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Title:International portability of health-cost cover: Mobility, insurance, and redistribution PDF Logo
Authors:Werding, Martin
McLennan, Stuart
Issue Date:2012
Series/Report no.:CESifo Working Paper: Social Protection 3952
Abstract:Public health insurance and other arrangements covering health-costs effectively provide insurance against changes in health status. These arrangements engage in burden-smoothing over the life cycle and entail various elements of redistribution. Lack of portability regarding this type of cover may impede international mobility and create financial losses or windfall gains on various sides, which can lead to risk segmentation across national health systems. Existing portability rules do not fully address these problems. In this paper, we try to clarify the implications of mobility for typical systems covering health costs and the requirements which have to be met to ensure full portability. When individuals are internationally mobile, compensating payments are needed based on changes in expected net costs in both of the health funds involved. Illustrative simulations show that this approach may be operative under real-world conditions.
Subjects:social insurance
health costs
migration
international portability
fiscal externalities
risk segmentation
JEL:F22
F55
H51
H73
J60
Document Type:Working Paper
Appears in Collections:CESifo Working Papers, CESifo Group Munich

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