4 The design of an optimal health insurance contract.(The Theory of Social Health Insurance)
Publication Date: 01-JUL-07
Publication Title: Foundations and Trends in Microeconomics
Format: Online
Author: Zweifel, Peter

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The efficiency reasons given above for the existence of SHI with compulsory membership can be convincing only if the design of the SHI contract is in some sense "optimal" from the point of view of the representative consumer (see e.g., Zweifel and Breyer, 1997, ch. 6). In view of the tendency toward full coverage of most SHI schemes, an issue of particular importance are the circumstances justifying copayments, i.e., deviations from full coverage of health care expenditure.

(a) Administrative expense: Copayment provisions can be called for to save administrative...



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