Health care reinsurance and insurance reform in the United States : a simulation model

<?xml version="1.0" encoding="UTF-8"?><modsCollection xmlns="http://www.loc.gov/mods/v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.loc.gov/mods/v3 http://www.loc.gov/standards/mods/v3/mods-3-8.xsd">
<mods version="3.8">
<titleInfo>
<title>Health care reinsurance and insurance reform in the United States</title>
<subTitle> : a simulation model</subTitle>
</titleInfo>
<typeOfResource>text</typeOfResource>
<genre authority="marcgt">periodical</genre>
<originInfo>
<place>
<placeTerm type="code" authority="marccountry">esp</placeTerm>
</place>
<dateIssued encoding="marc">2010</dateIssued>
<issuance>serial</issuance>
</originInfo>
<language>
<languageTerm type="code" authority="iso639-2b">spa</languageTerm>
</language>
<physicalDescription>
<form authority="marcform">print</form>
</physicalDescription>
<abstract displayLabel="Summary">This paper uses data from the Medical Expenditures Panel Survey, a U.S. health care survey, to simúlate the impact of reinsurance on insured health care expenditures for different cohorts. The paper concludes that reinsurance would not elimínate potential risk selection by insurers and, even with reinsurance, specific cohorts would have trouble obtaining affordable insurance unless reinsurance was ccompanied by significant changes to U.S. insurance laws including the adoption of guarantee issue requirements and the abolition of undcrwriting based on health status or pre-existing conditions. The simulation model reveals that the impact of reinsurance on insurance expenditures is larger for older cohorts than for younger cohorts.</abstract>
<note type="statement of responsibility">David Bernstein</note>
<subject authority="lcshac" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="MAPA20080552367">
<topic>Reaseguro</topic>
</subject>
<subject authority="lcshac" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="MAPA20080602642">
<topic>Modelos de simulación</topic>
</subject>
<subject authority="lcshac" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="MAPA20100016923">
<topic>Riesgo sistémico</topic>
</subject>
<subject authority="lcshac" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="MAPA20080582302">
<topic>Reforma sanitaria</topic>
</subject>
<subject authority="lcshac" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="MAPA20080638337">
<geographic>Estados Unidos</geographic>
</subject>
<classification authority="">344.1</classification>
<relatedItem type="host">
<titleInfo>
<title>Geneva papers on risk and insurance : issues and practice</title>
</titleInfo>
<originInfo>
<publisher>Geneva : The Geneva Association, 1976-</publisher>
</originInfo>
<identifier type="issn">1018-5895</identifier>
<identifier type="local">MAP20077100215</identifier>
<part>
<text>01/10/2010 Tomo 35 Número 4  - 2010 , p. 568-580</text>
</part>
</relatedItem>
<recordInfo>
<recordContentSource authority="marcorg">MAP</recordContentSource>
<recordCreationDate encoding="marc">101028</recordCreationDate>
<recordChangeDate encoding="iso8601">20101202165243.0</recordChangeDate>
<recordIdentifier source="MAP">MAP20100091616</recordIdentifier>
<languageOfCataloging>
<languageTerm type="code" authority="iso639-2b">spa</languageTerm>
</languageOfCataloging>
</recordInfo>
</mods>
</modsCollection>