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https://doi.org/10.21256/zhaw-5526| Publication type: | Article in scientific journal |
| Type of review: | Peer review (publication) |
| Title: | Voluntary pooling of genetic risk : a health insurance experiment |
| Authors: | Mimra, Wanda Nemitz, Janina Waibel, Christian |
| DOI: | 10.1016/j.jebo.2019.04.001 10.21256/zhaw-5526 |
| Published in: | Journal of Economic Behavior & Organization |
| Volume(Issue): | 180 |
| Page(s): | 864 |
| Pages to: | 882 |
| Issue Date: | 16-May-2019 |
| Publisher / Ed. Institution: | Elsevier |
| ISSN: | 0167-2681 |
| Language: | English |
| Subjects: | Effort; Genetic risk; Health insurance; Pooling |
| Subject (DDC): | 360: Social problems and social insurance 610: Medicine and health |
| Abstract: | Scientific and technological advances increasingly allow for better tailoring of health insurance plans to individual health risk profiles. This development questions the sustainability of health plans that feature strong cross-subsidization across different health risk types and health behaviors. An important observation is that the willingness to cross-subsidize risks in health plans might depend on whether the risk is uncontrollable by individuals, such as genetic risk, or modifiable via health behaviors. This paper provides the results of an experiment on the willingness to pool genetic risk in health insurance. Subjects’ overall health risk has an assigned, uncontrollable genetic risk part that differs across individuals as well as a behavioral risk part, which can be reduced by costly effort. Participants can decide between a pooling, community-rated group insurance scheme and an insurance with a fully individually risk-adjusted premium. In the experimental variation, the group insurance scheme either includes behavioral risk or separates it out via individual premium discounts. Although we observe social preferences for pooling, only a low level of actual genetic risk pooling emerges across the experimental conditions. This is due to both large heterogeneity in social preferences across subjects, and the dynamics of the willingness to pay for group insurance in the different experimental markets. |
| URI: | https://digitalcollection.zhaw.ch/handle/11475/17387 |
| Fulltext version: | Accepted version |
| License (according to publishing contract): | CC BY-NC-ND 4.0: Attribution - Non commercial - No derivatives 4.0 International |
| Restricted until: | 2022-05-16 |
| Departement: | School of Management and Law |
| Organisational Unit: | Winterthur Institute of Health Economics (WIG) |
| Appears in collections: | Publikationen School of Management and Law |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| 2019_Mimra_Voluntary_pooling_of_genetic_risk.pdf | Accepted version | 1.46 MB | Adobe PDF |  View/Open |
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Mimra, W., Nemitz, J., & Waibel, C. (2019). Voluntary pooling of genetic risk : a health insurance experiment. Journal of Economic Behavior & Organization, 180, 864–882. https://doi.org/10.1016/j.jebo.2019.04.001
Mimra, W., Nemitz, J. and Waibel, C. (2019) ‘Voluntary pooling of genetic risk : a health insurance experiment’, Journal of Economic Behavior & Organization, 180, pp. 864–882. Available at: https://doi.org/10.1016/j.jebo.2019.04.001.
W. Mimra, J. Nemitz, and C. Waibel, “Voluntary pooling of genetic risk : a health insurance experiment,” Journal of Economic Behavior & Organization, vol. 180, pp. 864–882, May 2019, doi: 10.1016/j.jebo.2019.04.001.
MIMRA, Wanda, Janina NEMITZ und Christian WAIBEL, 2019. Voluntary pooling of genetic risk : a health insurance experiment. Journal of Economic Behavior & Organization. 16 Mai 2019. Bd. 180, S. 864–882. DOI 10.1016/j.jebo.2019.04.001
Mimra, Wanda, Janina Nemitz, and Christian Waibel. 2019. “Voluntary Pooling of Genetic Risk : A Health Insurance Experiment.” Journal of Economic Behavior & Organization 180 (May): 864–82. https://doi.org/10.1016/j.jebo.2019.04.001.
Mimra, Wanda, et al. “Voluntary Pooling of Genetic Risk : A Health Insurance Experiment.” Journal of Economic Behavior & Organization, vol. 180, May 2019, pp. 864–82, https://doi.org/10.1016/j.jebo.2019.04.001.
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