Quality - Adjusted Life - Year (QALY)
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期刊Journal of Public Economics 2025年(下)保险精选文章目录与摘要|保险学术前沿
13个精算师· 2025-12-21 02:04
Core Insights - Unemployment insurance can enhance welfare through cross-network risk sharing without diminishing within-network informal insurance pooling [2][4] - Employer-sponsored health insurance typically includes dependent coverage, which increases both dependent enrollment and parental job stability [2][6] - Cash transfer programs have the potential to alleviate the income-health trap in developed countries, with evidence from the Finnish basic income experiment showing a 9%-11% increase in average income [2][7] - Sick adults are willing to pay nearly twice as much per quality-adjusted life-year (QALY) to reduce mortality risk compared to healthy adults [2][9] - Gifts to heirs before death are substantial and highly responsive to taxation, with single individuals transferring about 10% of their wealth to children in anticipation of death [2][11] - Pension income receipt is associated with a 1.2%-1.4% decrease in mortality rates during the payment week in South Korea [2][12] - Marketing payments to physicians increase cancer drug prescriptions without improving patient mortality outcomes [2][13] Summary by Sections Substitution between Formal and Informal Insurance - The study indicates that interpersonal gifts and loans serve as informal insurance in high-income countries, with unemployment insurance (UI) showing minimal crowding out of informal transfers [4][5] Dependent Insurance Coverage and Parental Job Lock - Research shows that extending dependent insurance eligibility increases both enrollment and job retention among parents, particularly those at risk of job exit [6][7] Health Effects of Cash Transfers - The Finnish basic income experiment demonstrated that cash transfers can increase income and reduce the use of psychotropic drugs by 8%-11%, indicating potential health benefits [7][8] Health Risks and Value of Life - The analysis reveals that sick adults value reducing mortality risk significantly higher than healthy adults, providing insights into healthcare resource allocation [9][10] Wealth, Gifts, and Estate Planning - The findings highlight that tax-sensitive gifting behavior leads to substantial wealth transfers before death, with implications for inheritance tax policy [11][10] Pension Income and Healthcare Utilization - Evidence from South Korea shows that pension payments correlate with reduced mortality rates and increased healthcare utilization during the payment cycle [12][11] Marketing Cancer Drugs - The study finds that marketing payments to physicians lead to increased prescriptions of cancer drugs without corresponding improvements in patient outcomes [13][12]