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The Likely Effects of Employer-Mandated Complementary Health Insurance on Health Coverage in France

Pierre, Aurélie; Jusot, Florence (2017), The Likely Effects of Employer-Mandated Complementary Health Insurance on Health Coverage in France, Health Policy, 121, 3, p. 321-328. 10.1016/j.healthpol.2016.12.004

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Type
Article accepté pour publication ou publié
Date
2017
Journal name
Health Policy
Volume
121
Number
3
Publisher
Elsevier
Pages
321-328
Publication identifier
10.1016/j.healthpol.2016.12.004
Metadata
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Author(s)
Pierre, Aurélie

Jusot, Florence
Laboratoire d'Economie de Dauphine [LEDa]
Abstract (EN)
In France, access to health care greatly depends on having a complementary health insurance coverage (CHI). Thus, the generalisation of CHI became a core factor in the national health strategy created by the government in 2013. The first measure has been to compulsorily extend employer-sponsored CHI to all private sector employees on January 1st, 2016 and improve its portability coverage for unemployed former employees for up to 12 months. Based on data from the 2012 Health, Health Care and Insurance survey, this article provides a simulation of the likely effects of this mandate on CHI coverage and related inequalities in the general population by age, health status, socio-economic characteristics and time and risk preferences. We show that the non-coverage rate that was estimated to be 5% in 2012 will drop to 4% following the generalisation of employer-sponsored CHI and to 3.7% after accounting for portability coverage. The most vulnerable populations are expected to remain more often without CHI whereas non coverage will significantly decrease among the less risk averse and the more present oriented. With its focus on private sector employees, the policy is thus likely to do little for populations that would benefit most from additional insurance coverage while expanding coverage for other populations that appear to place little value on CHI.
Subjects / Keywords
Complementary health insurance; Inequality; National Interprofessional Agreement; Simulation
JEL
I13 - Health Insurance, Public and Private
D63 - Equity, Justice, Inequality, and Other Normative Criteria and Measurement

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