Research of trends of development of the health insurance market in the conditions of socio-economic crisis in Ukraine

Liliia Нala,Oksana Tsurikova,Hanna Panfilova

doi:10.15587/2519-4852.2019.181831

Abstract

Aim: to analyze the development trends of the health insurance market in the context of the socio-economic crisis in Ukraine.Materials and methods. The studies used data from the National Commission for State Regulation of Financial Services Markets and the League of Insurance Organizations of Ukraine on the results of the activities of insurers (number of concluded contracts, gross, net premiums and payments) for 2014–2018. Financial indicators were standardized in accordance with macroeconomic standards that were established in state budgets for different years (minimum wage, minimum wage per person, NBU rate of 1 US dollar, minimum cost of a consumer basket). We used historical, analytical, comparative, systemic, logical, hypothetical-deductive, mathematical and statistical methods.Results. The significance of the relationship between all indicators is mathematically proven. In addition, all data for 2014–2018 showed positive growth dynamics. This cannot be argued after their normalization by macroeconomic indicators. According to the normalized data on the minimum wage, in 2017 there was a significant decrease in indicators with a slight increase compared to 2018. A positive fact is the growth of financial indicators during 2014-2018, which were normalized to the subsistence level for the working population. In 2015, there was a sharp decrease in the values of all financial indicators normalized at the dollar exchange rate, which is the result of fundamental changes in the monetary policy in the country. The indicated indicators reached the minimum value in 2016. The indicators normalized by the value of the minimum food basket showed a zigzag pattern of changes in all indicators with a sharp drop in data in 2016 and their subsequent increase in 2017. All indicators that were normalized by the minimum wage, the NBU dollar exchange rate, the value of the minimum food basket in 2018, did not reach the initial values typical for 2014.Conclusions. The health insurance market was characterized by complexity of development and dependence on the main macroeconomic indicators used in the calculation of many socially significant indicators of the development of society. Negative trends in the development of the segment of the health insurance market were due to the direct or delayed influence of changes observed in the macroeconomic environment during the socio-economic crisis

Highlights

During the years of Ukraine's independence, the financial market has developed despite adverse political crises and economic turmoil, lack of consistent public policy, lack of confidence in financial institutions, etc. [1, 2]
Noteworthy are the works in which the authors analyze the problems and prospects of the relationship between employers and insured persons under the agreements of collective or mandatory health insurance market (HI) (MHI) public servants [11, 12]
Issues of development of the HI market, current tendencies of its transformation into social relations between different social groups of the population are presented in the works of economists [13, 14]

Summary

Introduction

During the years of Ukraine's independence, the financial market has developed despite adverse political crises and economic turmoil, lack of consistent public policy, lack of confidence in financial institutions, etc. [1, 2]. An important role in the work of foreign authors is given to a critical analysis of the development of HI in the context of the development of health care systems in developing countries [8, 9] and increasing the impact of risks on the effectiveness of insurance relations in the market of medical and pharmaceutical services [10]. The high market risks of conducting insurance operations in these groups of population cause insufficient level of accessibility to HI programs, so consideration of the peculiarities of forming a socially and ethically oriented tariff policy in the HI market in this direction deserves attention from state institutions [18, 19]

Objectives

Methods

Results

Conclusion