Interaction between health insurance, household income, and public health financing in Ukraine
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Author(s)Aleksandra KuziorLink to ORCID Index: https://orcid.org/0000-0001-9764-5320
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Dariusz KrawczykLink to ORCID Index: https://orcid.org/0000-0003-1823-0309
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Iryna DidenkoLink to ORCID Index: https://orcid.org/0000-0003-1934-7031
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Natalia SidelnykLink to ORCID Index: https://orcid.org/0000-0002-9628-3011
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Tetiana VasylievaLink to ORCID Index: https://orcid.org/0000-0003-0635-7978
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DOIhttp://dx.doi.org/10.21511/ppm.20(4).2022.33
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Article InfoVolume 20 2022, Issue #4, pp. 436-450
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- 275 Views
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78 Downloads
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Creative Commons Attribution 4.0 International License
The most significant problems in financing the public health system in Ukraine are the permanent deficit of public spending on medicine and the shallow development of the voluntary health insurance market. The aim of study is the search of optimal interactions between stakeholders in the system of relations “state – insurance companies – households” in the context of voluntary health insurance. The study hypothesizes that households can become more active participants in health insurance only if their average monthly income reaches a certain threshold level. It is calculated based on the results of simulation games using the Brown-Robinson iterative method. According to the simulation results, this threshold level is only 7% higher than the actual value of the average monthly income of Ukrainian households during the analysis. At the same time, under this condition, the state in Ukraine will be able to transfer part of the financial burden of compensating healthcare costs to insurance companies. According to the calculations made with the help of the game theory toolkit, with the maximization of insurance payments to the population under health insurance contracts, the burden on public health financing in Ukraine could be reduced by 67.7%. The paper was conducted on the data of the ten most potent insurance companies of Ukraine as of 2021 (it is they who accumulate the lion’s share of household insurance premiums), that is, before the start of a full-scale war between the Russian Federation and Ukraine. The obtained results can be used both by insurance companies during the management of insurance premiums and payments and at the level of state management of costs in the field of public health.
Acknowledgment
This study was undertaken as a part of the research projects granted by the Ministry of Education and Science of Ukraine: “Socio-economic recovery after COVID-19: modeling the implications for macroeconomic stability, national security and local community resilience” (registration number 0122U000778); “The impact of COVID-19 on the transformation of the system of medical and social security of population: economic, financial-budgetary, institutional-political determinants” (0122U000781).
- Keywords
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JEL Classification (Paper profile tab)G20, G22, I13
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References44
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Tables6
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Figures0
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- Table 1. Key indicators of the top 10 insurance companies (as of 2021) for 2012–2021
- Table 2. Descriptive statistics of the indicators
- Table A1. Payment matrix of the game, where insurance companies and households are the players
- Table В1. Fragment of iterative calculations to determine the optimal level of insurance premiums
- Table С1. Payment matrix of the game, where the players are insurance companies and the state
- Table D1. Fragment of iterative calculations to determine the optimal level of insurance payments
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- Aleksandrov, V., Rubanov, P., & Eisa, M. M. (2021). Problems of implementation of compulsory health insurance in Ukraine. Health Economics and Management Review, 2(1), 76-88.
- Armstrong, J., Paolucci, F., McLeod, H., & van de Ven, W. P. M. M. (2010). Risk equalisation in voluntary health insurance markets: A three country comparison. Health Policy, 98(1), 39-49.
- Awojobi, O. N. (2021). Social Health Insurance in Africa: Lesson from Ghana. Health Economics and Management Review, 2(3), 8-18.
- Awojobi, O. N. (2022). Cash Transfer Programmes for Reducing Poverty And Vulnerabilities: Effects On Children’s Health In Sub-Saharan Africa And Latin America. SocioEconomic Challenges, 6(1), 5-23.
- Brychko, M., Bilan, Y., Lyeonov, S., & Mentel, G. (2021). Trust crisis in the financial sector and macroeconomic stability: A structural equation modelling approach. Economic Research-Ekonomska Istrazivanja, 34(1), 828-855.
- Brychko, M., Bilan, Y., Lyeonov, S., & Streimikiene, D. (2022). Do changes in the business environment and sustainable development really matter for enhancing enterprise development? Sustainable Development.
- Didenko, I., Paucz-Olszewska, J., Lyeonov, S., Ostrowska-Dankiewicz, A., & Ciekanowski, Z. (2020). Social safety and behavioral aspects of populations financial inclusion: A multicountry analysis. Journal of International Studies, 13(2), 347-359.
- Dotsenko, T., & Kolomiiets, S. (2022). Bibliometric analysis of research of the behavioral and social dimension of the public health system of the world. SocioEconomic Challenges, 6(3), 97-106.
- Dror, D. M., Shahed Hossain, S. A., Majumdar, A., Koehlmoos, T. L. P., John, D., & Panda, P. K. (2016). What factors affect voluntary uptake of community-based health insurance schemes in low- and middle-income countries? A systematic review and meta-analysis. PLoS ONE, 11(8), 1-31.
- Ekman, B. (2004). Community-based health insurance in low-income countries: A systematic review of the evidence. Health Policy and Planning, 19(5), 249-270.
- Fedorova, N. О. (2020). Rozvytok medychnoho strakhuvannia v systemi derzhavnoho rehuliuvannia strakhovoi diialnosti v Ukraini [Development of medical insurance in the system of state regulation of insurance activity in Ukraine]. Chernihiv. (In Ukrainian).
- Forinsurer. (2022). Statystyka strakhovoho rynku Ukrainy za 2022 rik [Statistics of the insurance market of Ukraine in 2022]. (In Ukrainian).
- Gallo, P., Mihalcova, B., Vegsoova, O., Dzurov-Vargova, T., & Busova, N. (2019). Innovative trends in human resources management: evidence for the health care system. Marketing and Management of Innovations, 2, 11-20.
- Hasan, F., Islam, M. R., & Ishrat, F. (2022). COVID-19 Pandemic Impact on the Supply Chains of UK-Based Multinational Manufacturing Companies. Business Ethics and Leadership, 6(2), 44-67.
- Iye, O. N., & Onopchenko, S. V. (2014). Vykorystannia teorii ihor v ekonomitsi [The use of game theory in economics]. Visnik of the Volodymyr Dahl East Ukrainian National University, 5(212), 164-170. (In Ukrainian).
- Kadar, B., & Reicher, R. Zs. (2020). Innovations in health care management: the effect of the pandemic on the labour market change. Marketing and Management of Innovations, 4, 120-130. (In Ukrainian).
- Kraft, M. H. G. (2021). The Role of Health Promotion in Management Development. A Systematic Review of Training Concepts in an Organizational Context. Business Ethics and Leadership, 5(1), 89-97.
- Kuznyetsova, A., Boiarko, I., Khutorna, M., & Zhezherun, Y. (2022). Development of financial inclusion from the standpoint of ensuring financial stability. Public and Municipal Finance, 11(1), 20-36.
- Kuznyetsova, A., Sydorchenko, T., Zadvorna, O., Nikonenko, U., & Khalina, O. (2021). Assessment of aspects of the COVID-19 crisis in the context of ensuring economic security. International Journal of Safety and Security Engineering, 11(6), 615-622.
- Leonov, S., Frolov, S., & Plastun, V. (2014). Potential of institutional investors and stock market development as an alternative to households’ savings allocation in banks. Economic Annals-XXI, 11-12, 65-68.
- Lyeonov, S., Bilan, S., Yarovenko, H., Ostasz, G., & Kolotilina, O. (2021a). Country’s health profile: Social, economic, behavioral and healthcare determinants. Economics and Sociology, 14(3), 322-340.
- Lyeonov, S., Kuzmenko, О., Koibichuk, V. V., Rubanov, P. M., & Smiianov, V. A. (2021b). Behavioral, social, economic and legal dimension of the public health system of Ukraine: descriptive, canonical and factor analysis. Wiadomosci Lekarskie, 74(12), 3126-3134.
- Lyulyov, O., Lyeonov, S., Tiutiunyk, I., & Podgórska, J. (2021). The impact of tax gap on macroeconomic stability: Assessment using panel VEC approach. Journal of International Studies, 14(1), 139-152.
- Madrian, B. C. (1994). Employment-based health insurance and job mobility: Is there evidence of job-lock? Quarterly Journal of Economics, 109(1), 27-54.
- Mazepa, V. H. (2020). Osoblyvosti rozvytku medychnoho strakhuvannia yak skladovoi chastyny finansuvannia ekonomiky derzhavy [Features of the development of medical insurance how component parts of the financing of the state economy]. Mykolaiv: Petro Mohyla Black Sea National University. (In Ukrainian).
- Mrabet, S., Benachenhou, S. M., & Khalil, A. (2022). Measuring the Effect of Healthcare Service Quality Dimensions on Patient’s Satisfaction in The Algerian Private Sector. SocioEconomic Challenges, 6(1), 100-112.
- Njegovanović, A. (2020). Financial Decision Making in The Framework of Neuroscience/Anthropology with Review to The Pandemic and Climate Change. Financial Markets, Institutions and Risks, 4(4), 55-65.
- Panda, P., Chakraborty, A., & Dror, D. M. (2015). Building awareness to health insurance among the target population of community-based health insurance schemes in rural India. Tropical Medicine and International Health, 20(8), 1093-1107.
- Parkheta, L. V. (2018). Medical insurance and its role in financial support of healthcare system in Ukraine. Kyiv: Kyiv National University of Economics named after Vadym Hetman.
- Polinkevych, O., Glonti, V., Baranova, V., Levchenko, V., & Yermoshenko, A. (2021). Change of business models of Ukrainian insurance companies in the conditions of COVID-19. Insurance Markets and Companies, 12(1), 83-98.
- Rajan, D. (2018). Personal and Social Perception of Occupational Hazards by Health Care Workers: A Study among Radiographers. Business Ethics and Leadership, 2(4), 46-63.
- Samuelson, L. (2016). Game theory in economics and beyond. Journal of Economic Perspectives, 30(4), 107-130.
- Sardak, S., Korneyev, M., Dzhyndzhoian, V., Fedotova, T., & Tryfonova, O. (2018). Current trends in global demographic processes. Problems and Perspectives in Management, 16(1), 48-57.
- Smiianov, V. A., Lyulyov, O. V., Pimonenko, T. V., Andrushchenko, T. A., Sova, S., & Grechkovskaya, N. V. (2020). The impact of the pandemic lockdown on air pollution, health and economic growth: system dynamics analysis. Wiadomosci Lekarskie, 73(11), 2332-2338.
- Starostina, A., Pikus, R., & Kravchenko, V. (2020). Innovative activities within Ukrainian insurance companies. Marketing and Management of Innovations, 2, 44-55.
- Tiutiunyk, I. V., Zolkover, A. O., Lyeonov, S. V., & Ryabushka, L. B. (2022). The impact of economic shadowing on social development: challenges for macroeconomic stability. Naukovyi Visnyk Natsionalnoho Hirnychoho Universytetu, 1, 183-191.
- Tiutiunyk, I., Drabek, J., Antoniuk, N., Navickas, V., & Rubanov, P. (2021). The impact of digital transformation on macroeconomic stability: Evidence from EU countries. Journal of International Studies, 14(3), 220-234.
- Tsymbaliuk, I., Pavlikha, N., Zelinska, O., Ventsuryk, A., & Radko, A. (2021). Assessing the level of competitiveness of the insurance sector during economic crises: The example of Ukraine. Insurance Markets and Companies, 12(1), 72-82.
- Van Kleef, R. C., Beck, K., van de Ven, W. P. M. M., & van Vliet, R. C. J. A. (2008). Risk equalization and voluntary deductibles: A complex interaction. Journal of Health Economics, 27(2), 427-443.
- Vieriezubova, T., & Levchenko, V. (2017). Openness of the insurance market for foreign entities: methodology and experience of Ukraine. Financial Markets, Institutions and Risks, 1(2), 87-95.
- Wagstaff, A., Lindelow, M., Jun, G., Ling, X., & Juncheng, Q. (2009). Extending health insurance to the rural population: An impact evaluation of china’s new cooperative medical scheme. Journal of Health Economics, 28(1), 1-19.
- Yarovenko, H., Bilan, Y., Lyeonov, S., & Mentel, G. (2021). Methodology for assessing the risk associated with information and knowledge loss management. Journal of Business Economics and Management, 22(2), 369-387.
- Yelnikova, Y., & Golochalova, I. (2020). Social Bonds as an Instrument of Responsible Investment. Financial Markets, Institutions and Risks, 4(4), 119-128.
- Zhuravka, O., Daher, K., & Bosak, I. (2021). Development of the voluntary health insurance market in Ukraine. Health Economics and Management Review, 2(2), 83-91.
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Regulating Big Data effects in the European insurance market
Donatella Porrini
doi: http://dx.doi.org/10.21511/ins.08(1).2017.01
Insurance Markets and Companies Volume 8, 2017 Issue #1 pp. 6-15 Views: 1988 Downloads: 349 TO CITE АНОТАЦІЯThe article analyzes the regulatory framework in the insurance market in connection with the advent of Big Data, such as information collected from different sources that can be manipulated by new technologies. The use of Big Data offers significant opportunities to the insurance companies in terms of digitization of the distribution channels and greater knowledge of the customers, which is instrumental to a more effective identification of the individual’s risk profile, as well as improvement of the competitiveness. However, regulatory measures are needed for a proper use of Big Data in terms of respect of the individual privacy, potential discrimination and constraint on competition.
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Ratna Dwi Wulandari ,
Stefanus Supriyanto ,
Mochammad Bagus Qomaruddin ,
Nyoman Anita Damayanti ,
Agung Dwi Laksono
doi: http://dx.doi.org/10.21511/ppm.18(3).2020.01
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Acknowledgment
The researcher thanked the Ministry of Research, Technology and Higher Education, Republic of Indonesia, for funding this research. -
Financial market imbalance: reasons and peculiarities of occurrence in Ukraine
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Lyudmyla Shkvarchuk ,
Iryna Kondrat
doi: http://dx.doi.org/10.21511/imfi.14(1-1).2017.09
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