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

Abstract

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.