Tensions in private health insurance regulation.
This article provides an analysis of the regulatory framework of Australian private health insurance linked to four major implicit regulatory objectives: promoting access to health insurance for consumers; promoting financial solvency and industry viability of registered health benefits organisations; promoting competition between registered health benefits organisations; and promoting accountability to consumers. Through an analysis of regulatory changes, case law and policy documents on the performance of the health insurance industry, it is argued that existing health insurance regulation exhibits inevitable tensions due to shifting and often conflicting government objectives about the role of private health insurance.
Willcox
Sharon
S
Victorian Department of Human Services, Level 17/555 Collins St, Melbourne, Vic. 3000, Australia. sharon.willcox@dhs.vic.gov.au
D001315:Australia; D004465:Economic Competition / Q000331:legislation & jurisprudence; D005376:Financial Management; D033161:Government Regulation; D006291:Health Policy / Q000331:legislation & jurisprudence*; D006801:Humans; D015273:Insurance Selection Bias; D007348:Insurance, Health / Q000191:economics / Q000331:legislation & jurisprudence*; D009313:National Health Programs / Q000331:legislation & jurisprudence*; D017149:Private Sector / Q000191:economics* / Q000331:legislation & jurisprudence*; D011907:Rate Setting and Review; D012111:Residence Characteristics; D019472:Universal Health Insurance / Q000331:legislation & jurisprudence*