The Effects of Regulated Premium Subsidies on Insurance Costs: An Empirical Analysis of Automobile Insurance

State regulation of rates is sometimes used as a means to make automobile insurance more affordable to consumers by restricting insurer profits and pricing practices. Incentive distortions arising from this type of rate regulation might lead to higher accident rates and higher insurance loss costs. Annual state‐level panel data for the time period 1980–1998 are used to investigate these effects, using empirical methods that recognize the endogenous determination of states’ regulatory choices. Results suggest that rate regulation that systematically suppresses (some or all) drivers’ insurance premiums is associated with significantly higher average loss costs and higher insurance claim frequency.     

Evolution of Strategic Levers in Insurance Claims Management: An Industry Survey

This article discusses competing strategic goals and success factors in nonlife insurers' claims management using new and ad hoc empirical data. We structure the study of the companies' aims along the three main conflicting goals: (1) the minimization of claims volume, (2) the optimization of internal claims processes, and (3) the maximization of customer satisfaction. We analyze the insurance industry perspective through a qualitative survey carried out in Germany and Switzerland. Findings on the current and expected importance of selected topics are derived. The results shall lead to managerial implications improving industry practice and serve as a starting point for further research. Our findings are relevant for academics and practitioners beyond the two markets surveyed in the study.     

医药分开改革的政策效果——基于医疗保险报销数据的经验分析

2015年开始,按照国务院对公立医院改革的政策要求,公立医院改革试点城市全部取消药品加成,实施医药分开改革。本文基于某省会城市医疗保险报销数据,采用双重差分模型,估计了医药分开改革对医疗费用支出水平和支出结构的影响,为评估医药分开改革的政策效果提供了及时的和严谨的经验证据。实证分析显示,从支出水平看,医药分开改革使患者住院费用总支出显著增加了4.9%,但是由于病人自付比例同时出现了显著下降,自付金额没有显著地上涨;从支出结构看,医药分开改革使患者药费支出显著下降了9.5%,但是护理费和治疗费支出显著增加了69.7%和53.4%。医药分开改革还导致患者在短时期内的就诊次数出现了显著增加。总结而言,公立医院医药分开改革改善了公立医院收入结构,但是没有起到降低医疗费用支出的效果,也没有显著降低病人医疗成本负担。     

制约车险理赔服务质量的因素浅析

随着机动车辆保险保障范围的逐步扩大,广大消费者对保险的售后服务即车辆出险后的理赔工作提出越来越高的要求,而作为经营主体的各家保险公司由于营业网点、人员素质、产品特色、销售渠道等不同,服务水平参差不齐。     

The Impact of Rate Regulation on Claims: Evidence From Massachusetts Automobile Insurance

The article tests the hypothesis that insurance price subsidies created by rate regulation lead to higher insurance cost growth. The article makes use of data from the Massachusetts private passenger automobile insurance market, where cross‐subsidies were explicitly built into the rate structure through rules that limit rate differentials and differences in rate increases across driver rating categories. Two approaches are taken to study the potential loss cost reaction to the Massachusetts cross‐subsidies. The first approach compares Massachusetts with all other states while controlling for demographic, regulatory, and liability coverage levels. Loss cost levels that were about 29 percent above the expected level are found for Massachusetts during years 1978–1998, when premiums charged were those fixed by the state and included explicit subsidies for high‐risk drivers. A second approach considers changing cost levels across Massachusetts by studying loss cost changes by town and relating those changes to subsidy providers and subsidy receivers. Subsidy data based on accident year data for 1993–2004 show a significant and positive (relative) growth in loss costs and an increasing proportion of high‐risk drivers for towns that were subsidy receivers, in line with the theory of underlying incentives for adverse selection and moral hazard.     

The Hungarian Insurance Market: Economic Transition in the Insurance Sector

This article analyzes Hungary's insurance sector as an important part of the country's economic transition from a centrally planned economy to a market economy. It details the historic economic development of the Hungarian insurance market from a state monopoly to a competitive insurance market where foreign-owned insurance companies have a dominant market share.     

金融危机下的中国保险业安全

由于国际货币体系的单极、美国金融监管的真空和经济发展的不协调而导致的金融危机正深刻影响着世界各国的经济、金融体系乃至政治格局.在这种大背景下,我国保险业作为经济的"保驾护航"者,也面临着多方位的挑战和不确定因素.只有通过调整结构、加强监管、建立风险预警机制、坚持投资多元化等途径,才能在确保行业自身安全的同时,为我国经济、金融和社会的安全及稳定作出贡献.     

金融危机下的中国保险业安全

由于国际货币体系的单极、美国金融监管的真空和经济发展的不协调而导致的金融危机正深刻影响着世界各国的经济、金融体系乃至政治格局。在这种大背景下,我国保险业作为经济的"保驾护航"者,也面临着多方位的挑战和不确定因素。只有通过调整结构、加强监管、建立风险预警机制、坚持投资多元化等途径,才能在确保行业自身安全的同时,为我国经济、金融和社会的安全及稳定作出贡献。     

服务业全要素生产率研究——基于丝绸之路经济带数据

基于考虑人力资本的非参数 Malmquist 指数法,测算中国丝绸之路经济带沿线九省市2003~2012年服务业全要素生产率(TFP )变动情况,从技术进步与技术效率两方面考量服务业 TFP 。结果发现,丝绸之路沿线九省市服务业 TFP 的增长主要源于技术进步的贡献,而技术效率却在恶化,同时人力资本对技术进步和技术效率均具有正向贡献。结果表明：交通基础设施、对外开放和财政金融支持都对服务业TFP 的增长具有显著正向促进作用。鉴此,应强化交通基础设施建设,实现道路互通;深化对外开放,推动贸易畅通;增强财政金融支持力度,推进货币流通。     

Claims Auditing in Automobile Insurance: Fraud Detection and Deterrence Objectives

Research on insurer management of opportunism in claiming has developed in two parallel literatures. One is a theoretical literature on insurance contracting that yields predictions about the nature of optimal auditing strategies for the deterrence of fraud. The other is a literature based upon statistical analysis of claims that yields empirical strategies for the detection of fraudulent claims. This article links the two literatures by providing an empirical assessment of insurers’ auditing practices in relation to theoretical predictions. The analysis makes use of a data set on the disposition of more than 1,000 randomly selected automobile personal injury protection claims settled in the state of Massachusetts. The findings of the article are consistent with the use of rational auditing strategies by insurers and with the use of audits for both deterrence and detection.     

增值税转型的社会经济效应分析

目前正在东北地区进行的扩大增值税抵扣范围试点,与世界通行的“消费型”增值税制度仍然有一定差距,但其朝着规范的“消费型”增值税制度的改革取向是不可逆转的,如同中国各项改革事业一样,增值税转型也必将是一个渐进的过程。本文对增值税转型所产生社会经济影响的分析,既考虑     

人寿保险需求探析

与其他形式的保险相比,人寿保险更具有储蓄的功能,因而对寿险需求动机的分析可以在储蓄动机的分析框架内进行。对保险需求的研究,大部分文献是从投保人最大化其自身期望效用出发,里维斯（Lewis,1989）拓宽了这一研究视角,从被赡养人期望效用的角度研究人寿保险需求。寿险需求的影响因素：期望寿命、保险价格、赡养率、收入与财富、社会保障、预期通货膨胀率、教育水平。     

The Impact of Insurance Prices on Decision Making Biases: An Experimental Analysis

This article tests whether the use of endogenous risk categorization by insurers enables consumers to make better‐informed decisions even if they do not choose to purchase insurance. We do so by adding a simple insurance market to an experimental test of optimal (Bayesian) updating. In some sessions, no insurance is offered. In others, actuarially fair insurance prices are posted, and a subset of subjects is allowed to purchase this insurance. We find significant differences in the decision rules used depending on whether one observes insurance prices. Although the majority of choices correspond to Bayesian updating, the incidence of optimal decisions is higher in sessions with an insurance option. Most subjects given the option to purchase actuarially fair insurance choose to do so. However, fewer subjects purchase insurance when the probability of a loss is higher.     

学货险的现状、问题与完善机制

学贷险是近几年才出现的新型保险产品,主要有国家助学贷款信用保险、生源地国家助学贷款保证保险等表现形式。虽然学贷险发展迅速,发挥了积极作用,但是在发展过程中还存在许多问题,亟需不断完善,才能发挥更大的积极作用。     

Expiration Dates in Automobile Insurance Contracts: The Curious Case of Last Policy Month Claims in Taiwan

This paper investigates a widespread trend in the Taiwanese automobile insurance market in which the loss claims of vehicle damage insurance contracts have a high propensity to occur just before the end of the policy year (as opposed to calendar year). We show that certain uncommon characteristics of claim data are consistently observed in the last policy month. We indirectly show that there is a severe time-varying excess claim problem in this market. The major sources of excess claims can be explained by the bonus-malus system problem and the auto-dealer incentive issue.     

保理与出口信用保险的比较和发展

保理业务和出口保险业务都为出口商赊销产品提供风险保障，但两者又有其不同的特点，这两项业务在我国开展的规模还较小，与我国贸易大国的地位极不相称，国内金融机构应根据其不同的特点进行正确的市场定位。     

提高非车险理赔质量的探讨

在财产保险中，保险理赔是经营管理的一个重要环节。非车险理赔涵盖了除车险以外所有险种的理赔，理赔质量的好坏，直接关系列公司信誉和经营效益。分析非车险理赔中存在的问题，掌握其特点，采取有效措施提高非车险理赔工作质量，是做好理赔工作，维护保险合同的严肃性和当事人合法权益，促进保险业务健康发展的关键所在。     

寿险公司网络投诉案例实证研究

通过世纪保网3年549个寿险投诉案件,采用内容分析法揭示寿险业诚信问题的真正原因,研究发现引发消费者不满的三大问题依次为:销售误导、销售员隐瞒合同内容和退保问题,理赔难仅位列第四。结论表明,寿险业增进消费者信任最有效的手段是加强对销售人员的管理,杜绝销售误导和隐瞒,并就退保规定向消费者作出明确说明。研究还发现,相对于市场占有率而言,外资寿险公司的被投诉率比中资寿险公司还高。