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Research on the reverse selection effect of basic medical insurance for flexibly employed people—from the perspective of health risk cognitive bias

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DOI: 10.23977/socsam.2024.050211 | Downloads: 1 | Views: 53


Gu Hualei 1, Feng Guanggang 2


1 School of Finance and Public Administration, Anhui University of Finance and Economics, Bengbu, China
2 School of Finance and Public Administration, Bengbu, China

Corresponding Author

Gu Hualei


With the rapid development of the Internet economy, flexible workers play an increasingly important role in the labor market. However, the low participation rate of flexible employees not only restricts the improvement of fairness and sustainability of medical insurance system, but also hinders the healthy development of this group and new business and new economy, which has become a social problem worthy of attention. Based on this, this study analyzes the health insurance choice behavior of flexible employees from the perspective of cognitive bias by using probit model and using the data of china household follow-up survey in 2020. The study found that the more blindly optimistic individuals are more reluctant to buy health insurance; conversely, the more pessimistic individuals are more willing to buy health insurance. 


Medical insurance, reverse selection, health risk cognitive bias


Gu Hualei, Feng Guanggang, Research on the reverse selection effect of basic medical insurance for flexibly employed people—from the perspective of health risk cognitive bias. Social Security and Administration Management (2024) Vol. 5: 79-87. DOI:


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