How effective is “lifetime health cover” in raising private health insurance coverage in Australia? An assessment using regression discontinuity

@article{Palangkaraya2007HowEI,
  title={How effective is “lifetime health cover” in raising private health insurance coverage in Australia? An assessment using regression discontinuity},
  author={Alfons Palangkaraya and Jongsay Yong},
  journal={Applied Economics},
  year={2007},
  volume={39},
  pages={1361 - 1374}
}
The Australian government introduced three major private health insurance policy initiatives in recent years. These are, in chronological order, (i) the Private Health Insurance Incentives Scheme (PHIIS), which imposes a tax levy on high-income earners who do not have private health insurance and provides a means-tested subsidy schedule for low-income earners who purchase PHI; (ii) a 30% premium rebate for all private health insurance policies to replace the means-tested component under PHIIS… Expand
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References

SHOWING 1-10 OF 22 REFERENCES
Policy change and private health insurance: did the cheapest policy do the trick?
  • J. Butler
  • Medicine, Economics
  • Australian health review : a publication of the Australian Hospital Association
  • 2002
TLDR
It is argued that the membership uptake that has occurred recently is largely attributable to the introduction of lifetime community rating which goes some way towards addressing the adverse selection associated with the previous community rating regulations. Expand
Private health insurance: the problem child faces adulthood.
  • M. Cormack
  • Economics, Medicine
  • Australian health review : a publication of the Australian Hospital Association
  • 2002
TLDR
The most significant result is that much of the reform package is here to stay including the expensive and much criticised 30% rebate. Expand
Discerning the Effects of Recent Private Health Insurance Policy Changes in Australia
The Australian government implemented several new policy initiatives during 1997--2000, with the stated aim of raising the take-up rate of private health insurance. Taken together, these policyExpand
The determinants of the demand for private health insurance under Medicare
Since the introduction of Medicare in 1984, the proportion of the Australian population with private health insurance has declined considerably. Insurance for health care consumption is compulsoryExpand
Lifetime Cover in Private Insurance Markets
TLDR
This paper analyze Australia’s Lifetime Cover in the context of a modified version of the Rothschild-Stiglitz insurance model, which allows empirically-based probabilities to increase by age for low-risk types and predicts that Lifetime Cover will not arrest adverse selection. Expand
Private Health Insurance: Still Muddling Through
priority of the Coalition Government on taking office in 1996 was to provide incentives for people to take up private health insurance. Since then there have been several measures directed to thisExpand
THE AUSTRALIAN PRIVATE HEALTH INSURANCE BOOM: WAS IT SUBSIDIES OR LIBERALISED REGULATION?
Over the period 1997 to 2000, the Australian government introduced two waves of price subsidies, then liberalised regulation to encourage private health insurance. Most of the increase in coverageExpand
An econometric analysis of the demand for private health insurance in England and Wales
This paper discusses the nature of demand for private health, insurance in a health care market in which the consumer can neither opt out of tax payments for nor lose his entitlement to public healthExpand
IDENTIFICATION AND ESTIMATION OF TREATMENT EFFECTS WITH A REGRESSION-DISCONTINUITY DESIGN
Ž. THE REGRESSION DISCONTINUITY RD data design is a quasi-experimental design with the defining characteristic that the probability of receiving treatment changes discontinuously as a function of oneExpand
Estimating the Effect of Financial Aid Offers on College Enrollment: A Regression-Discontinuity Approach
An important problem faced by colleges and universities, that of evaluating the effect of their financial aid offers on student enrollment decisions, is complicated by the likely endogeneity of theExpand
...
1
2
3
...