.2013.11

Cite this article as:
Ebrahim, S., Busse, J., Guyatt, G. et al. J Public Health Pol (2013) 34: 320. doi:10.1057/jphp.2013.11

Abstract

Motor vehicle accident (MVA) insurance in Canada is based primarily on two different compensation systems: (i) no-fault, in which policyholders are unable to seek recovery for losses caused by other parties (unless they have specified dollar or verbal thresholds) and (ii) tort, in which policyholders may seek general damages. As insurance companies pay for MVA-related health care costs, excess use of health care services may occur as a result of consumers’ (accident victims) and/or producers’ (health care providers) behavior – often referred to as the moral hazard of insurance. In the United States, moral hazard is greater for low dollar threshold no-fault insurance compared with tort systems. In Canada, high dollar threshold or pure no-fault versus tort systems are associated with faster patient recovery and reduced MVA claims. These findings suggest that high threshold no-fault or pure no-fault compensation systems may be associated with improved outcomes for patients and reduced moral hazard.

Keywords

motor vehicle accident compensation system automobile insurance tort no-fault moral hazard 

Copyright information

© Palgrave Macmillan, a division of Macmillan Publishers Ltd 2013

Authors and Affiliations

  • Shanil Ebrahim
    • 1
  • Jason W Busse
    • 1
    • 2
  • Gordon H Guyatt
    • 1
    • 3
  • Stephen Birch
    • 1
    • 4
  1. 1.Department of Clinical Epidemiology and BiostatisticsMcMaster UniversityHamiltonCanada
  2. 2.Department of AnesthesiaMcMaster UniversityHamiltonCanada
  3. 3.Department of MedicineMcMaster UniversityHamiltonCanada
  4. 4.Centre for Health Economics and Policy Analysis, McMaster UniversityHamiltonCanada

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