Insurance Benefits Research Articles

How does land subsidy policy affect economic performance? Theory and evidence from China

ABSTRACT The causes and consequences of governments’ land subsidy policy aiming for promoting industry development have been little studied. We measure the degree of industrial land subsidy from the spatial perspective by the price ratio of neighbouring commercial and residential land to the industrial land which firm purchased from local governments. By merging data of Chinese listed firms with land transaction data over 2007–2017, we find that industrial land subsidy is related to political connection and governments’ selective industry policy. We also find that industrial firms received land subsidies have lower productivity and profitability. Our results indicate the inefficiency of industrial land subsidy policy. We interpret these findings as evidence of the resource curse of subsidies, where the industrial land subsidy policy benefits firms at the expense of efficiency. Policy of reshaping the incentives of local governments is recommended to correct the distortion of land subsidy policy.

Medicaid managed care restrictions on medications for the treatment of opioid use disorder.

To examine whether Medicaid managed care plan (MCP) utilization management policies for buprenorphine-naloxone and injectable naltrexone are related to key state Medicaid program policy decisions. We abstracted data on state Medicaid regulatory and policy information from publicly available sources and publicly available insurance benefit documentation from all 241 Medicaid MCPs operating in 2021. In this cross-sectional study, we used bivariate and multivariate analyses to examine whether Medicaid MCP prior authorization and quantity limits on receipt of buprenorphine and injectable naltrexone were associated with key state Medicaid choices to leverage federal funds to expand coverage and eligibility (Medicaid expansion, 1115 waivers) and to regulate Medicaid MCPs (uniform preferred drug lists, medical loss ratio remittance). Models were adjusted for MCP characteristics, including profit status, behavioral health contracting arrangement, National Committee for Quality Assurance accreditation, size, market share, and state opioid overdose death rates. Average marginal effects (AME) were reported. Utilization management was common among MCPs, and restrictions were more commonly applied to buprenorphine than injectable naltrexone, despite its higher cost. States that required MCPs to comply with utilization management policies stipulated in a uniform preferred drug list were more likely to require prior authorization for buprenorphine (AME: 0.29, 95% CI: 0.15-0.42) and injectable naltrexone (AME: 0.25, 95% CI: 0.12-0.38). MCPs in states that required plans to pay back earnings above a certain threshold were less likely to require prior authorization for buprenorphine (AME: -0.30, 95% CI: -0.43 to -0.18). Restrictions on medications for opioid use disorder are widespread among MCPs and vary by medication. State Medicaid regulatory and policy characteristics were strongly linked to MCPs' utilization management approaches. State Medicaid policy and contracting approaches may be levers to eliminate utilization management restrictions on medications for opioid use disorder.

Legal Protection for Workers on Job Loss Guarantee in the Tourism Sector

In Indonesia, labo u r social security is a right of workers, as exemplified by the provision of job loss insurance . In essence, social security is designed to ensure that workers retain a decent standard of living in the event of job loss. One of the most frequently demanded rights of workers is the right to social security. The Indonesian Social Security Administration Body (BPJS) programme comprises two distinct categories: social security for health and social security for employment . The following ques tion is posed: How is the job loss insurance programme in the tourism sector implemented at BPJS Ketenagakerjaan Cabang Bali Gianyar ? Furthermore, what form of legal protection is afforded to workers who lose their jobs in accordance with Indonesian Govern ment Regulation No. 37/2021 on the implementation of the Job Loss Insurance Program? Methodology: empirical research employing a soc iological approach. The findings indicate that the implementation of the job loss guarantee programme at BPJS Ketenagakerjaa n Gianyar is conducted in accordance with the submission of job loss insurance claims from workers who have been laid off. At PT CH B Villa, 26 workers who experienced layoffs were eligible to receive the benefits of job loss insurance , including 24 worker s (92%) who were entitled to receive them and two workers (8%) who were not. In conclusion, the implementation of the job loss insur ance programme at the Villa of PT CHB Gianyar has been effective in providing legal protection and benefits for laid off wo rkers. In the event that an employer violates the rights of a dismissed worker, the employer may be subject to administrative sancti ons in accordance with the provisions of Article 46 of Indonesi an Government Regulation No. 37/ 2021 concerning the implement ation of the job loss insurance . These sanctions may include written warnings to the employer and the cessation of certain public se rvices.

A Study of the Connection Between Health Insurance Literacy and Health Status: Evidence from the US Healthcare Reform Monitoring Survey.

This study examines the relationship between health insurance literacy, as indicated by confidence in comprehending health insurance terms, and health status using cross-sectional data from 8 waves of the Health Reform Monitoring Survey (HRMS), covering 61,895 individuals from 2013 to 2017. An ordered logistic regression model was employed with self-rated health status on a five-point Likert scale as the dependent variable and the score of confidence in understanding health insurance terms as the primary independent variable. The model adjusts for variables such as access to care, insurance status, concerns about affordability leading to missed care, household size, family income, employment, education, race, marital status, and gender. Results suggest a positive association between higher confidence in understanding health insurance and superior health statuses. These findings underscore the significance of improving health insurance literacy and advocating for potential policy interventions to enhance public understanding of health insurance benefits and coverage options.

State-led smart city policy changes and impacts on urban growth and management: a study of 118 Chinese smart cities

ABSTRACT The implementation of smart city policies is a time-consuming process. Although policy managers are constantly monitoring and improving policy implementation, exploring the phased impact of smart city policies on cities’ development is crucial for enhancing policy implementation in the subsequent phase. However, few studies have comprehensively analyzed the stage-specific implications of smart city policies on the sustainable urban development of China’s smart cities. Therefore, this study utilized multiple regression analysis to examine the correlation between 10 indicators and Smart City Scores by investigating changes in the urban development of 118 Chinese cities from 2013 to 2020. The results show that: (a) Smart city policies have impacted cities differently over the years. (b) Smart cities significantly improve per capita income, services, mobile communication, and urban density, thereby shedding light on the potential benefits of smart city policies. (c) State-led smart city policies significantly impact cities’ sustainable urban growth and development. This study highlights the crucial role of aligning the policies of the national and local governments. This alignment is necessary for formulating urban development plans geared toward the establishment of smart cities.

Big data development and labor income share: Evidence from China's national big data comprehensive pilot zones

In the midst of the rapid development of the digital economy, data has emerged as a new core production factor. It not only creates value for producers but also benefits the majority of ordinary workers, playing a crucial role in optimizing income distribution and promoting common prosperity. Utilizing data from Chinese A-share listed companies from 2012 to 2021, this study evaluates the impact of big data development on the labor income share of enterprises, employing the establishment of China's national big data comprehensive pilot zones as a quasi-natural experiment. Additionally, it examines the heterogeneity of this impact across regional, industry, and firm levels. The findings reveal that big data development significantly increases the labor income share of firms, mainly through mitigating labor mismatch, improving innovation capability, and upgrading human capital. Heterogeneity analysis shows that big data development exerts a stronger effect on eastern and labor-rich regions, high-tech and non-labor-intensive industries, big-data industries and low-competition industries, as well as state-owned and mature enterprises. This study provides policy insights on fully harnessing the benefits of big data pilot policy to increase labor income share, with important implications for developing countries.

Consumer Buying Behaviour Towards Life Insurance Post-COVID-19 in Ghana

The current study explores consumer buying behaviour towards life insurance among private basic school teachers in the Cape Coast Metropolis of Ghana, focusing on the post-COVID-19 landscape. Utilizing a descriptive survey design, data were gathered through a five-point Likert-type scale questionnaire and analyzed using various statistical methods, including frequencies, percentages, mean, standard deviation, and Pearson Product Moment Correlation. Using a population of 224 private school teachers, the results indicated that teachers primarily opt for life, hospital, and education support plans, signifying an aspiration to secure their future and further their education. The study underscores the imperative for financial resilience post-COVID-19 to protect the emerging middle class from reverting to poverty. Although teachers employ strategic coping mechanisms during the pandemic, they expressed concerns over delayed life policy settlements, which have compounded their challenges. Recommendations include targeted engagement by insurance companies at private basic schools to elucidate the benefits of life policies, as well as the formulation of insurance packages that offer effective risk coverage and promote long-term investment, rather than merely focusing on tax benefits.

The (in)effectiveness of financial consumer protection: Quasi-experimental evidence from consumer finance in China

The booming consumer finance sector has grappled with internal and external challenges, which call forth strong regulatory responses to financial consumer protection (FCP). Existing studies, however, have explored the economic consequences of FCP from a macro or meso perspective and failed to evaluate the overall effectiveness of the FCP framework. To remedy this, we collected a novel dataset from an online complaint platform in China, which included over 12,000 real-world complaints from March 2019 to September 2022. Built on the dataset, we employ a regression discontinuity in time approach to examine the effect of a representative FCP policy (i.e., Implementation Measures of the People's Bank of China for Protecting Financial Consumers' Rights and Interests) on the average rating of the consumers' perception of dispute resolution. We confirm the effectiveness of the FCP policy in improving dispute resolution, and the results remain robust for a series of tests. Moreover, the effectiveness of the FCP policy varies in different aspects of perceptions and complaint topics. The heterogeneous analysis demonstrates that first-mover and foreign-shareholding consumer finance companies are more responsive to the Measure. Finally, regulatory punishment and media attention are two channels in which FCP policy benefits consumers' perception of dispute resolution. We further discuss some important policy and managerial implications.

Relationship between universal health insurance benefits and prostate cancer mortality in Colombia.

Prostate cancer is the most common cause for cancer mortality among men in Colombia. Law 100, in 1993, created a contributory regime (private insurance) and subsidized regime (public insurance) in which the subsidized regime had fewer benefits. However, Ruling T760 in July 2012 mandated that both systems must offer equal quality and access to healthcare. This study examines the impact of this change on prostate cancer mortality rates before and after 2012. Prostate cancer mortality records from 2006 to 2020 were collected from Colombia's National Administrative Department of Statistics (DANE). Crude mortality was calculated by health insurance for different geographic areas and analyzed for changes between 2006 and 2012 and 2013-2020. Join-Point regressions were used to analyze trends by health insurance. Crude mortality rates in the contributory regime had a non-statistically significant decrease from 2006 to 2012 (AAPC= -1.32%, P = 0.14, 95% CI= -3.12, 0.52). In contrast, between 2013 and 2020 there was a non-statistically significant increase in crude mortality (AAPC 1.10%, P = 0.07, 95% CI= -0.09, 2.31). Comparatively, crude mortality in the subsidized regime, from 2006 to 2012, increased with a statistically significant AAPC of 2.51% (P < 0.001, 95% CI = 1.21, 3.83). From 2013 to 2020, mortality continued to increase with statistically significant AAPC of 5.52% (P < 0.001, 95% CI = 4.77, 6.27). Compared to their crude mortality differences from 2006 to 2020, from 2013 to 2020, the departments of Atlántico, Córdoba, Sucre, Arauca, Cesar, and Cauca had the highest rates in prostate cancer mortality in the subsidized regime compared to the contributory regime. Ruling T760 did not positively impact prostate cancer mortality, particularly of men in the subsidized regime.

Analisis Strategi Pengembangan Infrastruktur Asuransi Syariah Terintegrasi Di Era Digital

This study aims to analyze the strategies required by Islamic insurance companies to enhance their infrastructure in the digital era. The primary issue identified is the inadequate development of infrastructure, which hinders the companies' ability to compete effectively in an increasingly competitive market. A qualitative approach employing the Multi-Factor Evaluation Process (MFEP) was used to evaluate and identify the most relevant strategies to address the challenges and capitalize on the opportunities presented by the digital era. The findings reveal that Islamic insurance companies require a set of integrated infrastructure development strategies. The recommended strategies include, (1) Developing differentiated products tailored to market needs, which can expand the customer base and enhance product appeal, (2) Enhancing human resource professionalism through continuous training and competency development to strengthen internal capabilities and respond to market dynamics, (3) Optimizing corporate governance by implementing advanced digital technologies to improve operational efficiency, reduce costs, and enhance service quality and (4) Intensifying product promotion efforts and increasing consumer literacy, including more aggressive education about the benefits of Islamic insurance to raise public awareness and understanding. In conclusion, the implementation of these strategies is crucial for supporting the long-term growth of Islamic insurance companies. An integrated infrastructure that is responsive to technological changes will strengthen the companies' competitive position, enabling them to be more adaptive to the evolving market needs and fully leverage the opportunities offered by the digital era. This approach will also enhance consumer trust and expand the market reach of Islamic insurance.

The benefits (or detriments) of adapting to demand disruptions in a hospital pharmacy with supply chain disruptions.

Supply chain disruptions and demand disruptions make it challenging for hospital pharmacy managers to determine how much inventory to have on-hand. Having insufficient inventory leads to drug shortages, while having excess inventory leads to drug waste. To mitigate drug shortages and waste, hospital pharmacy managers can implement inventory policies that account for supply chain disruptions and adapt these inventory policies over time to respond to demand disruptions. Demand disruptions were prevalent during the Covid-19 pandemic. However, it remains unclear how a drug's shortage-waste weighting (i.e., concern for shortages versus concern for waste) as well as the duration of and time between supply chain disruptions influence the benefits (or detriments) of adapting to demand disruptions. We develop an adaptive inventory system (i.e., inventory policies change over time) and conduct an extensive numerical analysis using real-world demand data from the University of Michigan's Central Pharmacy to address this research question. For a fixed mean duration of and mean time between supply chain disruptions, we find a drug's shortage-waste weighting dictates the magnitude of the benefits (or detriments) of adaptive inventory policies. We create a ranking procedure that provides a way of discerning which drugs are of most concern and illustrates which policies to update given that a limited number of inventory policies can be updated. When applying our framework to over 300 drugs, we find a decision-maker needs to update a very small proportion of drugs (e.g., ) at any point in time to get the greatest benefits of adaptive inventory policies.

Does the Concept of Green Development Promote High-Quality Urban Development?—An Empirical Analysis Based on the Pilot Policy of the “Zero-Waste City” in China

Since 2019, eighteen major ministries and commissions, including the National Development and Reform Commission, have launched trials for a “zero-waste city”. Shenzhen, Baotou, Tongling, and 16 other cities and regions have entered the practical operation stage, and the significance of the economic effect of the policy pilot needs to be tested through empirical evaluation. This study systematically gathers time series data from 281 prefecture-level cities in China from 2005 to 2022 and constructs an innovative experimental framework for the construction of a zero-waste city. It implements a series of rigorous robustness testing procedures using the difference-in-differences (DID) method to scientifically and objectively measure the actual effects of waste-free city construction strategies in promoting the city’s social development along a high-quality development path. This study provides deep insights into the zero-waste city construction strategy as a strong driving force. Our results indicate that the high-quality development stage has a positive impact on the city as a whole that cannot be ignored. At the same time, in-depth analysis shows that this strategy exhibits strong regional differences in the process of promoting high-quality urban development. For the two core regions of eastern and central China, the implementation of zero-waste city policies has significantly accelerated the pace of high-quality development, and further analysis reveals that, compared with the developed eastern region, the implementation of this policy in the central region has achieved superior results in terms of high-quality development. Third, the benefits of waste-free city policies are related to the economic bases of cities, the number of green patents granted, national policies, geographical location, and other factors.

Psychometric Validation of the Brief Outcome Survey: A Transdiagnostic Tool for Measurement-Based Care

ABSTRACT Background Measurement-based care (MBC) is a fundamental component of evidence-based psychotherapy that has the potential to improve the landscape of behavioral and mental health (BMH) care for youth and families. Objective The purpose of this study was to assess the reliability, validity, and clinical utility of the Brief Outcome Survey (BOS) when used as part of a comprehensive MBC approach during a course of evidence-based psychotherapy. Method The BOS is a three-item transdiagnostic tool designed to measure the impact of youth’s symptoms/conditions on functioning. Demographic and clinical data were obtained via a retrospective chart review of 75,000+ unique patient encounters over a period of 15 years. Internal consistency, test re-test reliability, construct validity, validity generalization, and clinical utility were assessed. Results Data were analyzed from 8,665 youth (Mage = 11.8 years; 57.2% biological female). The internal consistency coefficient (e.g. Cronbach’s alpha) ranged from 0.80–0.83 (first and second BOS administration). The single measure intraclass correlation coefficient was 0.66 (p < .001). Intraclass correlations between the BOS and the PHQ-9, GAD-7, and CY-BOCS were moderate. No significant differences were found by age. Cronbach’s alphas for the age groups ranged from 0.79–0.82. BOS scores were higher at baseline for biological females compared to males, t(8235) = 2.29, p < .001. Similarly, BOS scores were higher at baseline for youth receiving public versus private health insurance benefits, t(8032) = 2.29, p < .05. A one-way ANOVA revealed significant differences in BOS scores by diagnosis group and Cronbach’s alpha for the BOS was above 0.80 across all five diagnosis groups analyzed. Conclusions The BOS demonstrated evidence of strong psychometric properties and clinical utility, as a session-by-session transdiagnostic MBC tool.

Anticipated benefit termination and health care consumption responses: Evidence from a quasi-experiment

This study is among the first attempts to explore the behavioral responses of anticipated preferential treatment retraction from low-income individuals in the context of health insurance. Utilizing a unique quasi-experimental setting in China, we capture health care demand responses to anticipated benefit termination using a difference-in-differences design. We find a significant increase in individuals’ inpatient health care consumption in anticipation of losing generous insurance benefits. We further investigate the increased consumption and the results suggest that it is largely associated with providing necessary treatments. Additionally, we do not find evidence of supplier-induced demand. In terms of heterogeneity, we find that individuals with chronic disease history, more education, and higher income tend to be more responsive in increasing their health care consumption. While policy evaluations usually focus on the effects upon implementation, our findings shed light on the end-of-benefit responses, and the importance of providing education sessions and liquidity support on individuals’ dynamic decision-making, these findings are meaningful in fully evaluating the impact of insurance contractions.

Analysis of Dental Prosthetic Treatment in Patients with Cancer Aged 65 Years and Older after Expanded Health Insurance Coverage: A Retrospective Clinical Study.

Background and Objectives: With increases in cancer incidence and the number of cancer survivors, the demand for cancer management is growing. However, studies on dental prosthetic treatment for patients with cancer are rare. We aim to investigate the dental prosthetic treatment in patients with cancer aged ≥65 years after expanded health insurance coverage. Materials and Methods: This retrospective study included patients who were treated with implants and removable dentures at Ulsan University Hospital in South Korea between June 2015 and June 2023. Data on age, sex, cancer location, comorbid systemic diseases, number of remaining teeth, dental prosthetic treatment history, type of dental prosthetic treatment, and insurance coverage status were extracted from patient medical records and panoramic radiographs. The influence of multiple variables on dental prosthetic treatment was analyzed using the Chi-square and Fisher's exact tests. Results: The study included 61 patients with cancer (32 men, 29 women; average age: 70.9 years). Among them, 56 (91.8%) had insurance coverage benefits, and 34 (55.7%) received treatments such as implants, removable partial dentures, or complete dentures for the first time. Treatment types included 37 (60.7%) cases of implant prostheses and 24 (39.3%) conventional removable dentures. No statistical differences were observed in the type of dental prosthetic treatment according to sex, age, cancer location, number of systemic diseases, and dental prosthetic treatment history (p > 0.05). Patients with <10 remaining teeth received treatment with conventional removable dentures, which was statistically significant (p < 0.001). Conclusions: Of the 61 patients, 56 (91.8%) received insurance benefits, and 34 (55.7%) underwent dental prosthetic treatment for the first time. Within the limitations of this retrospective study, the expanded health insurance coverage alleviated the unmet demand for dental prosthetic treatment. As cancer prevalence continues to increase, expanding customized health insurance coverage is crucial to meet this demand.

ABHW announces new leadership, Greenberg retirement

The Association for Behavioral Health and Wellness (ABHW), the national voice for payers that manage behavioral health insurance benefits for over 200 million people, announced Sept. 10 that ABWH president and CEO Pamela Greenberg will retire after 26 years at the helm of the association. Debbie Witchey has been appointed the next president and CEO, effective Oct. 1, 2024. Greenberg plans to retire in November 2024. Under Greenberg's leadership, ABHW successfully advocated for numerous policy changes that have positively impacted the delivery of mental health and substance use disorder care, from the development and approval of national behavioral health billing codes to the passage of the Mental Health Parity and Addiction Equity Act and changes to substance use disorder privacy laws that allow care to be better integrated and coordinated. Witchey most recently served as executive vice president and chief operating officer at the Healthcare Leadership Council (HLC) where she cultivated productive board relations, member recruitment and retention, strategic planning and financial oversight activities in addition to advocating for all sectors of the health care industry in lobbying Congress on key issues affecting HLC members, including access and coverage, population health and Medicare.

Analysis of the spatio-temporal distribution of Chinese professional football clubs and influential factors based on empirical evidence of clubs

The frequent relocation of professional football clubs is a phenomenon unique to Chinese professional football, which has long attracted extensive attention from policy makers and scholars. Using data on spatial geography and competitive levels between 1994 and 2021, this research explores the spatial distribution and migration characteristics of top professional football clubs in China, in which GIS spatial analysis and exploratory spatial data analysis (ESDA) were used to analyze the influence of the regional economic, demographic, and developmental levels of the sports industry and institutional supply on the distribution and migration of clubs. The results indicate the following: (1) the overall spatial distribution of professional football clubs in China shows the pattern of “more in the east and less in the west”, and the degree of club concentration gradually increases over time; (2) the migration frequency and downward migration of professional football clubs in China gradually decreased during the period of C League and CSL, and the overall situation tends to be stable; and (3) in the early stages of development of professional leagues, changes in ownership and local policy supply had a significant impact on the distribution and migration of professional clubs. As time progressed, the top-down design of institutional arrangements changed, and the regional economic, demographic, and developmental levels of the sports industry gradually became the essential determinants of the distribution and migration of professional football clubs. In the future, Chinese professional football clubs should focus on rationalizing the advantages of the regional economy, demography, and sports industry as well as reducing their reliance on short-term resources, such as corporate investment and policy benefits.

Immediate Breast Reconstruction After Mastectomy for Cancer Among US Military Health System Beneficiaries.

In the Military Health System (MHS), women with breast cancer may undergo surgical treatment in military hospitals (direct care) or in the civilian setting via the insurance benefit (private sector care). We conducted this study to determine immediate breast reconstruction rates among women undergoing mastectomy for cancer in the MHS by setting of care. Using the linked Department of Defense's Central Cancer Registry and MHS Data Repository, the Department of Defense's medical claims database, we identified adult women who underwent mastectomy for breast cancer from 1998 to 2014. Patients were then subgrouped by setting of care (direct vs private sector care). The primary outcome was the rate and type of immediate breast reconstruction. Regression models were constructed to determine factors associated with receipt of immediate breast reconstruction. The final sample included 3251 women who underwent mastectomy for cancer in the direct (67.0%) or private sector care (32.6%) settings. The overall rate of immediate breast reconstruction was 29.9% with an upward trend noted throughout the study (P < 0.001). Overall, implant-based reconstruction (81.4%) was more common than tissue-based reconstruction (18.6%). Compared with direct care, the immediate breast reconstruction rate was significantly higher in the private sector care setting (49.3% vs 20.5%, P < 0.001) despite accounting for differences in clinical characteristics (adjusted odds ratio = 4.51, 95% confidence interval [3.72-5.46]). Immediate breast reconstruction in the direct care setting lags that in the civilian community during the study time period. Further research is needed to ascertain current immediate reconstruction rates and understand factors contributing to any differences in rates between care settings.

Equity considerations for the implementation of health insurance benefit package in Ethiopia: result of expert Delphi exercise

BackgroundEfficiency, equity and financial risk protection are key health systems objectives. Equitable distribution of health care is among the priority strategic initiative of the government of Ethiopia. However, data on the distribution of interventions benefits or on disease burden disaggregated by subpopulations to guide health care priority setting is not available in Ethiopia.MethodsAligned with policy documents, we identified the following groups to be the worse off in the Ethiopian context: under-five children, women of reproductive age, the poor, and rural residents. We used the Delphi technique by a panel of 28 experts to assign a score for 253 diseases/conditions over a period of two days, in phases. The expert panel represented different institutes and professional mix. Experts assigned a score 1 to 4; where 4 indicates disease/condition predominantly affecting the poor and rural residents and 1 indicates a condition more prevalent among the wealthy and urban residents. Subsequently, the average equity score was computed for each disease/condition.ResultsThe average scores ranged from 1.11 (for vitiligo) to 3.79 (for obstetric fistula). We standardized the scores to be bounded between 1 and 2; 1 the lowest equity score and 2 the highest equity score. The scores for each disease/condition were then assigned to their corresponding interventions. We used these equity scores to adjust the CEA values for each of the interventions. To adjust the CEA values for equity, we multiplied the health benefits (the denominator of the cost-effectiveness value) of each intervention by the corresponding equity scores, resulting in equity adjusted CEA values. The equity adjusted CEA was then used to rank the interventions using a league table.ConclusionsThe Delphi method can be useful in generating equity scores for prioritizing health interventions where disaggregated data on the distribution of diseases or access to interventions by subpopulation groups are not available.

Producer Welfare Benefits of Rating Area Yield Crop Insurance

Index-based insurance is an innovative concept for evaluating agricultural risks and payouts, which uses an index instead of traditional on-site loss assessment. Area yield insurance, as an index-based approach, is an effective strategy to mitigate moral hazard and adverse selection issues. This study aims to develop area yield insurance as a new insurance plan in Iran for two major crops: wheat and barley. It utilized kernel and joint kernel distributions to price the insurance and assessed producer welfare benefits by comparing the certainty equivalence (CE) of farmers’ utility with and without the policy. Data were collected from East Azerbaijan Province, including county-level yield data for irrigated and rainfed wheat and barley from 1975 to 2019 and 446 individual-level yield data from 2015 to 2019. A two-stage method was used to model yield risk: the first stage fits a trend model, while the second estimates the yield distributions with the detrended data. The results showed a significant difference in premiums calculated by the two distributions, with joint kernel distribution offering the best empirical fit and reasonable premiums. The findings indicate that area yield crop insurance provides positive welfare benefits and should serve as a viable alternative or complement to existing yield insurance plans. The successful implementation of this policy in various countries suggests it can be a suitable risk management program for developing countries like Iran.