COVID-19 和澳大利亚私人医疗保险基金的效率、技术和生产力变化*

IF 0.9 Q3 ECONOMICS
Andrew C. Worthington, Lan Nguyen
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引用次数: 0

摘要

我们利用马尔奎斯特指数计算了 2016/2017 年至 2021/2022 年澳大利亚私人医疗保险(PHI)基金的效率变化、技术进步和生产率增长。从 2020 年 1 月开始,COVID-19 大流行病和各种应对政策给私人医疗保险行业带来了巨大的混乱,限制了选择性手术,从而限制了投保的住院天数,并限制了牙科、物理治疗、眼科和其他服务的额外保障的使用。在封锁期间,私人健康保险基金还实施了在家工作的安排,并进行投资以改善投保人服务;拥有私人健康保险保障的澳大利亚人比例逆势增长;全球金融市场经历了大幅波动,影响了私人健康保险的投资收益,私人健康保险基金甚至推迟退还保费以抵消投保人的财务压力。我们的研究表明,在流感大流行的前 18 个月,生产率有所下降,但随后出现了非常强劲的增长。我们还发现,典型的私人医疗保险基金在疫情结束时的生产率比疫情开始时提高了 36.5%,其中大部分收益来自技术方面(38.3%),涉及行业前沿的大幅上移,而规模(-0.2%)和纯技术(-1.1%)效率低下造成的损失要小得多。这表明 PHI 行业很好地应对了 COVID-19 大流行带来的混乱。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

COVID-19 and Efficiency, Technology and Productivity Change in Australian Private Health Insurance Funds*

COVID-19 and Efficiency, Technology and Productivity Change in Australian Private Health Insurance Funds*

We calculate efficiency change, technological progress and productivity growth in Australian private health insurance (PHI) funds using Malmquist indices from 2016/2017 to 2021/2022. Starting in January 2020, the COVID-19 pandemic and the various policy responses to it brought significant disruption to the PHI industry with restrictions placed on elective surgery, and hence insured hospital days, and the use of extras cover for dental, physiotherapy, optical and other services. Lockdowns also saw PHI funds implement work-from-home arrangements and invest to improve policyholder services; the share of Australians with PHI cover grew counter to trend; global financial markets experienced significant volatility, impacting PHI investment revenue and PHI funds delayed even refunded premiums to offset financial pressures on policyholders. We show that productivity declined during the first 18 months of the pandemic and then grew very strongly. We also find the typical PHI fund is 36.5% more productive at the end of the period than the beginning, with most gains being technological (38.3%), involving a large upward shift in the industry frontier, countering much smaller losses from scale (−0.2%) and pure technical (−1.1%) inefficiency. This suggests that the PHI industry responded well to the disruption associated with the COVID-19 pandemic.

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来源期刊
Economic Papers
Economic Papers ECONOMICS-
CiteScore
2.30
自引率
0.00%
发文量
23
期刊介绍: Economic Papers is one of two journals published by the Economics Society of Australia. The journal features a balance of high quality research in applied economics and economic policy analysis which distinguishes it from other Australian journals. The intended audience is the broad range of economists working in business, government and academic communities within Australia and internationally who are interested in economic issues related to Australia and the Asia-Pacific region. Contributions are sought from economists working in these areas and should be written to be accessible to a wide section of our readership. All contributions are refereed.
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