Run for cover now or later? The impact of premiums, threats and deadlines on private health insurance in Australia
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Between 1997 and 2000 the Australian government introduced three policy reforms that aimed to increase private health insurance coverage and reduce public hospital demand. The first provided income-based tax incentives; the second gave an across-the-board 30% premium subsidy; and the third introduced selective age-based premium increases for those enrolling after a deadline. Together the reforms increased enrolment by 50% and reduced the average age of enrollees. The deadline appeared to induce consumers to enroll now rather than delay. We estimate a model of individual insurance decisions and examine the effects of the reforms on the age and income distribution of those with private cover. We interpret the major driver of the increased enrollment as a response to a deadline and an advertising blitz, rather than a pure price response.
KeywordsPrivate health insurance Financial incentives Behavioural decision-making
JEL ClassificationsD12 I11 I18
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- Abraham, J. M., Vogt, W. B., & Gaynor, M. (2002). Household demand for employer-based health insurance. NBER Working Paper 9144.Google Scholar
- Australian Bureau of Statistics (ABS). (2001). Government benefits, taxes and household income, 1998–99, publication no. 6537.0.Google Scholar
- Australian Bureau of Statistics (ABS). (2002). National Health Survey 2001, Confidentialised Unit Record Files. For a summary of results see http://www.ausstats.abs.gov.au/ausstats/subscriber.nsf/Lookup/90A3222FAD5E3563CA256C5D0001FD9D/$File/43640_2001.pdf.
- Butler, J. R. G. (1999). Estimating elasticities of demand for private health insurance in Australia. NCEPH Working paper Number 43.Google Scholar
- Choi, J. J., Laibson, D., Madrian, B. C., & Metrick, A. (2005). Optimal defaults and active decisions. NBER Working Paper 11074, Cambridge, MA.Google Scholar
- Colombo, F., & Tapay, N. (2004). Private health insurance in OECD countries: The benefits and costs for individuals and health systems. In OECD towards high-performing health systems (Chap. 6). Paris: OECD.Google Scholar
- Cutler D.M., Zeckhauser R.J. (2000). The anatomy of health insurance. In: Culyer J.A., Newhouse J.P. (eds). Handbook of health economics (Vol IA, Chap 11). Amsterdam, Elsevier, pp. 563–643Google Scholar
- Frech H.E., III, Hopkins S., MacDonald G. (2003). The Australian health insurance boom: Was it subsidies or liberalised regulation?. Economic Papers 22(1): 58–64Google Scholar
- Gruber, J., & Ebonya, W. (2003). Subsidies to employee health insurance premiums and the health insurance market. NBER Working Paper 9567. Cambridge, MA.Google Scholar
- Hall, J., & Savage, E. (2005). The role of the private sector in the Australian healthcare system. In A. Maynard (Ed.), The public-private mix for health (pp. 247–278). Abingdon: Radcliffe Publishing Ltd.Google Scholar
- O’Donoghue T., Rabin M. (1999). Doing it now or later. The American Economic Review 89(1): 103–124Google Scholar
- Private Health Insurance Administration Council (PHIAC). (2004). Report on the operations of the registered health benefits organisations, available at http://www.phiac.gov.au.
- Tversky, A., & Kahneman, D. (1986). Rational choice: The contrast between economics and psychology (pp. 67–74). Chicago and London: University of Chicago Press.Google Scholar