Social and Behavioral Sciences Commons^™

Willingness To Overpay For Insurance And For Consumer Credit: Search And Risk Behavior Under Price Dispersion, Sergey V. Malakhov

Sergey Malakhov

Access To Hospital Interpreter Services For Limited English Proficient Patients In New Jersey: A Statewide Evaluation, Glenn Flores, Sylvia Torres, Linda Holmes, Debbie Salas-Lopez, Mara Youdelman, Sandra Tomany-Korman

Debbie Salas-Lopez MD, MPH

CONTEXT/OBJECTIVES: We surveyed New Jersey (NJ) hospitals to assess current language services and identify policy recommendations on meeting limited English proficiency (LEP) patients' needs.

METHODS: Survey with 37 questions regarding hospital/patient features, interpreter services, and resources/policies needed to provide quality interpreter services.

RESULTS: Sixty-seven hospitals responded (55% response rate). Most NJ hospitals have no interpreter services department, 80% provide no staff training on working with interpreters, 31% lack multilingual signs, and 19% offer no written translation services. Only 3% of hospitals have full-time interpreters, a ratio of 1 interpreter:240,748 LEP NJ residents. Most hospitals stated third-party reimbursement for interpreters would …

Disaster Law And Policy, Daniel Farber, Jim Chen, Robert Verchick, Lisa Grow Sun

Daniel A Farber

Disparities In Access To Healthcare: The Case Of A Drug And Alcohol Abuse Detoxification Treatment Program Among Minority Groups In A Texas Hospital, Alberto Coustasse, Karan P. Singh, Fernando M. Trevino

Alberto Coustasse, DrPH, MD, MBA, MPH

The authors analyzed ethnic/racial disparities in healthcare access and length of stay from a defined population of individuals seeking medical detoxification services at a hospital in Texas. Results indicated Blacks were more likely to be insured compared with Whites, mostly by public insurance, but this did not hold for Hispanics, who were about three times more likely to be uninsured compared with Blacks. In addition, the authors observed lower median of length of stay in the Medicaid category among Hispanics. These results can be explained by aggressive case management, sociocultural barriers, or discriminatory practices, both intentional and unintentional.

Protecting Employee Rights And Prosecuting Corporate Crimes: A Proposal For Criminal Cumis Counsel, Josephine Sandler Nelson

J.S. Nelson

Can Propitious Selection Prevent Unravelling In Insurance Markets?, Tsvetanka Karagyozova, Peter Siegelman

Peter Siegelman

The theory of adverse selection in insurance markets has been enormously influential among scholars, regulators, and the judiciary. But empirical support for adverse selection has been much less persuasive, and several recent studies have found little or no evidence of such selection in insurance markets. “Propitious” (advantageous) selection offers an alternative mechanism that is consistent with these empirical findings. Like adverse selection, the theory assumes that insureds have an informational advantage over insurers. However, propitious selection relies on the plausible assumption that risk aversion is negatively correlated with the riskiness or probability of looss across insureds—the more risk-averse are also …

Does The Individual Mandate Force Individuals To Buy Insurance?, Raphael Boleslavsky, Sergio J. Campos

Raphael Boleslavsky

The Patient Protection and Affordable Care Act contains provisions which penalize individuals for failing to purchase health insurance. These provisions are commonly known as the "individual mandate." Both critics and supporters believe that the individual mandate forces individuals to buy health insurance, but supporters argue that this coercion is necessary. This term, the Supreme Court will address the constitutionality of the mandate, and this legal issue has sparked debate about the government's power to force individuals to purchase a private good. In this Essay we question the consensus that the individual mandate forces individuals to pay for health insurance. Using …

What Did Unions Do In Nineteenth-Century Britain?, George R. Boyer

George R. Boyer

The article examines the development of the insurance function of trade unions. It analyzes how such policies worked, and why union benefit packages differed across occupations. It also addresses the impact of insurance policies on union organization. Insurance benefits increased the ability of unions to attract and retain members. They did not, however, significantly increase the power of union leaders relative to employers or union rank and file.

Testing For Adverse Selection In Insurance Markets, Alma Cohen, Peter Siegelman

Peter Siegelman

This paper reviews and evaluates the empirical literature on adverse selection in insurance markets. We focus on empirical work that seeks to test the basic coverage–risk prediction of adverse selection theory—that is, that policyholders who purchase more insurance coverage tend to be riskier. The analysis of this body of work, we argue, indicates that whether such a correlation exists varies across insurance markets and pools of insurance policies. We discuss various reasons why a coverage–risk correlation may not be found in some pools of insurance policies. The presence of a coverage-risk correlation can be explained either by moral hazard or …

On The Rise Of Health Spending And Longevity, Raquel Fonseca, Pierre-Carl Michaud, Titus Galama, Arie Kapteyn

Titus Galama

We use a calibrated stochastic life-cycle model of endogenous health spending, asset accumulation and retirement to investigate the causes behind the increase in health spending and life expectancy over the period 1965-2005. We estimate that technological change along with the increase in the generosity of health insurance may explain independently 53% of the rise in health spending (insurance 29% and technology 24%) while income less than 10%. By simultaneously occurring over this period, these changes may have lead to a “synergy” or interaction effect which helps explain an additional 37% increase in health spending. We estimate that technological change, taking …

An Exploration Of Automobile Insurance Fraud, Robyn Lincoln, Helene Wells, Wayne Petherick

Robyn Lincoln

This exploratory study analyses claiming behaviour within the automobile insurance industry. A local insurance company provided 32 automobile insurance claims thus permitting qualitative and quantitative analysis. This study enunciates non-fraudulent claiming behaviour as the sample included only a low number of suspected fraud cases. Variables contained within each of the claim files were analysed, as were the statements of the insured individuals. Each claimant is required to provide two written statements to the local insurance company and these statements were analysed for consistency and detail. The overall findings revealed that claimants were generally employed, middle-aged males who were sober at …

Insurance, Self-Protection, And The Economics Of Terrorism, Darius Lakdawalla, George Zanjani

Darius N. Lakdawalla

This paper investigates the rationale for public intervention in the terrorism insurance market. It argues that government subsidies for terror insurance are aimed, in part, at discouraging self-protection and limiting the negative externalities associated with self-protection. Cautious self-protective behavior by a target can hurt public goods like national prestige if it is seen as “giving in” to the terrorists, and may increase the loss probabilities faced by others by encouraging terrorists to substitute toward more vulnerable targets. We argue that these externalities are essential for normative analysis of government intervention and may also explain why availability problems in this market …

The Prudent Village: Risk Pooling Institutions In Medieval English Agriculture, Gary Richardson

Gary Richardson

The prudent peasant mitigated the risk of crop failures by scattering his arable land throughout his village, Deirdre McCloskey argued, because alternative risksharing institutions did not exist. But, alternatives did exist, this essay concludes. Medieval English peasants formed two types of farmers’ cooperatives. Fraternities protected members from the perils of everyday life. Customary poor laws redistributed resources towards villagers beset by bad luck. In both institutions, the expectation of reciprocation motivated farmers with surpluses to aid neighbors with shortages.

An Exploration Of Automobile Insurance Fraud, Robyn Lincoln, Helene Wells, Wayne Petherick

Wayne Petherick

This exploratory study analyses claiming behaviour within the automobile insurance industry. A local insurance company provided 32 automobile insurance claims thus permitting qualitative and quantitative analysis. This study enunciates non-fraudulent claiming behaviour as the sample included only a low number of suspected fraud cases. Variables contained within each of the claim files were analysed, as were the statements of the insured individuals. Each claimant is required to provide two written statements to the local insurance company and these statements were analysed for consistency and detail.

The overall findings revealed that claimants were generally employed, middle-aged males who were sober at …

Risk, Insurance, And The Changing Nature Of Mutual Obligation, Brian Glenn

Brian J. Glenn

No abstract provided.

The Shifting Rhetoric Of Insurance Denial, Brian J. Glenn

Brian J. Glenn

No abstract provided.

Insurance Abstracts (Database Review), Kathryn Waggoner

Kathryn L Waggoner

No abstract provided.

Review Of Peter Bernstein. Against The Gods: The Remarkable Story Of Risk. (John Wiley & Sons, 1996), Brian J. Glenn

Brian J. Glenn

No abstract provided.