Retail Participation in Health Insurance: A Model of Consumer Preferences

Abstract

Several countries are realizing that, with the increasing cost of health care, commercial health insurance is a key solution to meet health care financing needs of their citizens. India is one of the countries that allowed retail health insurance to begin operations, but the industry sector is still nascent in India with poor retail participation and hence there is an urgent need to understand consumer preferences, so as to significantly increase retail participation. This article has looked at the extant literature in modelling consumer and patient preferences in health industry, and this knowledge base was used to model consumer preferences in retail health insurance. The methodology included a detailed literature review and a primary data survey of 495 respondents, based on a systematic random sampling methodology. From a total of 58 variables, the variables were reduced using factor analysis and then the consumer preferences were modelled using structured equations modelling (SEM). The study provides key consumer perspectives that will be useful for researchers and practitioners facing similar health care market scenarios. The consumer preferences model will help the health stakeholders to design products that will be more suited to consumer needs and improve retail participation, which is a key building block to bridge the health financing gap that most of the countries are facing.

Mediation effect of trust on willingness to pay for health insurance among co-operative members in Tanzania

“…Unlimited admittance to various health centres, forms and types is likely to influence willingness to pay for health insurance [ 6 , 28 , 52 , 58 ]. Inclusion or exclusion criteria on access to either public/government or private hospitals and specialised clinics where the insured are accepted for treatments influence decisions on willingness to pay for health insurance [ 6 , 58 , 59 , 86 ]. This is because it increases confidence and guarantees the insured to get services without any exclusion criteria in all areas.…”