A quoi tient la solidarité de l’assurance maladie entre les hauts revenus et les plus modestes en France ?

Florence Jusot, Renaud Legal, Alexis Louvel, Catherine Pollak and Amir Shmueli
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Renaud Legal: DREES - Ministère de la santé et de la protection sociale - Ministère de l'emploi, du travail et de la cohésion sociale
Alexis Louvel: INSEE - Institut national de la statistique et des études économiques (INSEE), DREES - Ministère de la santé et de la protection sociale - Ministère de l'emploi, du travail et de la cohésion sociale
Amir Shmueli: School of Public Health - University of Michigan [Ann Arbor] - University of Michigan System, Department of Statistics, The Hebrew University - HUJ - The Hebrew University of Jerusalem

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Abstract: This article analyses the solidarity of the French health insurance system with a new index which measures the cross-subsidies from the rich to the poor induced by health expenses and financing, using the 2012 Inès-Omar microsimulation model. The solidarity index is decomposed by financing sources (public and private insurances and out-of-pocket payments) and discussed with respect to equity principles. The solidarity is less driven by the horizontal equity in use of the system than by the vertical equity in finance insured by the progressivity of the public part of the system. The magnitude of social health inequalities explains a large part of the concentration among the poorest of public health expenses, even if the solidarity of the system is limited by barriers to access to care.

Keywords: Assurance-maladie; accès aux soins (search for similar items in EconPapers)
Date: 2016
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Citations: View citations in EconPapers (9)

Published in Revue française d'économie, 2016, 31 (4), ⟨10.3917/rfe.164.0015⟩

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Journal Article: A quoi tient la solidarité de l’assurance maladie entre les hauts revenus et les plus modestes en France ? (2016)
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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-02430068

DOI: 10.3917/rfe.164.0015

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