The current structure and organization of health insurance in Chile dates back to the 1970s and is characterized by a mix of public and private initiatives. Between 2000 and 2005, several reforms sought to improve access to affordable coverage, resulting in the introduction of a basic health plan and a risk equalization scheme for private insurers. Though these reforms built a basis for regulated competition, important issues remain. These issues include the current regulatory relation between public and private insurers and providers, community rating without open enrollment, the “minimalistic” basic package, and the incomplete risk equalization scheme for private insurers.

Carolina Velasco, Josefa Henriquez, Francesco Paolucci (2018). Health Plan Payment in Chile. amsterdam : McGuire; van Kleef [10.1016/B978-0-12-811325-7.00008-7].

Health Plan Payment in Chile

Francesco Paolucci
2018

Abstract

The current structure and organization of health insurance in Chile dates back to the 1970s and is characterized by a mix of public and private initiatives. Between 2000 and 2005, several reforms sought to improve access to affordable coverage, resulting in the introduction of a basic health plan and a risk equalization scheme for private insurers. Though these reforms built a basis for regulated competition, important issues remain. These issues include the current regulatory relation between public and private insurers and providers, community rating without open enrollment, the “minimalistic” basic package, and the incomplete risk equalization scheme for private insurers.
2018
Risk Adjustment, Risk Sharing and Premium Regulation in health Insurance Markets
235
261
Carolina Velasco, Josefa Henriquez, Francesco Paolucci (2018). Health Plan Payment in Chile. amsterdam : McGuire; van Kleef [10.1016/B978-0-12-811325-7.00008-7].
Carolina Velasco; Josefa Henriquez; Francesco Paolucci
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/680288
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