Medical savings accounts are effective funding mechanisms to address market limitations created by private medical insurance in terms of adverse selection and moral hazard, and they increase consumer choice and individual responsibility. discuss with country evidence
Medical savings accounts are effective funding mechanisms to address market limitations created by private medical insurance in terms of adverse selection and moral hazard, and they increase consumer choice and individual responsibility. Discuss with reference to country evidence.
1. What are MSAs in the purest form

2. PMI stating what it is and what problems are created from it -in terms of Moral Hazard and Adverse Selection

3. how does MSA work in terms MH and AS
a. and how do MSA overcome MH and AS
b. considering consumer choice and individual responsibility

4. evidence from countries:
a. focus on 2 high-income countries: Singapore and USA
i. how is MSA introduced BASED ON EVIDENCE ON MH AND AS – CONSIDERING CONSUMER CHOICE AND INDIVIDUAL RESPONSIBILITY
b. but ONE paragraph : use South Africa as an example
i. saying that there are limitations for Low-Income countries as well-which are….(just a stating a few) always in term of AS and MH
5. Limitations
a. Limitations of the analysis that I used, maybe limitations on paper evidence
b. Limitations of MSA in general
c. do they really reduce MH AND AS in practice?
d. Do they they increase consumer choice and individual responsibility?

6. Conclusion
a. Small recap of what the essay debates around and what we conclude

Readings

• Thomson, S. and E. Mossialos (2006). ‘Choice of public or private health insurance: learning from the experience of Germany and the Netherlands.’ Journal of European Social Policy 16(4): 315-327.
• Greß S. (2007) Private Health Insurance in Germany: Consequences of a Dual System. Healthc Policy. November; 3(2): 29–37. Available athttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC2645182/
• McKee M. Medical savings accounts: Singapore’s non-solution to healthcare costs. BMJ 2013; 347 http://www.bmj.com/content/347/bmj.f4797
• Dixon, A. (2002). ‘Are medical savings accounts a viable option for funding health care?’ Croatian Medical Journal 43(4): 408-16.
• Hsiao, W. C. (2001). ‘Behind the ideology and theory: what is the empirical evidence for medical savings accounts?’ Journal of Health Politics, Policy and Law 26(4): 733-737.
• Private health insurance and medical savings accounts: theory and experience. In Mossialos E et all Funding Health care: options for Europe available at:http://www.who.int/health_financing/documents/europe_funding_options.pdf