Policy innovation in voluntary hospital private health insurance: Combining risk adjustment and risk sharing in Australia

Combining risk adjustment with risk sharing shows promising potential for consumers in mitigating selection and improving incentives for cost control, while maintaining fit. This paper provides a direction for reforming the risk equalisation scheme to reduce selection incentives and enhance cost control.

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Publication Details

Journal
Health Policy
Published
2026-02-16
DOI
https://doi.org/10.1016/j.healthpol.2026.105584
Primary Topic
Healthcare Policy and Management
Type
article
Field-Weighted Citation Impact
0.00
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article

Policy innovation in voluntary hospital private health insurance: Combining risk adjustment and risk sharing in Australia

T. J. McGuire, R van Kleef, Josefa Henríquez, Francesco Paolucci et al.
Health Policy
Healthcare Policy and Management
article

Policy innovation in voluntary hospital private health insurance: Combining risk adjustment and risk sharing in Australia

T. J. McGuire, R van Kleef, Josefa Henríquez, Francesco Paolucci, Andrew Matthews
article en

Abstract

Combining risk adjustment with risk sharing shows promising potential for consumers in mitigating selection and improving incentives for cost control, while maintaining fit. This paper provides a direction for reforming the risk equalisation scheme to reduce selection incentives and enhance cost control.

Health PolicyVol. 167
Harvard University (US), Hunter Water (AU), Monash University (AU), University of Newcastle Australia (AU), Erasmus University Rotterdam (NL)
Openalex Percentile: Top 59%
Healthcare Policy and Management
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