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Medical Savings Accounts: international experiences in an adverse scenario of risk individualization

This study provides an overview of the product health savings accounts. It provides information about its features and implantation in national health systems. It deals with a revision on literature related to Medical Savings Accounts (MSA) with different views on the applicability of the product, in order to place it into the context of risk individualization, current trends in some operating systems of Living Well in the world. In the course of the work we can find detailed experiences of MSA in Singapore, USA and South. The outcome of the literature review shows the inadequacy of the product concerning the control of health costs, and points out its misuse that might cause unfavorable impacts in public health.

Health-plan; Health savings accounts; Risk-individualization; Health-accountability


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