Verbesserung von Wahlmöglichkeiten in Alterssicherung und Gesundheitswesen

Selected for the Global Economic Symposium 2011

It is widely accepted that the aging population poses cost challenges for society. Increased longevity raises the health care and other costs of supporting the old precisely when labor forces in many countries will be shrinking or growing more slowly than in the past. Much of the debate on how to handle these problems has focused on either scaling back benefits or somehow increasing the degree of preparedness to pay these costs through more savings today. Yet, both options have proven difficult to advance. Given the pressures on the budgets of governments and private employers as well as the difficulty of cutting benefits, it is important to examine new structures of benefits and decision-making. One inefficiency at present is that many pension and related health care systems offer individuals little choice, yet individuals and households have heterogeneous needs.

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Wesentliches Schlagwort: Alterssicherung

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Wesentliches Schlagwort: Gesetzliche Rentenversicherung

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Wesentliches Schlagwort: Private Rentenversicherung

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Wesentliches Schlagwort: Rentenreform

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Regionale Aspekte: EU-Staaten – Alterssicherung

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Literaturliste

Eliciting individual preferences for pension reform / Yosr Abid Fourati and Cathal O’Donoghue.
Pension systems have recently been under scrutiny because of the expected population ageing threatening its sustainability. This paper’s contribution to the debate is from a political economic perspective as it uses data from a Choice Experiment to investigate individual preferences for an alternative state pension scheme. Answers are used to estimate a life-cycle utility model of preferences towards pensions’ parameters. Results suggest that individuals’ value orientation is an important determinant of their preferences. Respondents’ income determines which degree of redistribution is preferred. However, preferences according to age are in contradiction with what is suggested in theory.

  • Eliciting individual preferences for pension reform / Yosr Abid Fourati and Cathal O’Donoghue.
    (2009) Working paper series / National University of Ireland, Department of Economics ; 150; 31 S.

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  • Eliciting individual preferences for pension reform / Yosr Abid Fourati ; Cathal O’Donoghue.
    (2009) CESifo working paper series ; 2770 : Public choice; 30 S.

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  • Eliciting individual preferences for pension reform / Yosr Abid Fourati; Cathal O’Donoghue.
    (2009) Discussion paper series / Forschungsinstitut zur Zukunft der Arbeit ; 4479; Online-Ressource (31 S.).

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  • Eliciting individual preferences for pension reform / Yosr Abid Fourati; Cathal O’Donoghue.
    (2009) CESifo working paper ; 2770 : Public Choice; Online-Ressource ( 30 S.).

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The optimal mix between funded and unfunded pension systems when people care about relative consumption / by Markus Knell.

  • The optimal mix between funded and unfunded pension systems when people care about relative consumption / by Markus Knell.
    (2010) In: Economica. – Oxford. – Bd. 77.2010, 308, (Okt.2010) S. 710-733.

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The pension costs from a defined benefit to individual pension accounts : do they cost more in the case of Taiwan? / Chao-Liang Chen.

  • The pension costs from a defined benefit to individual pension accounts : do they cost more in the case of Taiwan? / Chao-Liang Chen.
    (2010) In: Applied economics. – Abingdon. – Bd. 42.2010, 19/21, (Aug.2010) S. 2743-2750.

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Individual Retirement Accounts, saving and labor supply / Sagiri Kitao.

  • Individual Retirement Accounts, saving and labor supply / Sagiri Kitao.
    (2010) In: Economics letters. – Amsterdam [u.a.]. – Bd. 108.2010, 2, (Aug.2010) S. 197-200.

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Human capital, retirement and saving / comments by Daniel Hallberg.

The effects of myopia on pension decisions / Justin van de Ven.

  • The effects of myopia on pension decisions / Justin van de Ven.
    (2010) NIESR discussion paper / National Institute of Economic and Social Research ; 356; Online-Ressource (43 S.).

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Public/private mix in pensions in Europe : the role of state, market and social partners in supplementary pensions / David Natali.

  • Public/private mix in pensions in Europe : the role of state, market and social partners in supplementary pensions / David Natali.
    (2009) Brussels; 32 S.

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The decline of the traditional pension : a comparative study of threats to retirement security / George A. (Sandy) Mackenzie.

  • The decline of the traditional pension : a comparative study of threats to retirement security / George A. (Sandy) Mackenzie.
    (2010) Cambridge [u.a.]; XIII, 279 S.

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Reforming social security with progressive personal accounts / John Geanakoplos and Stephen P. Zeldes.
“The heated debate about how to reform Social Security has come to a standstill because the view of most Democrats (that Social Security must be a defined benefits plan similar in spirit to the current system) seems irreconcilable with the proposals supported by many Republicans (to create a defined contribution system of personal accounts holding marketed assets).We describe a system of “progressive personal accounts” that preserves the core goals of both parties, and that is self-balancing on an ongoing basis. Progressive personal accounts have two critical features: (1) accruals into the personal accounts would be exclusively in a new kind of derivative security (which we call a PAAW for Personal Annuitized Average Wage security) that pays its owner one inflation-corrected dollar during every year of life after his statutory retirement date, multiplied by the economy wide average wage at the retirement date and (2) households would buy their new PAAWs each year with their social security contributions, augmented or reduced by a government match that would add to contributions from households with low lifetime incomes by taking from households with high lifetime incomes. PAAWS define benefits and achieve risk sharing across generations, as Democrats would like, yet can be held in personal accounts with market valuations, as Republicans propose”–National Bureau of Economic Research web site

  • Reforming social security with progressive personal accounts / John Geanakoplos and Stephen P. Zeldes.
    (2009) In: Social security policy in a changing environment. – 2009, S. 73-121.

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  • Reforming social security with progressive personal accounts / by John Geanakoplos and Stephen P. Zeldes.
    (2008) Cowles Foundation discussion paper ; 1664; Online-Ressource, (38, [17] S.).

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  • Reforming social security with progressive personal accounts / John Geanakoplos; Stephen P. Zeldes.
    (2008) NBER working paper series ; 13979; 38, [15] S.

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The third pillar in Europe : institutional factors and individual decisions / Julia Le Blanc.
This paper studies and documents household participation in voluntary individual retirement accounts (IRAs) in eleven European countries. Using recently available, internationally comparable data of households aged 50+, we calculate country-by-country average marginal effects of the probability to save in IRAs. We link the evidence from the micro data to the institutional differences in pension systems that prevail across the countries in our sample. Our results indicate that households participation in the third pillar varies substantially across countries, both due to institutional differences and household characteristics. Higher education is crucial for participation in countries with shorter traditions of IRAs where awareness matters most. Background risk due to expectations of future pension reforms as well as experience with occupational pensions increase voluntary retirement savings additionally for the currently employed individuals in our sample. — Individual retirement accounts ; pension reform ; consumption and saving over the life-cycle

  • The third pillar in Europe : institutional factors and individual decisions / Julia Le Blanc.
    (2011) Discussion paper / Deutsche Bundesbank; Eurosystem : Ser. 1, Economic studies; 61 S.

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  • The third pillar in Europe : institutional factors and individual decisions / Julia Le Blanc.
    (2011) Discussion paper / Deutsche Bundesbank : Series 1, Economic studies; Online-Ressource (PDF-Datei: 61, [8] S., 1,95 MB).

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Moving from pay-as-you-go to privately managed individual pension accounts : what have we learned after 25 years of the Chilean pension reform? / Joaquín Vial; Angel Melguizo.

  • Moving from pay-as-you-go to privately managed individual pension accounts : what have we learned after 25 years of the Chilean pension reform? / Joaquín Vial; Angel Melguizo.
    (2009) In: Pensions. – Basingstoke. – Bd. 14.2009, 1, (Feb.2009) S. 14-27.

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Old Europe ages : reforms and reform backlashes / Axel Börsch-Supan and Alexander Ludwig.

  • Old Europe ages : reforms and reform backlashes / Axel Börsch-Supan and Alexander Ludwig.
    (2011) In: Demography and the economy. – 2011, S. 169-204.

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  • Old Europe ages : reforms and reform backlashes / Axel H. Boersch-Supan; Alexander Ludwig.
    (2010) Cambridge, Mass.; 46 S.

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Pension funding and individual accounts in economies with life-cyclers and myopes / Hans Fehr and Fabian Kindermann.
We study the inter- and intra-generational welfare consequences of alternative pension fund policies in response to unexpected demographic, financial, and macro-economic shocks. Our analysis is based on an applied OLG model of a small open economy with heterogeneous agents featuring a two-pillar pension system modelled after that in the Netherlands (with pay-as-you-go (PAYG) and funded tiers). We explore two policies to avoid underfunding of the pension funds. One emphasizes increases in the contribution rate, while the other emphasizes the reduction of indexation of pensions to price inflation and productivity growth. Our stochastic simulations show that the welfare differences between the two types of policy are generally small. They also show that the pension buffers are highly volatile when the shocks are drawn from realistically modelled multivariate shock processes. Underfunding occurs relatively frequently and in any case substantially more than anticipated by the Dutch supervisor.

  • Pension funding and individual accounts in economies with life-cyclers and myopes / Hans Fehr and Fabian Kindermann.
    (2010) In: CESifo economic studies. – Bd. 56.2010, 3, (Sep.2010) S. 404-443.

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  • Pension funding and individual accounts in economies with life-cyclers and myopes / Hans Fehr; Fabian Kindermann.
    (2009) Barcelona; Online-Ressource (36 S.).

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  • Pension funding and individual accounts in economies with life-cyclers and myopes : presented at CESifo Venice Summer Institute, July 2009 / Hans Fehr ; Fabian Kindermann.
    (2009) CESifo working paper series ; 2724 : Public finance; 35 S.

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  • Pension funding and individual accounts in economies with life-cyclers and myopes / Hans Fehr; Fabian Kindermann.
    (2009) CESifo working paper ; 2724 : Public Finance; Online-Ressource ( 35 S.).

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Aging populations, pension operations, potential economic disappointment and its allocation / Sylvester J. Schieber.

  • Aging populations, pension operations, potential economic disappointment and its allocation / Sylvester J. Schieber.
    (2011) In: Demography and the economy. – Chicago, Ill. [u.a.]. – 2011, S. 293-325.

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Innovative institutions and products for retirement provison in Europe / Lans Bovenberg; Theo Nijman.

  • Innovative institutions and products for retirement provison in Europe / Lans Bovenberg; Theo Nijman.
    (2010) In: Ageing, health and pensions in Europe. – Basingstoke, Hampshire [u.a.]. – 2010, S. 67-98.

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Old-age pension reforms in the EU : innovation, diffusion and Europeanization / Cristina Matos.

  • Old-age pension reforms in the EU : innovation, diffusion and Europeanization / Cristina Matos.
    (2010) In: Cognitive capitalism and its reflections in South-Eastern Europe. – Frankfurt am Main [u.a.]. – 2010, S. 171-193.

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How to supplement social security fairly and effectively / Teresa Ghilarducci.

Social security : a fresh look at policy alternatives / Jagadeesh Gokhale.

Attitudes, savings choices, level of knowledge and investment preferences of employees toward pensions and retirement planning : survey evidence from Barbados / Michael Millar; Dwayne Devonish.

  • Attitudes, savings choices, level of knowledge and investment preferences of employees toward pensions and retirement planning : survey evidence from Barbados / Michael Millar; Dwayne Devonish.
    (2009) In: Pensions. – Basingstoke. – Bd. 14.2009, 4, (Aug.2009) S. 299-317.

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From three to five : the World Bank’s pension reform policy norm / Veronika Wodsak and Martin Koch.

  • From three to five : the World Bank’s pension reform policy norm / Veronika Wodsak and Martin Koch.
    (2010) In: Owning development. – Cambridge [u.a.]. – 2010, S. 48-69.

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The varieties of pension governance : pension privatization in Europe / ed. by Bernhard Ebbinghaus.

  • (2011) Oxford [u.a.]; XXV, 440 S.
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  • The governance and regulation of private pensions in Europe / Bernhard Ebbinghaus and Tobias Wiß.
    (2011) In: The varieties of pension governance. – 2011, S. 351-383.

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  • Switzerland: regulating a public-private heritage of multipillar pension governance / Giuliano Bonoli and Silja Häusermann.
    (2011) In: The varieties of pension governance. – 2011, S. 318-347.

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  • The Netherlands: adapting a multipillar pension system to demographic and economic change / Karen M. Anderson.
    (2011) In: The varieties of pension governance. – 2011, S. 292-317.

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  • Britain: exhausted voluntarism : the evolution of a hybrid pension regime / Paul Bridgen and Traute Meyer.
    (2011) In: The varieties of pension governance. – 2011, S. 265-291.

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  • Sweden: a viable public-private pension system / Gabriella Sjögren Lindquist and Eskil Wadensjö.
    (2011) In: The varieties of pension governance. – 2011, S. 240-261.

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  • Finland: from statutory pension dominance towards voluntary private schemes / Olli Kangas and Päivi Luna.
    (2011) In: The varieties of pension governance. – 2011, S. 210-239.

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  • Denmark: the silent revolution towards a multipillar pension system / Jørgen Goul Andersen.
    (2011) In: The varieties of pension governance. – 2011, S. 183-209.

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  • Italy: from Bismarckian pensions to multipillarization under adverse conditions / Matteo Jessoula.
    (2011) In: The varieties of pension governance. – 2011, S. 151-179.

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  • Germany: departing from Bismarckian public pensions / Bernhard Ebbinghaus, Mareike Gronwald, and Tobias Wiß.
    (2011) In: The varieties of pension governance. – 2011, S. 119-150.

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  • France: promoting funded pensions in Bismarckian corporatism? / Marek Naczyk and Bruno Palier.
    (2011) In: The varieties of pension governance. – 2011, S. 89-118.

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  • Belgium: the paradox of persisting voluntarism in a corporatist welfare state / Johan J. De Deken.
    (2011) In: The varieties of pension governance. – 2011, S. 57-88.

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  • The changing public-private pension mix in Europe : from path dependence to path departure / Bernhard Ebbinghaus and Mareike Gronwald.
    (2011) In: The varieties of pension governance. – 2011, S. 23-53.

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  • Introduction: studying pension privatization in Europe / Bernhard Ebbinghaus.
    (2011) In: The varieties of pension governance. – 2011, S. 3-22.

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  • The public-private pension mix and old age income inequality in Europe / Bernhard Ebbinghaus and Jörg Neugschwender.
    (2011) In: The varieties of pension governance. – 2011, S. 384-422.

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Changes in the delivery of primary care and in private insurers’ role in United Kingdom, Italy, Germany, Switzerland and France / Daniel Simonet.

  • Changes in the delivery of primary care and in private insurers’ role in United Kingdom, Italy, Germany, Switzerland and France / Daniel Simonet.
    (2009) In: Journal of medical marketing. – London [u.a.]. – Bd. 9.2009, 2, (Apr.2009) S. 96-103.

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Health insurance and lifestyle choices : identifying ex ante moral hazard in the US market / Anderson E. Stanciole.

  • Health insurance and lifestyle choices : identifying ex ante moral hazard in the US market / Anderson E. Stanciole.
    (2008) In: The Geneva papers on risk and insurance – issues and practice. – Basingstoke. – Bd. 33.2008, 4, (Okt.2008) S. 627-644.

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Health reform without side effects : making markets work for individual health insurance / Mark V. Pauly.

  • Health reform without side effects : making markets work for individual health insurance / Mark V. Pauly.
    (2010) Hoover Institution Press publication ; 580; Online-Ressource.

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  • Health reform without side effects : making markets work for individual health insurance / Mark V. Pauly.
    (2010) 1. print. – Hoover Institution Press publication ; 580. – Standford, Calif.; IX, 112 S.

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Do HSA choices interact with retirement savings decisions? / Stephen T. Parente; Roger Feldman.

  • Do HSA choices interact with retirement savings decisions? / Stephen T. Parente; Roger Feldman.
    (2008) In: NBER tax policy and the economy. – Chicago, IL. – Bd. 22.2008, S. 81-108.

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A more equitable and efficient approach to insuring the uninsurable / Eric Helland and Jonathan Klick.

  • A more equitable and efficient approach to insuring the uninsurable / Eric Helland and Jonathan Klick.
    (2010) In: Elhauge, Einer: The fragmentation of U.S. Health care. – Oxford [u.a.]. – 2010, S. 221-234.

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Appropriate perspectives for health care decisions / Karl Claxton; Simon Walker; Steven Palmer; Mark Sculpher.

  • Appropriate perspectives for health care decisions / Karl Claxton; Simon Walker; Steven Palmer; Mark Sculpher.
    (2010) CHE research paper ; 54; 74 S.

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Choice, price competition and complexity in markets for health insurance / Richard G. Frank; Karine Lamiraud.
“The United States and other nations rely on consumer choice and price competition among competing health plans to allocate resources in the health sector. A great deal of research has examined the efficiency consequences of adverse selection in health insurance markets, less attention has been devoted to other aspects of consumer choice. The nation of Switzerland offers a unique opportunity to study price competition in health insurance markets. Switzerland regulates health insurance markets with the aim of minimizing adverse selection and encouraging strong price competition. We examine consumer responses to price differences in local markets and the degree of price variation in local markets. Using both survey data and observations on local markets we obtain evidence suggesting that as the number of choices offered to individuals grow their willingness to switch plans given a set of price dispersion differences declines allowing large price differences for relatively homogeneous products to persist. We consider explanations for this phenomenon from economics and psychology”–National Bureau of Economic Research web site

  • Choice, price competition and complexity in markets for health insurance / Richard G. Frank; Karine Lamiraud.
    (2009) In: Journal of economic behavior & organization. – Bd. 71.2009, 2, (Aug.2009) S. 550-562.

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  • Choice, price competition and complexity in markets for health insurance / Richard Frank; Karine Lamiraud.
    (2008) NBER working paper series ; 13817; 43 S.

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Six countries, six reform models : the healthcare reform experience of Israel, the Netherlands, New Zealand, Singapore, Switzerland and Taiwan ; healthcare reforms “under the radar screen” / edited by Kieke G.H. Okma … [et al.]; with foreword by Rudolf Klein.

  • Six countries, six reform models : the healthcare reform experience of Israel, the Netherlands, New Zealand, Singapore, Switzerland and Taiwan ; healthcare reforms “under the radar screen” / edited by Kieke G.H. Okma … [et al.]; with foreword by Rudolf Klein.
    (c2010) Hackensack, N.J; Online-Ressource (xviii, 237 p).

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  • Six countries, six reform models : the healthcare reform ; experience of Israel, the Netherlands, New Zealand, Singapore, Switzerland and Taiwan ; healthcare reforms “under the radar screen” / ed. by Kieke G.H. Okma ….
    (2010) Singapore [u.a.]; XVIII, 237 S.

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Achieving better value for money in health care / Organisation for Economic Co-operation and Development. [Howard Oxley ...].

  • Achieving better value for money in health care / Organisation for Economic Co-operation and Development. [Howard Oxley ...].
    (2009) OECD health policy studies; Online-Ressource (PDF-Datei).

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  • Achieving better value for money in health care / Organisation for Economic Co-operation and Development. [Howard Oxley ...].
    (2009) OECD health policy studies; 163 S.

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Towards high-performing health systems / Organisation for Economic Co-operation and Development. Elizabeth Docteur.
Although health systems differ widely in their design, in the inputs they use and the outcomes they attain, policy makers in all OECD countries share the common goal of achieving high-performing health systems. Health and health care have improved dramatically over the past few decades, but at a cost, and public budgets are feeling the pinch. At the same time, further opportunities to improve the performance of health systems exist. Developed nations are grappling with the issues of sustainable financing, equitable access to services, better health outcomes, consumer responsiveness and value for money.

  • Towards high-performing health systems / Organisation for Economic Co-operation and Development. Elizabeth Docteur.
    (2004) The OECD health project; Online-Ressource (129 S.).

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Preferences for health insurance and health status : does it matter whether you are Dutch or German? / Janet MacNeil Vroomen; Peter Zweifel.

  • Preferences for health insurance and health status : does it matter whether you are Dutch or German? / Janet MacNeil Vroomen; Peter Zweifel.
    (2011) In: The European journal of health economics. – Berlin. – Bd. 12.2011, 1, (Feb.2011) S. 87-95.

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Health Care Financing and Insurance : Options for Design / by Francesco Paolucci.

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