Irdes Newsletter

How Will Employer-Mandated Complementary Health Insurance Impact Insurance Coverage in France? A Simulation Based on the 2012 Health, Health Care and Insurance Survey (ESPS)

Issues in Health Economics (209), May 2015

Florence Jusot, Aurélie Pierre

In France, access to health care is highly dependent on whether or not individuals possess complementary health insurance (CHI), which in 2012 was not the case for 5% of the population. Access to a quality complementary health insurance policy for all thus became a core factor in the national health strategy set out by the government in 2013. The first measure, negotiated within the framework of the National Interprofessional Agreement (NIA) of January 2013, will compulsorily mandate employer to provide sponsored contracts to all private sector employees on January 1st 2016, and improve coverage portability of this coverage to unemployed former employees for up to 12 months following termination of their work contract.
This article aims to provide an ex ante evaluation of the expected impact of NIA on coverage rates in France and to discuss its implications in terms of health inequalities. Based on the 2012 Health, Health care and Insurance survey (ESPS), we simulate the proportion of individuals that would remain uninsuranced after NIA in the general population and within the private employees, taking into account the waiver clause exempting some of them to subscribe to the employer-sponsored CHI. Non-coverage is studied according to individual characteristics such as health status, socio-economic status and time and risk preferences.

People with Disabilities Living at Home Have Lower Access to Preventive Care than People without Disabilities. Exploitation of the Health and Disability Survey, Household Section (2008)

Issues in Health Economics (208), April 2015

Anne Penneau, Sylvain Pichetti, Catherine Sermet

This study on the use of health care and prevention among people with disabilities living at home examines four screening or prevention procedures based on data provided by the Health and Disability Household survey (HSM), conducted by the DREES and INSEE in 2008: screening against cervical, breast and colon cancers and vaccination against hepatitis B. The aim of the study is to evaluate differences in the use of these preventive care procedures according to disabled persons' situations. Two indicators were retained for the analysis, functional limitations (motor, cognitive, visual or hearing limitations) and administrative recognition of disability.

• Experience Rating and Work-Related Health and Safety, Pascale Lengagne, Journal of Labor Research, to be published 2015/10, 1-25
• Social Determinants of Overweight among Immigrants in Spain and France. Paul Dourgnon, Yasser Moullan, The IMI Working Papers Series 116, University of Oxford: International Migration Institute, 10/07/2015, 49 p.

... Aurélie Pierre and Florence Jusot on the occasion of the publication of Issues in Health Economics (209), May 2015: "How Will Employer-Mandated Complementary Health Insurance Impact Insurance Coverage in France? A Simulation Based on the 2012 Health, Health Care and Insurance Survey (ESPS)"

• What were the initial questions of your study about the impact of employer-mandated complementary health insurance on insurance coverage in France?
• What are the assumptions and scenarios from which you simulate the expected effects of the National Interprofessional Agreement (ANI)?
• What are your key results?

Read the interview

• Joint Programming Initiative(GPI) "More Years, Better lives" (MYBL)
  Yann Bourgueil will be in Berlin on October 28-29, 2015 as member of the Joint Programming Initiative(GPI) "More Years, Better lives" (MYBL) Scientific Advisory Board.

• BRIDGE-Health (BRidging Information and Data Generation for Evidence-based Health Policy and Research) project
  BRIDGE-Health project aims to create European health information and data collection networks for comprehensive, integrated and sustainable health information supporting evidence-based health policy and research in the EU and Member States.
  Zeynep Or will be in Berlin on November 25-27, 2015 for the BRIDGE-Health project meeting.

• Harkness Fellowships in Health Care Policy and Practice
  The Commonwealth Fund invites promising mid-career professionals — government policymakers, academic researchers, clinical leaders, senior hospital and insurance managers, and journalists — from Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, and the United Kingdom — to apply for a unique opportunity to spend up to 12 months in the United States with leading U.S. experts to study health care delivery reforms and critical issues on the health policy agenda in both the U.S. and their home countries. The Fellowship awards up to U.S. $130,000 in support, with an additional supplemental family allowance. Irdes is the Commonwealth Fund's French partner for Harkness Fellowships.