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International Portability of Health-Cost Coverage: Concepts and Experience

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dc.contributor.authorWerding, Martin
dc.contributor.authorMcLennan, Stuart
dc.date.accessioned2017-06-27T16:28:02Z
dc.date.available2017-06-27T16:28:02Z
dc.date.issued2011-07
dc.description.abstractSocial insurance and other arrangements for funding health-care benefits often establish long-term relationships, effectively providing insurance against lasting changes in an individual's health status, engaging in burden-smoothing over the life cycle, and entailing additional elements of redistribution. International portability regarding this type of cover is, therefore, difficult to establish, but at the same time rather important both for the individuals affected and for the health funds involved in any instance of an international change in work place or residence. In this paper, full portability of health-cost cover is taken to mean that mobile individuals can, at a minimum, find comparable continuation of coverage under a different system and that this does not impose external costs or benefits on other members of the systems in the source and destination countries. Both of these aspects needs to be addressed in a meaningful portability framework for health systems, as lacking or incomplete portability may not only lead to significant losses in coverage for an individual who considers becoming mobile which may impede mobility that is otherwise likely to be beneficial. It may also lead to financial losses, or windfall gains, for sources of health-cost funding which can ultimately lead to a detrimental process of risk segmentation across national health systems. Against this background, even the most advanced sets of existing portability rules, such as those agreed upon multilaterally at the EU-level or laid down in bilateral agreements on social protection, appear to be untargeted, inconsistent and therefore potentially harmful, either for migrants or for health funds operated at both ends of the migration process, and hence for other individuals who are covered there.en
dc.identifierhttp://documents.worldbank.org/curated/en/144321468177841767/International-portability-of-health-cost-coverage-concepts-and-experience
dc.identifier.doi10.1596/27341
dc.identifier.urihttps://hdl.handle.net/10986/27341
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesSP Discussion Paper;No. 1115
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo
dc.subjectACCESS TO HEALTH CARE
dc.subjectACCESS TO HEALTH SERVICES
dc.subjectACCOUNTABILITY ACT
dc.subjectADMINISTRATIVE COSTS
dc.subjectADVERSE SELECTION
dc.subjectAGE GROUPS
dc.subjectAGED
dc.subjectBASIC RIGHTS
dc.subjectBIOETHICS
dc.subjectCOMPENSATION
dc.subjectCOMPETENT AUTHORITIES
dc.subjectCONTRIBUTION RATES
dc.subjectCOSTS OF HEALTH CARE
dc.subjectCOSTS OF TREATMENT
dc.subjectECONOMIC POLICY
dc.subjectECONOMIES OF SCALE
dc.subjectEMPLOYMENT
dc.subjectENTITLEMENT
dc.subjectEQUAL TREATMENT
dc.subjectEXTERNALITIES
dc.subjectFAMILIES
dc.subjectFINANCIAL SITUATION
dc.subjectFINANCIAL VIABILITY
dc.subjectFINANCING HEALTH CARE
dc.subjectFRAUD
dc.subjectFUNDAMENTAL PRINCIPLES
dc.subjectGENETIC INFORMATION
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE COSTS
dc.subjectHEALTH CARE REFORM
dc.subjectHEALTH COST
dc.subjectHEALTH COSTS
dc.subjectHEALTH COVERAGE
dc.subjectHEALTH EXPENDITURE
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH INSURANCE COVERAGE
dc.subjectHEALTH INSURANCE FUNDS
dc.subjectHEALTH INSURANCE POLICIES
dc.subjectHEALTH INSURANCE PORTABILITY
dc.subjectHEALTH INSURANCE SCHEME
dc.subjectHEALTH INSURANCE SCHEMES
dc.subjectHEALTH INSURANCE SYSTEM
dc.subjectHEALTH INSURERS
dc.subjectHEALTH PLAN
dc.subjectHEALTH PLANS
dc.subjectHEALTH SERVICES
dc.subjectHEALTH STATUS
dc.subjectHEALTH SYSTEMS
dc.subjectHEALTH-CARE
dc.subjectHEALTH-CARE FUNDING
dc.subjectHEALTH-CARE PROVIDERS
dc.subjectHEALTH-CARE SYSTEMS
dc.subjectHEALTHCARE
dc.subjectHOSPITALIZATION
dc.subjectIMMIGRANTS
dc.subjectINCOME
dc.subjectINFLATION
dc.subjectINSURANCE
dc.subjectINSURANCE ARRANGEMENTS
dc.subjectINSURANCE BENEFITS
dc.subjectINSURANCE COMPANIES
dc.subjectINSURANCE CONTRACTS
dc.subjectINSURANCE OPTIONS
dc.subjectINTEGRATION
dc.subjectINTERNATIONAL LAW
dc.subjectLAWS
dc.subjectLEGAL FRAMEWORK
dc.subjectLIFE EVENTS
dc.subjectLIFE EXPECTANCIES
dc.subjectLIFE EXPECTANCY
dc.subjectLIFE EXPECTANCY AT BIRTH
dc.subjectMARKET FORCES
dc.subjectMEDICAL CONDITIONS
dc.subjectMEDICAL ETHICS
dc.subjectMEDICAL EXPENDITURE
dc.subjectMEDICAL SERVICES
dc.subjectMEDICAL TREATMENT
dc.subjectMEDICARE
dc.subjectMEDICINES
dc.subjectMIGRANTS
dc.subjectMIGRATION
dc.subjectMORAL HAZARD
dc.subjectMORTALITY
dc.subjectNATIONAL HEALTH
dc.subjectOLDER PEOPLE
dc.subjectPATIENT
dc.subjectPATIENTS
dc.subjectPOCKET PAYMENTS
dc.subjectPOLITICAL DEBATES
dc.subjectPRIVATE HEALTH INSURANCE
dc.subjectPRIVATE HEALTH-INSURANCE
dc.subjectPRIVATE INSURANCE
dc.subjectPRIVATE SECTOR
dc.subjectPROBABILITY
dc.subjectPROGRAMS
dc.subjectPROTECTIONS
dc.subjectPROVISION OF HEALTH CARE
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HEALTH CARE
dc.subjectPUBLIC HEALTH INSURANCE
dc.subjectPUBLIC HEALTH INSURANCE SCHEME
dc.subjectPUBLIC HEALTH SERVICES
dc.subjectPUBLIC HEALTH-CARE
dc.subjectPUBLIC PROVISION
dc.subjectPUBLIC SCHEME
dc.subjectPUBLIC SCHEMES
dc.subjectSOCIAL INSURANCE
dc.subjectSOCIAL POLICY
dc.subjectSOCIAL SECURITY
dc.subjectSOCIAL SECURITY BENEFITS
dc.subjectSOCIAL SECURITY SYSTEMS
dc.subjectSUSTAINABILITY
dc.subjectWORKERS
dc.subjectWORKPLACE
dc.titleInternational Portability of Health-Cost Coverageen
dc.title.subtitleConcepts and Experienceen
dc.typeWorking Paperen
dc.typeDocument de travailfr
dc.typeDocumento de trabajoes
dspace.entity.typePublication
okr.crossref.titleInternational Portability of Health-Cost Coverage
okr.date.disclosure2011-08-19
okr.date.doiregistration2025-05-05T11:55:56.167327Z
okr.doctypePublications & Research::Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/144321468177841767/International-portability-of-health-cost-coverage-concepts-and-experience
okr.guid144321468177841767
okr.identifier.externaldocumentum000386194_20110819010330
okr.identifier.internaldocumentum14838264
okr.identifier.report63929
okr.importedtrue
okr.language.supporteden
okr.pdfurlhttp://documents.worldbank.org/curated/en/144321468177841767/pdf/639290WP0Healt00Box0361533B0PUBLIC0.pdfen
okr.topicHealth, Nutrition and Population::Health Economics & Finance
okr.topicHealth, Nutrition and Population::Health Monitoring & Evaluation
okr.topicHealth, Nutrition and Population::Health Systems Development & Reform
okr.topicLaw and Development::Health Law
okr.topicLaw and Development::Insurance Law
okr.unitSocial Protection Team (HDNSP)
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