Positive Experience with Medical Savings Accounts in Singapore

Massaro, Thomas A.; Wong, Yu‐Ning

doi:10.1377/hlthaff.14.2.267

Cited by 39 publications

(16 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Comparing this to the consumer's expected wealth under the traditional full coverage plan in (7) shows that EW*(s) > EW(s). Thus, when insurance companies are competitive and spending targets are properly set, consumers at all health status levels strictly benefit from the incentive plan and insurers do no worse (zero profits).…”

Section: [Figures 1 and 2]mentioning

confidence: 97%

See 1 more Smart Citation

The Economics of Incentive-Based Health Care Plans

Heffley¹,

Miceli²

1998

The Journal of Risk and Insurance

View full text Add to dashboard Cite

Medical savings accounts (MSAs) belong to a larger class of incentive-based health care plans. Using a model that allows the consumer to invest in healthy activities, we examine the efficiency properties of incentive plans and compare them to traditional full-coverage and deductible plans, under both experience rating and community rating. The model also is extended to include utilization of preventive health care. Properly constructed incentive plans have the capacity to induce socially efficient levels of healthy activities and preventive care, raising the expected wealth of consumers without reducing insurers' profits.-1- The Economics of Incentive-Based Health Care PlansDennis Heffley and Thomas Miceli Department of Economics, University of Connecticut July 13, 1997 ABSTRACT Medical savings accounts (MSAs) belong to a larger class of incentive-based health care plans. Using a model that allows the consumer to invest in healthy activities, we examine the efficiency properties of incentive plans and compare them to traditional full-coverage and deductible plans, under both experience rating and community rating. The model also is extended to include utilization of preventive health care. Properly constructed incentive plans have the capacity to induce socially efficient levels of healthy activities and preventive care, raising the expected wealth of consumers without reducing insurers' profits.

show abstract

Section: [Figures 1 and 2]mentioning

confidence: 97%

“…Comparing (2) and (4) shows that h < h* for all s. 7 Regardless of health status level, the consumer invests too little in healthy activities from a social perspective. This reflects the standard moral hazard problem associated with full insurance, which causes the consumer to ignore the expected costs of treatment, p(h,s)T.…”

Section: Full Insurance Planmentioning

confidence: 99%

The Economics of Incentive-Based Health Care Plans

Heffley¹,

Miceli²

1998

The Journal of Risk and Insurance

View full text Add to dashboard Cite

show abstract

“…An increased sense of sovereignty on the part of the patient is evident, since many patients in Singapore, during medical treatment, endeavour to assert their influence regarding the costs incurred and the efficacy of the treatment (Massaro/Wong 1995). Accordingly, increased sovereignty on the part of the patient effects a potential reduction of the risk of ex-post-moral-hazard behaviour.…”

Section: Medical Savings Accounts In Singaporementioning

confidence: 99%

Demographic Development and Moral Hazard: Health Insurance with Medical Savings Accounts

Schreyögg¹

2004

Geneva Pap Risk Insur Issues Pract

View full text Add to dashboard Cite

Standard-Nutzungsbedingungen:Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Zwecken und zum Privatgebrauch gespeichert und kopiert werden.Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich machen, vertreiben oder anderweitig nutzen.Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, gelten abweichend von diesen Nutzungsbedingungen die in der dort genannten Lizenz gewährten Nutzungsrechte. Terms of use: Documents in EconStor may AbstractIn times of ever-rising health expenditures it is becoming more and more obvious that conventional models for funding health care are increasingly experiencing difficulties in meeting up this challenge. The concept of Medical Savings Accounts (MSAs)

show abstract

“…The extent to which they achieve these goals is widely debated (Gramm 1994;Massaro and Wong 1995;Pauly and Goodman 1995;Thorpe 1995;Hsiao 1995;Dixon 2002;Davis 2004;Lee and Zapert 2005;McConnell 2005;Robinson 2005;Bloche 2006Bloche , 2007Buntin et al 2006;Remler and Glied 2006;Baicker, Dow and Wolfson 2007;Woolhandler and Himmelstein 2007;Haseltine 2013;McKee and Busse 2013;Park 2015).…”

Section: Introductionmentioning

confidence: 99%

Medical savings accounts: assessing their impact on efficiency, equity and financial protection in health care

Wouters

Cylus

Yang

et al. 2016

HEPL

View full text Add to dashboard Cite

Medical savings accounts (MSAs) allow enrolees to withdraw money from earmarked funds to pay for health care. The accounts are usually accompanied by out-of-pocket payments and a high-deductible insurance plan. This article reviews the association of MSAs with efficiency, equity, and financial protection. We draw on evidence from four countries where MSAs play a significant role in the financing of health care: China, Singapore, South Africa, and the United States of America. The available evidence suggests that MSA schemes have generally been inefficient and inequitable and have not provided adequate financial protection. The impact of these schemes on long-term health-care costs is unclear. Policymakers and others proposing the expansion of MSAs should make explicit what they seek to achieve given the shortcomings of the accounts.2

show abstract

Positive Experience with Medical Savings Accounts in Singapore

Cited by 39 publications

References 8 publications

The Economics of Incentive-Based Health Care Plans

The Economics of Incentive-Based Health Care Plans

Demographic Development and Moral Hazard: Health Insurance with Medical Savings Accounts

Medical savings accounts: assessing their impact on efficiency, equity and financial protection in health care

Contact Info

Product

Resources

About