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dc.contributor.authorSowa, P Marcin
dc.contributor.authorKault, Sam
dc.contributor.authorByrnes, Joshua
dc.contributor.authorNg, Shu-Kay
dc.contributor.authorComans, Tracy
dc.contributor.authorScuffham, Paul A
dc.date.accessioned2019-07-04T12:38:06Z
dc.date.available2019-07-04T12:38:06Z
dc.date.issued2018
dc.identifier.issn1175-5652
dc.identifier.doi10.1007/s40258-017-0338-6
dc.identifier.urihttp://hdl.handle.net/10072/350466
dc.description.abstractBackground: The appropriate structure, scope and cost of government incentives in the private health insurance (PHI) market is a matter of ongoing debate. Objective: In order to inform policy decisions we designed a two-stage study to (1) model the uptake of PHI covering hospital treatment in Australia, and (2) identify the costs of various policy scenarios to the government. Methods: Using a microsimulation with a cost-benefit component, we modelled the insurance decisions made by individuals who collectively represented the Australian insurance population in the financial year 2014–15. Results: We found that the mean willingness to pay (WTP) for PHI ranged from A$446 to A$1237 per year depending on age and income. Our policy scenarios showed a considerable range of impacts on the government budget (from A$4 billion savings to A$6 billion expense) and PHI uptake (from 3.4 million fewer to 2.5 million more individuals insured), with cost-effectiveness ranging from −A$305 to A$22,624 per additional person insured, relative to the status quo. Conclusions: Based on the scenario results we recommend policy adjustments that either increase the PHI uptake at a small per-person cost to the public budget or substantially reduce government subsidisation of PHI at a relatively small loss in terms of persons insured.
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherSpringer
dc.publisher.placeNew Zealand
dc.relation.ispartofpagefrom31
dc.relation.ispartofpageto41
dc.relation.ispartofissue1
dc.relation.ispartofjournalApplied Health Economics and Health Policy
dc.relation.ispartofvolume16
dc.subject.fieldofresearchPublic Health and Health Services not elsewhere classified
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchApplied Economics
dc.subject.fieldofresearchMarketing
dc.subject.fieldofresearchcode111799
dc.subject.fieldofresearchcode1117
dc.subject.fieldofresearchcode1402
dc.subject.fieldofresearchcode1505
dc.titlePrivate Health Insurance Incentives in Australia: In Search of Cost-Effective Adjustments
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorScuffham, Paul A.
gro.griffith.authorNg, Shu Kay Angus
gro.griffith.authorComans, Tracy
gro.griffith.authorByrnes, Joshua M.


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