Research on optimal mixed health insurance contact based on risk sharing

Yejia Xu, M. Shi
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Abstract

Public health insurance led by the government is characterized by its compulsory attendance, generality and mutual aid, while commercial health insurance holds professional, competitive and profitable features. These two kinds of health insurance are different in objective, nature and characteristics. This paper, by means of mathematical model and numerical simulation, has proved that mixed health insurance contact can achieve the optimal social welfare based on risk sharing so as to complement their own advantages. At last, this paper has put forward the corresponding advice as to how to decrease the moral hazard in the selection of the ranks of hospital as well as the number of medical service.
基于风险分担的最优混合健康保险契约研究
政府主导的公共健康保险具有强制性、全面性、互助性等特点,商业健康保险具有专业性、竞争性、盈利性等特点。这两种健康保险在目的、性质和特点上都有所不同。本文通过数学模型和数值模拟,证明了混合健康保险契约可以在风险分担的基础上实现社会福利的最优,从而实现各自优势的互补。最后,本文就如何减少医院级别选择和医疗服务数量的道德风险提出了相应的建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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