• Title/Summary/Keyword: Moral hazard

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Private Health Insurance and the Use of Health Care Services: a Review of Empirical Research in Korea (민영의료보험이 의료이용에 미치는 영향 : 국내 실증적 연구의 고찰)

  • Kim, Seung-Mo;Kwon, Young-Dae
    • The Korean Journal of Health Service Management
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    • v.5 no.4
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    • pp.177-192
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    • 2011
  • The arguments exist that private health insurance(PHI) policy holders tend to use the health care services more than non-policy holders due to their little out-of-pocket spending, resulting in the adverse effects on the finances of National Health Insurance. This study aims to increase the objective understanding of the issue and to draw a direction of further research, by reviewing the articles, reports and statistics which examined the effects of purchasing PHI policies on health care utilization. Significant differences in healthcare utilization, except for the very partial increase of utilization in outpatient settings, have been not found. The similar trends of the results have existed in a few previous studies which tried to control the endogeneity of medical use and health insurance with latent variables which affect the decision on medical use and health insurance. However, we can not exclude the potential change of healthcare utilization patterns because the portion of the insured of indemnity PHI is becoming rapidly larger in the market. For further research, we should try to obtain the objective information of subjects' past medical history, health status, health related behavior, and income affecting purchase of PHI and utilization of healthcare services. And the efforts of controlling the endogeneity of medical use and health insurance with latent variables which affect the decision on medical use and health insurance, are very considerable.

A Study on the Agency Theory and Accounting (에이전시이론과 회계감사에 관한 연구)

  • 공해영
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.12 no.20
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    • pp.123-138
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    • 1989
  • The primary objective of the agency research in the game theory lives in the maintenance of Pareto is optimal condition for the optimal incentive contract. The basic concepts which are related to this objective are reviewed in connection with the general assumptions to model it, the moral hazard and adverse selection which arised from the information asymmetry, and finally the problem of risk distribution. The demand for auditing and the role of auditor have been addressed by ASOBAC. Issues which an auditor is explicitly introduced in a principal-agent framework have been addressed in this paper. These issues must be confronted to appropriately with the auditor, and to achieve an adequate understanding of optimal confronting arrangement with the auditor. The first step in introducing an auditor into this analysis is to examine the game-theoretic foundation of such a expended agency model. The Mathematical program formulated may not yield solution that are resonable. This arises because the program may call for the auditor and manager to play dominated Nash equilibra in some subgame. The nontrivial natures of the subgame implies that randomized strategies by the auditor and manager nay be of crucial importance. The possibilities for overcoming the randomized strategy problem were suggested; change the rule of the game and or impose covexity condition. The former seems unjustifiable in on auditing context, and the latter promising but difficult to achieve. The discussion ended with an extension of the revelation principle to the owner manager-auditor game, assuming strategies. An examination of the restriction and improvement direction of the basic concept of agency theory was addressed in the later part of this paper. Many important aspects of auditor incentives are inherently multiple-agent, multiple-period, multiple-objectine, phenomena and require further analyses and researches.

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Comparing the Inflow Rate of Sewage Treatment Plants Invested by the Public Funds or Public-Private Partnership (PPP) Projects (재정사업과 민간투자사업의 하수처리장 하수유입률 특성분석)

  • Lee, Wonseok;Cho, Eunju;Son, Younggyu;Khim, Jeehyeong
    • Journal of Korean Society on Water Environment
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    • v.25 no.5
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    • pp.778-784
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    • 2009
  • The purpose of this study is to figure out the differences of the inflow rates of Sewage Treatment Plants (STP), invested by public fund or public-private partnership (PPP). This paper finds that the average ratio of sewage inflow according to facility capacities (medium and small scale STP) was either nearly below 30% or above 100% in the first year. As the size of STP increased, there was decrease in the accuracy of demand assumption. This was because the operation time when the ratio of sewage inflow was uniform was different according to the size of STP, whereby the time was short when the STP were small. The design average ratio of sewage inflow was 10% larger than the real average ratio; this was considered overdesigned. In the case of a plant built by the PPP scheme, the average ratio of inflow of the STP before an abolition of MRG was larger than after the abolition of MRG. This may be explained by moral hazard from too much reliance on MRG. After the abolition of MRG, the demand risk of PPP was shifted from a PPP project to a conventional project.

An analysis on Television news frame on irregularities at private schools (사학비리에 대한 텔레비전 뉴스 프레임 분석)

  • Lee, Seohyoen;Choi, Jinbong
    • Korean journal of communication and information
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    • v.80
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    • pp.224-253
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    • 2016
  • In this study, we analyzed the television news frames related to private school irregularities. Television broadcasting stations have not dealt with underlying problems of private school irregularities, but their reporting have been focused more on stating the situations. While Public announcing frame, Interference and solutions frame, Moral hazard frame and Protests and strikes frame have been applied in reporting, Autonomy highlighted frame and Publicity highlighted frame which are fundamental to the existence of private schools hardly appeared. In particular, the adhesion between private schools and political power has been continuously pointed out to be a cause of raising problems, whereas articles with such perspectives were hard to find. As a result, television broadcasting stations are required to change the way in reporting of private school irregularities in order for a lively discussion about them as the social agenda.

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Considerations in Allowing Voluntary Non-Reimbursable Treatments from a Public Law Perspective - A Commentary on Supreme Court Judgment 2010 Doo 27639, 27646 (ruled on June 8, 2012 by the Grand Bench) - (임의비급여 진료행위의 허용여부에 관한 공법적 고찰 - 대법원 2012. 6. 18. 선고 2010두27639, 27646 전원합의체 판결에 대한 평석 -)

  • Ha, Myeong-Ho
    • The Korean Society of Law and Medicine
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    • v.14 no.2
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    • pp.173-214
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    • 2013
  • Traditionally, the Supreme Court has held that medical treatment agreements covered by national health insurance should be distinguished from other medical treatment agreements which are viewed as a consummation of the autonomous free will between doctor and patient. Namely, the Supreme Court views medical treatment agreements covered by national health insurance to be bound by the National Health Insurance Law with the intent to promote the applicability and comprehensiveness of the national health insurance scheme. Yet, issues of voluntary non-reimbursable treatments are triggered not only by the mistakes or moral hazard of medical care institutions but also by systemic limitations of national health insurance coverage criteria. Thus, there is a need for legislative measures that allow certain medical treatments to be included or reflected in the national health insurance coverage system so that patients may receive prompt and flexible medical treatments. To reflect such concerns, the Supreme Court made an exception for voluntary non-reimbursable treatments and developed a strict test to be applied in such cases in Supreme Court Judgment 2010 Doo 27639, 27646 (ruled on June 8, 2012 by the Grand Bench). Such judgment, however, is not a fundamental overturn of the Supreme Court's prior rulings that voluntary non-reimbursable treatments are not allowed under the law. It is only a slight revision of its previous stance for cases in which there is a lack of legislative measures to make coverage of a new yet valid medical treatment possible under the current national health insurance coverage system.

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A Study on Intention to Pirate Digital Video by an Integrated Model of TPB, TIB, and Neutralization (TPB, TIB 및 중화기술의 통합적 모형에 의한 디지털 영상물 불법복제 의도에 관한 연구)

  • Noh, Gyoung-Soo;Sim, Wan-Jun;Shin, Ho-Kyun
    • The Journal of Information Systems
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    • v.23 no.4
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    • pp.197-219
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    • 2014
  • Despite of continuous efforts to crack down on piracy using penalties and regulations, this unauthorized piracy market is still enormous. Since the moral hazard about this phenomenon is pervasive and continually upsets the major intellectual property markets, an alternative plan is required. The purpose of this study is to provide an objective insight for factors that affect people's digital video piracy behavior. The following two research propositions were the focus: what psychological factors affect piracy behavior and how are these factors related to one another? In order to accomplish the research aims, we reviewed literatures on the current state of piracy in South Korea, characteristics of digital contents, studies on criminal psychology and behavioral theories. Previous research in the fields of criminal theory indicated that neutralization, a form of rationalization, would help explain digital piracy intentions. Thus, this study developed a model that explains effects of neutralization techniques and tested the possibility of an integrated model with other behavioral theory such as TPB and TIB. Empirical results of the study(368 sample collected) showed that all the factors in TPB including Attitude to Piracy(+), Subjective Norm(-), Perceived Behavioral Control(+) had a significant impact on Piracy Intention. Moreover, two neutralization techniques, Condemn the Condemners(+) and Appeal to Higher Loyalties(+), had a significant effect on Piracy Intention. In addition, Past Behavior had strong impacts on Attitude(+), Perceived Behavioral Control(+) and Piracy Intention(+). In terms of Expected Profit, it had an impact on Attitude to Piracy positively. These findings suggest implications for protecting the current intellectual property markets, with many stakeholders in movies and media industries. There are some limitations as followed: first, the study did not consider other neutralization techniques, low level of deterrence and the other expected results despite the possibility of their effects. Second, the study needs improvements through longitudinal research because the cross-sectional research could not rule out the alternative explanations.

A Study on the Causes of Information Privacy Concerns and Protective Responses in e-Commerce: Focusing on the Principal-Agent Theory (전자상거래에서 정보 프라이버시 염려를 유발하는 원인과 보호반응에 관한 연구: 주인-대리인 이론을 중심으로)

  • Kim, Jongki;Kim, Jinsung
    • The Journal of Information Systems
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    • v.23 no.4
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    • pp.119-145
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    • 2014
  • Under the premise that information privacy concerns can atrophy e-commerce by causing particular behaviors of Internet users, this study focused on exploring the causes of information privacy concerns, the related information privacy protective responses of Internet users, and measures for alleviating the information privacy concerns. This study is based on the 'principal-agent theory,' and established the following as factors that cause information privacy concerns of Internet users: perceived information non-transparency; perceived action uncertainty. Also, the information privacy concerns caused by the factors were established as the cause of information privacy protective responses of Internet users. Also, the concept of 'signaling' and 'incentive,' which were presented to solve the adverse selection and moral hazard issue in the host-agent theory, was introduced to establish the following as factors that alleviate information privacy concerns: trust; informativeness. Those factors were included in the research model to conduct an empirical analysis. The analysis has revealed that both the perceived information non-transparency (p<0.01) and perceived action uncertainty (p<0.01) as to websites had a significant impact on information privacy concerns. Also, information privacy concerns of Internet users (p<0.01) had a significant impact on their information privacy protective responses who strive to protect their personal information. In addition, when trust and informativeness, which were established as factors that can alleviate information privacy concerns, were empirically analyzed, trust and informativeness had the effect of alleviating information privacy concerns. Based on the findings, the following was confirmed: Boosting the trust of Internet users in websites and offering useful information related to personal data can play a key role in alleviating the information privacy concerns of Internet users.

The Governance and Agent Problems of Public Agency: Focused on the Port Authority of New York and New Jersey (공기업 거버넌스 제도와 대리인 문제: 뉴욕.뉴저지 항만공사를 중심으로)

  • Kang, Yun-Ho
    • Journal of Navigation and Port Research
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    • v.33 no.10
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    • pp.743-756
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    • 2009
  • This paper tries to analyze how the governance institutions of the Port Authority of New York and New Jersey overcome agent problems in public agencies based on the Principal-Agent Theory, and find the implications that will be helpful to the governance of port authorities in Korea. The Port Authority's governance is characterized by decentralization of personnel rights, open meetings policy, freedom of information policy, public hearings, and fiscally self-supporting system. Those characteristics are helpful in overcoming the agent problems of public agency, such as adverse selection, moral hazard, and complicated external structure, through reinforcing of monitoring agent by principal, easing of information asymmetry between principal and agent, and clarification of organizational ownership structure. Those characteristics may give many implications for the design of governance structures of port authorities in Korea.

A Study on Development of the Individual Training Account System in Korea (직업능력개발계좌제훈련의 발전방안)

  • Yoo, Kil-Sang
    • The Journal of Korean Institute for Practical Engineering Education
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    • v.2 no.2
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    • pp.99-104
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    • 2010
  • The Individual Training Account System(ITAS) is a new vocational training system for the unemployed in Korea. This paper analysis ITAS based on the theoretical framework of contracting-out public services. The results show that ITAS has problems of targeting and mismatch with the training needs of the industry. Also the possibility of the moral hazard problems of training institutions and trainees can be increased in ITAS. The unstability of training market may deteriorate the quality of the vocational training under ITAS. In order to solve these problems, there should be consulting services on the job finding and vocational training before issuing the training account so that trainees can take guided training courses according to industrial needs for vocational training. Government has to develop a more efficient monitoring and evaluation system on the vocational training institutions and to restructure the private training market based on the evaluation.

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Differences of Cancer Patient's Health Care Utilizations between Medical Aid Program and National Health Insurance in the Elderly (노인 암환자의 건강보험과 의료급여 이용차이 분석)

  • Lee, Yong-Jae
    • The Journal of the Korea Contents Association
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    • v.11 no.5
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    • pp.270-279
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    • 2011
  • This study to analyze differences of cancer patient's health utilizations in medical aid program and national health insurance by analysing health insurance claims data, and identify effects of health care systems. The majors results of the research were as follows. First, cancer patients in medical aid program more used total medical expenditures than in national health insurance mostly by many outpatient visits and long term hospitalization. Second, results of multiple regression, cancer patients in medical aid program more used total expenditures and inpatient expenditures. But, outpatient expenditures weren't different, cancer patients in medical aid program more visited medical institutions and hospitalized long term periods than in national health insurance. Therefore, it is too early to conclude that moral hazard is in health utilizations of medical aid program, because cancer patients in medical aid program many use in benefits for many nonbenefit burdens.