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Distributional Effects of Means Testing Social Security: An Exploratory Analysis 收入测试社会保障的分配效应:探索性分析
Pub Date : 2014-08-01 DOI: 10.2139/SSRN.2516857
Alan L. Gustman, Thomas L. Steinmeier, Nahid Tabatabai
This paper examines the distributional implications of introducing additional means testing of Social Security benefits where proceeds are used to help balance Social Security's finances. Benefits of the top quarter of households ranked according to the relevant measure of means are reduced using a modified version of the Social Security Windfall Elimination Provision (WEP). The replacement rate in the first bracket of the benefit formula, determining the Primary Insurance Amount (PIA), would be reduced from 90 percent to 40 percent of Average Indexed Monthly Earnings (AIME). Four measures of means are considered: total wealth; an annualized measure of AIME; the wealth value of pensions; and a measure of average indexed lifetime W2 earnings. The empirical analysis is based on data from the Health and Retirement Study. These means tests would reduce total lifetime household benefits by 7 to 9 percentage points. We find that the basis for means testing Social Security makes a substantial difference as to which households have their benefits reduced, and that different means tests may have different effects on the benefits of families in similar circumstance. We also find that the measure of means used to evaluate the effects of a means test makes a considerable difference as to how one would view the effects of the means test on the distribution of benefits.
本文考察了引入额外的社会保障福利的经济状况调查的分配影响,其中收益用于帮助平衡社会保障的财务状况。根据相关的收入衡量标准排名前四分之一的家庭的福利,使用社会保障意外之财消除条款(WEP)的修改版本来减少。决定基本保险金额(PIA)的福利公式第一括号中的替代率将从平均指数化月收入(AIME)的90%降至40%。考虑了四种手段的衡量标准:总财富;AIME的年化度量;养老金的财富价值;以及衡量平均指数化终身收入的指标。实证分析基于健康与退休研究的数据。这些经济状况调查将使家庭终身福利总额减少7至9个百分点。我们发现社会保障调查的基础对哪些家庭的福利减少有实质性的影响,不同的经济状况调查可能对类似情况下的家庭的福利产生不同的影响。我们还发现,用于评估经济状况调查影响的手段对于人们如何看待经济状况调查对福利分配的影响有着相当大的影响。
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引用次数: 4
The Application of s 6 of the Law Reform (Miscellaneous Provisions) Act 1946 (NSW) to Claims-Made Insurance Policies: An Analysis of Recent Developments 1946年法律改革(杂项规定)法(NSW)第6条对索赔保险单的适用:对最近发展的分析
Pub Date : 2014-04-01 DOI: 10.2139/SSRN.3250246
R. Bowley
Following the litigation over the collapsed Bridgecorp Group in New Zealand since 2011, the application of s 6 of the Law Reform (Miscellaneous Provisions) Act 1946 (NSW) and s 9 of the Law Reform Act 1936 (NZ) to claims-made policies has been the focus of considerable interest. Through a review of recent case law, this article examines how the courts in Australia and New Zealand have grappled with the application of these arguably antiquated provisions to the complexities of modern professional indemnity and directors and officers insurance policies.
自2011年以来,在新西兰对Bridgecorp集团倒闭的诉讼之后,1946年法律改革(杂项规定)法案(NSW)第6条和1936年法律改革法案(NZ)第9条对索赔政策的适用一直是相当感兴趣的焦点。通过对最近的判例法的回顾,本文考察了澳大利亚和新西兰的法院如何努力将这些可以说是过时的条款应用于现代专业赔偿和董事和高级管理人员保险政策的复杂性。
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引用次数: 0
The Effect of U.S. Health Insurance Expansions on Medical Innovation 美国医疗保险扩张对医疗创新的影响
Pub Date : 2013-12-01 DOI: 10.2139/ssrn.2101246
Jeffrey Clemens
I study the channels through which health insurance influences medical innovation. Following Medicare and Medicaid's passage, I find that U.S.-based medical-equipment patenting rose by 40 to 50 percent relative to both other U.S. patenting and foreign medical-equipment patenting. Within the United States, increases in medical-equipment patenting were most dramatic in states where the Great Society insurance expansions were largest and in which there were large baseline numbers of physicians per resident. Consistent with historical case studies, Medical innovation's determinants extend beyond the potential revenues associated with global market size; a physician driven process of innovation-while-doing appears to play a central role. An extrapolation of the evidence suggests that the last half century's U.S. insurance expansions have driven 25 percent of recent global medical-equipment innovation. In a standard decomposition of health spending growth, this insurance-induced innovation accounts for 15 percent of the long run rise in U.S. health spending in hospitals, physicians' offices, and other clinical settings.
我研究了健康保险影响医疗创新的渠道。随着医疗保险和医疗补助计划的通过,我发现美国的医疗设备专利申请相对于其他国家的专利申请和外国的医疗设备专利申请增加了40%到50%。在美国,医疗设备专利申请的增加在大社会保险扩张幅度最大的州最为显著,在这些州,每个居民的医生基线数量也很大。与历史案例研究一致,医疗创新的决定因素超出了与全球市场规模相关的潜在收入;医生推动的边做边创新的过程似乎发挥了核心作用。根据证据推断,过去半个世纪美国保险业的扩张推动了近期全球医疗设备创新的25%。在医疗支出增长的标准分解中,这种保险引发的创新占美国医院、医生办公室和其他临床机构医疗支出长期增长的15%。
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引用次数: 34
Revised Risk Assessments and the Insurance Industry 修订风险评估与保险业
Pub Date : 2013-11-01 DOI: 10.1017/9781316492635.003
C. Kousky
Insuring disaster risks can be challenging, due to spatial correlations and fat-tailed loss distributions. This chapter examines catastrophe insurance with a particular focus on events that alter risk assessments in the insurance industry. It addresses two questions: (1) What types of events lead the (re)insurance industry to update risk assessments? (2) How do companies, consumers, and the government respond to updated risk assessments? Updating is more likely to occur for risks with unknown or changing loss distributions. When an extreme event leads to altered assessments of the risk, insurance firms will reevaluate their pricing, exposure, underwriting policies, and capital management practices. Severe events that lead to this type of risk updating, however, also often lead to updating on the part of consumers and governments. This chapter traces how all three sectors may respond when they assess a risk as higher than they did previously. This may lead to temporary adjustments, or it could cause new equilibrium conditions in the market or permanent government interventions.
由于空间相关性和大尾损失分布,灾害风险保险可能具有挑战性。本章考察巨灾保险,特别关注改变保险行业风险评估的事件。它解决了两个问题:(1)什么类型的事件导致(再)保险业更新风险评估?(2)企业、消费者和政府如何应对最新的风险评估?对于损失分布未知或不断变化的风险,更有可能进行更新。当极端事件导致风险评估改变时,保险公司将重新评估其定价、风险敞口、承保政策和资本管理实践。然而,导致这类风险更新的严重事件通常也会导致消费者和政府方面的更新。本章追溯了这三个部门在评估风险高于之前时可能做出的反应。这可能会导致暂时的调整,也可能会导致市场出现新的平衡状况,或者政府进行永久性干预。
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引用次数: 1
Financial Literacy and Consumer Choice of Health Insurance: Evidence from Low-Income Populations in the United States 金融知识和健康保险的消费者选择:来自美国低收入人群的证据
Pub Date : 2013-08-16 DOI: 10.2139/SSRN.2326756
Sebastian Bauhoff, K. Carman, Amelie Wuppermann
Under the U.S. Affordable Care Act (ACA), many low income consumers will become eligible for government support to buy health insurance. Whether these consumers are able to take advantage of the support and to make sound decisions about purchasing health insurance will likely depend on their knowledge and skills in navigating complex financial products. This ability is frequently referred to as "financial literacy". This paper examined the level and distribution of consumers' financial literacy across income groups, using 2012 data collected in the RAND American Life Panel, an internet panel representative of the U.S. population. Financial illiteracy was particularly prevalent among individuals with incomes between 100–400% of the Federal Poverty Line, many of whom will be eligible for subsidies. In this group, the young, less educated, females, and those with less income were more likely to have low financial literacy. The findings suggest the need for targeted policies to support vulnerable consumers in making good choices for themselves, possibly above and beyond the support measures already planned for in the ACA.
根据美国平价医疗法案(ACA),许多低收入消费者将有资格获得政府支持购买医疗保险。这些消费者是否能够利用这种支持,并就购买健康保险做出合理的决定,可能取决于他们驾驭复杂金融产品的知识和技能。这种能力通常被称为“金融知识”。本文利用代表美国人口的互联网小组——兰德美国生活小组(RAND American Life Panel)收集的2012年数据,考察了不同收入群体消费者的金融知识水平和分布。在收入在联邦贫困线100-400%之间的个人中,金融文盲尤其普遍,其中许多人将有资格获得补贴。在这个群体中,年轻、受教育程度较低、女性和收入较低的人更有可能缺乏金融知识。调查结果表明,需要有针对性的政策来支持弱势消费者为自己做出正确的选择,这可能超出ACA计划的支持措施。
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引用次数: 6
Trends in the Composition and Outcomes of Young Social Security Disability Awardees 残疾青年社会保障受助人的组成趋势及结果
Pub Date : 2013-06-01 DOI: 10.2139/SSRN.2306581
Yonatan Ben-Shalom, D. Stapleton
A large share of new Social Security Disability (SSD) beneficiaries -- disabled workers and disabled adult children (DAC) -- are under age 40. Better information on the backgrounds, impairments, personal characteristics, and employment outcomes of these beneficiaries would help policymakers develop programs tailored to the needs and circumstances of various subgroups of such beneficiaries. We use administrative data on young SSD awardees first awarded benefits between 1996 and 2007 to examine trends in these awardees’ composition and outcomes. We find that the composition of young SSD awardees changed substantially during this period. In 2007, compared to 1996, relatively more SSD awards to individuals under age 40 went to DAC versus disabled workers; to disabled workers and DAC who had received Supplemental Security Income (SSI) benefits, especially as children, versus those with no SSI history; and to disabled workers and DAC with psychiatric disorders versus those with other types of impairments. We also find that disabled workers who received SSI as children are far more likely than those who did not receive SSI as children to earn more than $1,000 annually (in 2007 dollars) as of the fifth post-award year; that compared to disabled workers, DAC are considerably less likely to work and earn more than $1,000 annually; and that both disabled workers and DAC are significantly less likely to earn more than 12 times the non-blind substantial gainful activity level (SGA) annually than they are to earn more than $1,000 annually. We discuss factors that may have contributed to the observed trends.
很大一部分新的社会保障残疾受益人——残疾工人和残疾成年子女——年龄在40岁以下。更好地了解这些受益人的背景、缺陷、个人特征和就业结果,将有助于政策制定者制定适合这些受益人各子群体需求和情况的方案。我们使用1996年至2007年间首次获得福利的年轻SSD获奖者的管理数据来检查这些获奖者的构成和结果的趋势。我们发现,在此期间,年轻的SSD获奖者的构成发生了很大变化。2007年,与1996年相比,40岁以下的个人获得的SSD奖相对更多地流向了DAC,而不是残疾工人;与没有SSI历史的人相比,接受过SSI福利的残疾工人和DAC,尤其是儿童;残疾工人和患有精神疾病的DAC与患有其他类型损伤的人相比。我们还发现,在奖励后的第五年,儿童时期接受SSI的残疾工人比儿童时期没有接受SSI的残疾工人更有可能每年赚取超过1000美元(以2007年的美元计算);与残疾工人相比,残疾人工作和年收入超过1000美元的可能性要小得多;残疾工人和DAC的年收入都比非盲人的实质性有酬活动水平(SGA)高出12倍的可能性要小得多,他们的年收入超过1000美元。我们讨论了可能导致观察到的趋势的因素。
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引用次数: 4
The Impact on Women on the Removal of Gender as a Rating Variable in Motor-Vehicle Insurance 对妇女在机动车保险中去除性别作为评级变量的影响
Pub Date : 2013-04-23 DOI: 10.17159/1727-3781/2013/V16I1A2319
Anthea Natalie Wagener
Insurers use actuarial statistics as rating variables to differentiate and distinguish for the purposes of risk classification. They justify their use of actuarial statistics due to its accuracy as a predictor of risk. South African motor-vehicle insurers use gender, inter alia , as a rating variable to classify risks into certain classes and to determine insurance premiums. Depending upon whether the insured is male or female, it could have a significant impact on the cost of his or her premium.  Women drivers pay less for motor-vehicle insurance because actuarial statistics indicate that women are more careful drivers and are involved in 20 per cent fewer accidents than men.  Men pay higher premiums because the statistics indicate that they are less responsible drivers than women. Should a South African court decide that the use of gender as a motor-vehicle insurance rating variable is unfair discrimination, this would benefit male drivers, as it would lower their premium. Women, on the other hand, would be disadvantaged as they would be required to pay higher premiums to subsidise men. The article examines the impact that the removal of gender as a rating variable in motor-vehicle insurance would have on women, and asks if the effects thereof would influence a South African Court’s decision in determining if the use of gender as a rating variable amounts to unfair discrimination.  The article first considers the findings of American and Canadian Courts in determining this same issue and then considers South African equality legislation, particularly the Promotion of Equality and Prevention of Unfair Discrimination Act 4 of 2000 (“the Equality Act ”). Thereafter, the article provides recommendations for a South African Court. As the Equality Act indicates that the discriminatory insurance practice of placing a disadvantage or advantage on persons based inter alia on their gender may possibly be unfair, it is suggested that South African insurers would have to consider alternative methods of risk assessment. In the light of the American and the Canadian case law, the article suggests that there should be a change of approach to insurance risk assessment. Rather than using gender as a rating variable the insurer could assess the risk of the individual insured, using appropriate, neutral rating variables suited to the particular circumstances of the insured. This would require a much more intensive and individualised risk evaluation and would require the insurer to “tailor-make” insurance for each individual. It is submitted that such an approach would give effect to the right to equality by disallowing the use of gender as a rating variable without producing the undesirable consequence that women drivers would have to subsidise men.
保险公司使用精算统计作为评级变量来区分和区分风险分类的目的。他们证明他们使用精算统计是合理的,因为它是风险预测的准确性。南非汽车保险公司除其他外,使用性别作为评级变量,将风险划分为某些类别,并确定保险费。根据被保险人是男性还是女性,这可能会对他或她的保费成本产生重大影响。女司机支付的机动车辆保险费较少,因为精算统计数字表明,妇女驾驶更小心,所发生的事故比男子少20%。男性支付更高的保险费,因为统计数据表明他们比女性更不负责任。如果南非法院裁定使用性别作为机动车辆保险评级变量是不公平的歧视,这将有利于男性司机,因为这将降低他们的保险费。另一方面,妇女将处于不利地位,因为她们将被要求支付更高的保费来补贴男性。这篇文章探讨了在机动车保险中取消性别作为评级变量对妇女的影响,并询问其影响是否会影响南非法院在确定使用性别作为评级变量是否构成不公平歧视方面的决定。本文首先考虑了美国和加拿大法院在确定同一问题时的调查结果,然后考虑了南非的平等立法,特别是2000年的《促进平等和防止不公平歧视法案》(“平等法案”)。其后,该条提出了设立南非法院的建议。由于《平等法》指出,除其他外,基于性别而使人处于不利地位或有利地位的歧视性保险做法可能是不公平的,因此建议南非保险公司必须考虑其他风险评估方法。本文结合美国和加拿大的判例法,建议改变保险风险评估的方法。与其使用性别作为评级变量,保险人可以使用适合于被保险人特定情况的适当、中立的评级变量来评估被保险人个人的风险。这将需要更深入和个性化的风险评估,并要求保险公司为每个人“量身定制”保险。有人认为,这种做法将通过不允许使用性别作为评级变量来实现平等权利,而不会产生女司机不得不补贴男司机的不良后果。
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引用次数: 0
For-Profit Corporations, Free Exercise, and the HHS Mandate 营利性公司、自由行使和卫生与公众服务部的授权
Pub Date : 2013-03-21 DOI: 10.2139/SSRN.2237630
S. W. Gaylord
Under the Patient Protection and Affordable Care Act, most employers must provide their employees with health insurance that covers all FDA approved contraceptive methods and sterilization procedures (the “HHS mandate”). Across the country, individuals, religious schools, and corporations have sued to enjoin the mandate, arguing, among other things, that it violates the free exercise clause of the First Amendment and the Religious Freedom Restoration Act (“RFRA”). Federal district courts have reached conflicting decisions in the 15 cases decided to date, leaving the Third, Fourth, Sixth, Seventh, Eighth, Tenth, and D.C. Circuits to sort out the complex relationship between the free exercise clause and laws, such as the HHS mandate, that are alleged to be neutral and generally applicable. But these cases are made even more difficult because of a specific claim that is raised in each case — that corporations can exercise religion under the First Amendment and RFRA. As several district courts have noted, “whether secular corporations can exercise religion is an open question.” This paper analyzes this novel and unresolved issue, arguing that, just as corporations can engage in free speech under Citizens United, for-profit corporations can exercise religion under the free exercise clause and RFRA. Although the Supreme Court has not addressed this specific issue, I argue that it has established rules for determining whether corporations can invoke particular constitutional rights and that, under these rules, corporations can invoke the protection of the free exercise clause. Several district courts have reached the opposite conclusion, while several others have avoided the issue altogether. Relying primarily on a single footnote in First Nat’l Bank of Boston v. Bellotti, the courts denying free exercise protection to for-profit corporations maintain that the free exercise of religion is a “purely personal” right that is limited to individuals and religious non-profit organizations. This paper contends, however, that a more detailed review of Bellotti, Citizens United, and the Court’s other decisions regarding the constitutional rights of corporations reveals that free exercise, like the freedom of speech, is not a “purely personal” right. Consequently, corporations — whether for-profit or non-profit — can claim its protection. Moreover, in the wake of Bellotti and Citizens United, neither the “profit motive” of a for-profit corporation nor the “religious nature” of religious organizations (e.g., churches) justifies limiting the free exercise clause only to individuals and non-profit religious organizations. Although many (perhaps most) corporations may choose not to engage in religious activities, there is no constitutional basis for precluding a priori all for-profit businesses from raising free exercise claims.
根据《患者保护和平价医疗法案》,大多数雇主必须为员工提供涵盖FDA批准的所有避孕方法和绝育程序的健康保险(“HHS授权”)。在全国范围内,个人、宗教学校和公司纷纷提起诉讼,要求禁止这项命令,理由之一是它违反了《第一修正案》和《宗教自由恢复法案》(“RFRA”)的自由行使条款。到目前为止,联邦地区法院在15起案件中做出了相互矛盾的裁决,这使得第三、第四、第六、第七、第八、第十和华盛顿特区巡回法院不得不理清自由行使条款与法律之间的复杂关系,比如卫生与公众服务部的授权,这些法律被认为是中立的,普遍适用的。但这些案件变得更加困难,因为在每个案件中都提出了一个具体的主张——公司可以根据《第一修正案》和《自由贸易法》行使宗教信仰。正如几个地区法院所指出的那样,“世俗公司是否可以行使宗教信仰是一个悬而未决的问题。”本文分析了这一新颖而未解决的问题,认为正如公司可以根据“联合公民”享有言论自由一样,营利性公司也可以根据“自由行使条款”和“RFRA”行使宗教信仰。虽然最高法院没有处理这一具体问题,但我认为,最高法院已经制定了规则,以确定公司是否可以援引特定的宪法权利,并且根据这些规则,公司可以援引自由行使条款的保护。几个地方法院得出了相反的结论,而其他几个地方法院则完全回避了这个问题。主要依据波士顿第一国民银行诉贝洛蒂案的一个脚注,法院否认对营利性公司的自由行使保护,认为宗教自由是一项“纯粹个人”权利,仅限于个人和宗教非营利组织。然而,本文认为,对贝洛蒂案、联合公民案和最高法院关于公司宪法权利的其他判决进行更详细的审查,就会发现,自由行使,就像言论自由一样,并不是一项“纯粹的个人”权利。因此,公司——无论是营利性还是非营利性——都可以要求它的保护。此外,在贝洛蒂案和联合公民案之后,营利性公司的“利润动机”和宗教组织(如教会)的“宗教性质”都不能成为将自由行使条款只限制于个人和非营利性宗教组织的理由。尽管许多(也许是大多数)公司可能选择不从事宗教活动,但没有宪法依据可以排除所有营利性企业先验地提出自由行使权利的主张。
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引用次数: 11
Securitization of Catastrophe Insurance Risk and Catastrophe Bonds: Experiences and Lessons to Learn 巨灾保险风险证券化与巨灾债券:经验与教训
Pub Date : 2013-03-17 DOI: 10.3868/S050-002-013-0019-9
Qihao He, Ruohong Chen
It is reasonable to expect that catastrophe insurance system will be established in China in the near future, since it is one of the main topics in the Fourth National Finance Working Conference, and it is the first three working points of China Insurance Regulation Commission (CIRC) this year. Due to the high loss of catastrophe and incapacity of the insurance industry, securitization of catastrophe risk serves as a significant alternative risk tool for catastrophe insurance industry. This has been practiced in the U.S. since the mid-1990s and catastrophe bonds are perfect examples. In this paper, we will first introduce the practices and challenges of securitization of catastrophe risk in the U.S., especially the catastrophe bonds which have been the predominant form until now. And then, the author will use the supply-demand framework to analyze whether securitization of risk is feasible in China. However, due to the institutional shortcomings, including legal frame, regulatory institutions and so on, issuing the ILS will take quite a long time and a tough process in China.
巨灾保险制度是第四次全国金融工作会议的主要议题之一,也是今年中国保监会的前三个工作重点,我们有理由期待在不久的将来在中国建立巨灾保险制度。由于巨灾的高损失和保险业的无能,巨灾风险证券化成为巨灾保险业重要的替代风险工具。自上世纪90年代中期以来,美国一直在实行这种做法,巨灾债券就是最好的例子。本文首先介绍了美国巨灾风险证券化的实践和面临的挑战,特别是巨灾债券至今仍占主导地位。然后,笔者将运用供需框架来分析风险证券化在中国是否可行。然而,由于制度上的缺陷,包括法律框架、监管机构等,在中国发行ILS将需要相当长的时间和艰难的过程。
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引用次数: 2
Rethinking Elderly Poverty: Time for a Health Inclusive Poverty Measure? 重新思考老年贫困:是时候制定一项健康包容性贫困措施了?
Pub Date : 2013-03-01 DOI: 10.3386/W18900
S. Korenman, D. Remler
Census's Supplemental Poverty Measure (SPM) nearly doubles the elderly poverty rate compared to the "Official" Poverty Measure (OPM), a result of the SPM subtraction of medical out-of-pocket (MOOP) expenditures from income. Neither the SPM nor OPM counts health benefits or assets as resources. Validation studies suggest that subtracting MOOP from resources worsens a poverty measure's predictive validity and excluding assets exacerbates this bias, since assets fund MOOP. The SPM is based on a 1995 NAS report that recommended a health-exclusive poverty measure, despite considering it, conceptually, a "second best" to a Health-Inclusive Poverty Measure (HIPM). We analyze the reasons for the NAS recommendation and argue that constructing a HIPM is now feasible if we conceptualize health needs as a need for health insurance, and if plans with non-risk-rated premiums and caps on MOOP are universally available, a condition largely met by the Affordable Care Act and Medicare Advantage Plans. We describe four HIPM variants and present analyses that suggest the SPM treatment of MOOP results in a less valid measure of elderly poverty and an overstatement of the elderly poverty rate (by up to 5.5 percentage points or 50 percent). Many elderly classified as poor by the SPM's unlimited MOOP deduction are not poorly insured persons with incomes near the poverty line, but well-insured persons with incomes well above the poverty line.
人口普查的补充贫困措施(SPM)与“官方”贫困措施(OPM)相比,老年人贫困率几乎翻了一番,这是SPM从收入中减去医疗自付(MOOP)支出的结果。SPM和OPM都不将健康福利或资产视为资源。验证研究表明,从资源中减去MOOP会使贫困指标的预测有效性恶化,而排除资产则会加剧这种偏差,因为资产为MOOP提供资金。SPM是以1995年美国国家科学院的一份报告为基础的,该报告建议采用一种不考虑健康的贫困措施,尽管在概念上认为它是仅次于包括健康的贫困措施的“次优”措施。我们分析了NAS建议的原因,并认为,如果我们将健康需求概念化为健康保险的需求,并且如果非风险评级保费和MOOP上限的计划普遍可用,那么构建HIPM现在是可行的,这一条件在很大程度上由平价医疗法案和医疗保险优势计划满足。我们描述了四种HIPM变体,并提出了分析,表明对MOOP的SPM治疗导致老年人贫困的有效性降低,并且夸大了老年人贫困率(高达5.5个百分点或50%)。许多被SPM的无限MOOP扣除列为贫困的老年人,并不是收入接近贫困线的低保险人群,而是收入远高于贫困线的高保险人群。
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引用次数: 19
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Connecticut Insurance Law Journal
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