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dc.contributor.authorWerding, Martinen_US
dc.contributor.authorMcLennan, Stuarten_US
dc.description.abstractPublic 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.en_US
dc.publisherCenter for Economic Studies and Ifo Institute (CESifo) Munichen_US
dc.relation.ispartofseriesCESifo Working Paper: Social Protection 3952en_US
dc.subject.keywordsocial insuranceen_US
dc.subject.keywordhealth costsen_US
dc.subject.keywordinternational portabilityen_US
dc.subject.keywordfiscal externalitiesen_US
dc.subject.keywordrisk segmentationen_US
dc.subject.stwGesetzliche Krankenversicherungen_US
dc.subject.stwInternationale Wanderungen_US
dc.subject.stwExterner Effekten_US
dc.titleInternational portability of health-cost cover: Mobility, insurance, and redistributionen_US
dc.typeWorking Paperen_US
Appears in Collections:CESifo Working Papers, CESifo Group Munich

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