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{"id":21494,"date":"2026-04-04T10:55:46","date_gmt":"2026-04-04T07:55:46","guid":{"rendered":"https:\/\/modecon.mnau.edu.ua\/?p=21494"},"modified":"2026-06-03T09:56:49","modified_gmt":"2026-06-03T06:56:49","slug":"global-trends-in-the-development","status":"publish","type":"post","link":"https:\/\/modecon.mnau.edu.ua\/en\/global-trends-in-the-development\/","title":{"rendered":"Bilotskyi V. Global Trends in the Development of Voluntary Health Insurance: Analysis of Costs, Risks and Use of Medical Services"},"content":{"rendered":"<section class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text]<\/p>\n<table style=\"height: auto; border: solid 1px white!important;\" width=\"100%\">\n<tbody>\n<tr>\n<td style=\"border: solid 1px white!important;\"><strong>JEL Classification:<\/strong> <i><span style=\"font-weight: 400;\">I13; G22; I11; I18; H51<\/span><\/i><i><span style=\"font-weight: 400;\">.<\/span><\/i><\/td>\n<td style=\"text-align: right; border: solid 1px white!important;\"><b>DOI<\/b><span style=\"font-weight: 400;\">: <a href=\"https:\/\/doi.org\/10.31521\/modecon.V55(2026)-03\" target=\"_blank\" rel=\"nofollow noopener\">https:\/\/doi.org\/10.31521\/modecon.V55(2026)-03<\/a><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text][vc_column_text]<b>Bilotskyi Viktor, <\/b><span style=\"font-weight: 400;\">graduate student, Leonid Yuzkov Khmelnytskyi University Of Management And Law, Khmelnytskyi, Ukraine<\/span><\/p>\n<p><strong>ORCID:<\/strong> <a href=\"https:\/\/orcid.org\/0009-0004-8843-1522\"><span style=\"font-weight: 400;\">0009-0004-8843-1522<\/span><\/a><br \/>\n<strong>e-mail: <\/strong><a href=\"mailto:vngrouptg@gmail.com\"><span style=\"font-weight: 400;\"><a href=\"mailto:belotskyi2014@gmail.com\" target=\"_blank\" rel=\"noopener\">belotskyi2014@gmail.com<\/a><\/span><\/a><\/p>\n<p style=\"text-align: center;\"><b>Global Trends in the Development of Voluntary Health Insurance: Analysis of Costs, Risks and Use of Medical Services<\/b><\/p>\n<p><b><i>Abstract. Introduction<\/i><\/b><i><span style=\"font-weight: 400;\">. Voluntary health insurance has emerged as a critical component of healthcare financing systems worldwide, particularly in contexts where public healthcare resources are limited. This research addresses the urgent need to understand global trends in VHI development, particularly in terms of cost dynamics, risk management, and healthcare utilization patterns, which are essential for developing effective insurance strategies in emerging markets like Ukraine<\/span><\/i><i><span style=\"font-weight: 400;\">.<\/span><\/i><\/p>\n<p><b><i>Purpose<\/i><\/b><i><span style=\"font-weight: 400;\">. The study aims to investigate global trends in voluntary health insurance development through comprehensive analysis of costs, risks, and medical services utilization to formulate scientifically grounded recommendations for VHI market development in Ukraine.<\/span><\/i><\/p>\n<p><b><i>Results<\/i><\/b><i><span style=\"font-weight: 400;\">. The study identifies four key macrotrends in global voluntary health insurance development through systematic analysis of international empirical data. The research establishes that global voluntary health insurance development is characterized by the convergence of sustained medical cost growth, disease structure rejuvenation, proliferation of expensive innovative treatments, and rapid digitalization of medical services. The analysis reveals a dual effect: intensified financial pressure on insurers, employers, and households alongside enhanced value of voluntary health insurance as a tool for catastrophic cost protection. The study demonstrates that traditional cost-shifting approaches to insured individuals are insufficient and require transition to sophisticated risk management models combining preventive measures, targeted limits for high-cost diseases, and digital solutions. Strategic recommendations for Ukraine were formulated, emphasizing the need for mixed financing models adapted to national conditions and wartime challenges rather than mechanical copying of foreign approaches.<\/span><\/i><\/p>\n<p><b><i>Conclusions<\/i><\/b><i><span style=\"font-weight: 400;\">. Global trends in voluntary health insurance development are characterized by the convergence of sustained medical cost growth, rejuvenation of disease structure, proliferation of expensive innovative treatments, and rapid digitalization of medical services. This creates a dual effect: on one hand, increased financial pressure on insurers, employers, and households, and on the other hand, enhanced value of VHI as a tool for catastrophic cost protection and improved access to quality healthcare. For Ukraine, facing wartime and post-war challenges, this global trend presents both threats related to rapid medical cost inflation and opportunities for accelerated transition to more digitized, preventive, and catastrophic cost-focused VHI segments.<\/span><\/i><\/p>\n<p><i><span style=\"font-weight: 400;\"><b>Keywords<\/b>: voluntary health insurance; global health trends; medical inflation, cost management, insurance markets, healthcare financing, risk management.<\/span><\/i><\/p>\n<p style=\"text-align: center;\"><strong style=\"text-align: center;\"><b>References<\/b>:<\/strong><\/p>\n<ol>\n<li><span style=\"font-weight: 400;\">Mercer Marsh Benefits. (2025). <\/span><i><span style=\"font-weight: 400;\">Health trends 2025: Top health trends shaping employer-sponsored benefits<\/span><\/i><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">https:\/\/www.mercer.com\/en-om\/insights\/total-rewards\/employee-benefits-optimization\/top-health-trends-for-2025\/<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\">WTW. (2025). <\/span><i><span style=\"font-weight: 400;\">2026 global medical trends survey<\/span><\/i><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">https:\/\/www.wtwco.com\/en-cm\/insights\/2025\/10\/2026-global-medical-trends-survey<\/span><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Aon. (2023). <\/span><i><span style=\"font-weight: 400;\">The global medical trend rates report 2026<\/span><\/i><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">https:\/\/www.aon.com\/en\/insights\/reports\/the-global-medical-trend-rates-report<\/span><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Purcel, A., Dragos, C., Mare, C., &amp; Dragos, S. (2023). Voluntary health insurance and out-of-pocket payments in European OECD countries. <\/span><i><span style=\"font-weight: 400;\">Economic Modelling<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">120<\/span><\/i><span style=\"font-weight: 400;\">(C). <\/span><span style=\"font-weight: 400;\">https:\/\/doi.org\/10.1016\/j.econmod.2023.106190<\/span><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Aguiar-D\u00edaz, I., &amp; Ruiz-Mallorqu\u00ed, M. V. (2022). Private health insurance and financial risk taking in Spain: The moderating effect of subjective risk tolerance. <\/span><i><span style=\"font-weight: 400;\">International Journal of Environmental Research and Public Health<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">19<\/span><\/i><span style=\"font-weight: 400;\">(23). <\/span><span style=\"font-weight: 400;\">https:\/\/doi.org\/10.3390\/ijerph192316248<\/span><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Kanimian, S., &amp; Ho, V. (2024). Why does the cost of employer-sponsored coverage keep rising? <\/span><i><span style=\"font-weight: 400;\">Health Affairs Scholar<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">2<\/span><\/i><span style=\"font-weight: 400;\">(6). <\/span><span style=\"font-weight: 400;\">https:\/\/doi.org\/10.1093\/haschl\/qxae078<\/span><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">\u0416\u0443\u0440\u0430\u0432\u043a\u0430, \u041e., \u0411\u043e\u0441\u0430\u043a, \u0406., \u041a\u0443\u0431\u0430\u0445, \u0422., &amp; \u041c\u043e\u0440\u0434\u0430\u043d\u044c, \u0404. (2022). \u0410\u043d\u0430\u043b\u0456\u0437 \u0442\u0430 \u043f\u0440\u043e\u0433\u043d\u043e\u0437\u0443\u0432\u0430\u043d\u043d\u044f \u0440\u043e\u0437\u0432\u0438\u0442\u043a\u0443 \u0440\u0438\u043d\u043a\u0443 \u0434\u043e\u0431\u0440\u043e\u0432\u0456\u043b\u044c\u043d\u043e\u0433\u043e \u043c\u0435\u0434\u0438\u0447\u043d\u043e\u0433\u043e \u0441\u0442\u0440\u0430\u0445\u0443\u0432\u0430\u043d\u043d\u044f \u0423\u043a\u0440\u0430\u0457\u043d\u0438. <\/span><i><span style=\"font-weight: 400;\">\u0412\u0456\u0441\u043d\u0438\u043a \u0421\u0443\u043c\u0414\u0423, \u0421\u0435\u0440\u0456\u044f \u00ab\u0415\u043a\u043e\u043d\u043e\u043c\u0456\u043a\u0430\u00bb<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">2<\/span><\/i><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">https:\/\/visnyk.fem.sumdu.edu.ua\/issues\/2_2022\/5.pdf<\/span><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">\u0421\u043e\u0432\u0430, \u041e. \u042e. (2020). \u0421\u0443\u0447\u0430\u0441\u043d\u0438\u0439 \u0441\u0442\u0430\u043d \u0442\u0430 \u043f\u0435\u0440\u0441\u043f\u0435\u043a\u0442\u0438\u0432\u0438 \u0440\u043e\u0437\u0432\u0438\u0442\u043a\u0443 \u043c\u0435\u0434\u0438\u0447\u043d\u043e\u0433\u043e \u0441\u0442\u0440\u0430\u0445\u0443\u0432\u0430\u043d\u043d\u044f \u0432 \u0423\u043a\u0440\u0430\u0457\u043d\u0456. <\/span><i><span style=\"font-weight: 400;\">\u041d\u0430\u0443\u043a\u043e\u0432\u0438\u0439 \u0436\u0443\u0440\u043d\u0430\u043b \u0435\u043a\u043e\u043d\u043e\u043c\u0456\u0447\u043d\u043e\u0433\u043e \u043f\u0440\u043e\u0444\u0456\u043b\u044e \u0443\u043d\u0456\u0432\u0435\u0440\u0441\u0438\u0442\u0435\u0442\u0443 \u00ab\u041a\u0420\u041e\u041a\u00bb<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">1<\/span><\/i><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">https:\/\/library.krok.edu.ua\/media\/library\/category\/statti\/sova_0019.pdf<\/span><span style=\"font-weight: 400;\"> .<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Zakharkin, O., Zakharkina, L., Srovnalikova, P., Novikov, V., &amp; Basanets, I. (2022). Evaluation of the transparency of the medical insurance system in Ukraine. <\/span><i><span style=\"font-weight: 400;\">Health Economics and Management Review<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">3<\/span><\/i><span style=\"font-weight: 400;\">(3), 51\u201359. <\/span><span style=\"font-weight: 400;\">https:\/\/doi.org\/10.21272\/hem.2022.3-05<\/span><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Mercer Marsh Benefits. (2026). <\/span><i><span style=\"font-weight: 400;\">Health trends 2026: Balancing cost control with benefits optimization<\/span><\/i><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">https:\/\/www.mercer.com\/insights\/total-rewards\/employee-benefits-optimization\/mmb-health-trends\/<\/span><span style=\"font-weight: 400;\">.<\/span><\/li>\n<\/ol>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<strong>Received: <\/strong>16\u00a0February <span style=\"font-weight: 400;\">2026<\/span><\/p>\n<div class=\"sdm_download_item \"><div class=\"sdm_download_item_top\"><div class=\"sdm_download_thumbnail\"><img decoding=\"async\" class=\"sdm_download_thumbnail_image\" src=\"https:\/\/modecon.mnau.edu.ua\/wp-content\/uploads\/2017\/08\/pdf.jpg\" alt = \"bilotskyi.pdf\" \/><\/div><div class=\"sdm_download_title\">bilotskyi.pdf<\/div><\/div><div style=\"clear:both;\"><\/div><div class=\"sdm_download_description\"><\/div><div class=\"sdm_download_size\"><span class=\"sdm_download_size_label\">Size: <\/span><span class=\"sdm_download_size_value\">1,35<\/span><\/div><div class=\"sdm_download_link\"><span class=\"sdm_download_button\"><a href=\"https:\/\/modecon.mnau.edu.ua\/en\/?sdm_process_download=1&download_id=21450\" class=\"sdm_download blue\" title=\"bilotskyi.pdf\" target=\"_blank\">Download Now!<\/a><\/span><span class=\"sdm_download_item_count\"><span class=\"sdm_item_count_number\">196<\/span><span class=\"sdm_item_count_string\"> Downloads<\/span><\/span><\/div><\/div><div class=\"sdm_clear_float\"><\/div>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p>\n<table style=\"height: auto;\" width=\"100%\">\n<tbody>\n<tr>\n<td style=\"background-color: #1abc9c; text-transform: uppercase;\">\n<p style=\"text-align: center; color: white; font-size: 14px; font-weight: 900; text-transform: uppercase; margin: 0; padding: 13.5px;\">How to quote this article?<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td><span data-sheets-root=\"1\">Bilotskyi V. (2026). Global Trends in the Development of Voluntary Health Insurance: Analysis of Costs, Risks and Use of Medical Services. Modern Economics, 55(2026), 24-30. DOI: https:\/\/doi.org\/10.31521\/modecon.V55(2026)-03.<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;.vc_custom_1657628632157{margin-top: 10px !important;}&#8221;]<a href=\"https:\/\/modecon.mnau.edu.ua\/issue-55-2026\/\">&lt;&lt; \u041f\u043e\u0432\u0435\u0440\u043d\u0443\u0442\u0438\u0441\u044f \u0434\u043e \u0437\u043c\u0456\u0441\u0442\u0443<\/a>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text] JEL Classification: I13; G22; I11; I18; H51. DOI: https:\/\/doi.org\/10.31521\/modecon.V55(2026)-03 [\/vc_column_text][vc_column_text]Bilotskyi Viktor, graduate student, Leonid Yuzkov Khmelnytskyi University Of Management And Law, Khmelnytskyi, Ukraine ORCID: 0009-0004-8843-1522 e-mail: belotskyi2014@gmail.com Global Trends in the Development of Voluntary Health Insurance: Analysis of Costs, Risks and Use of Medical Services Abstract. Introduction. Voluntary health insurance has emerged as a<br \/><a href=\"https:\/\/modecon.mnau.edu.ua\/en\/global-trends-in-the-development\/\" class=\"more\">Read more<\/a><\/p>\n","protected":false},"author":11,"featured_media":13475,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[250,67],"tags":[249],"class_list":["post-21494","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-55-2026","category-articles","tag-55-2026"],"_links":{"self":[{"href":"https:\/\/modecon.mnau.edu.ua\/en\/wp-json\/wp\/v2\/posts\/21494","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/modecon.mnau.edu.ua\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/modecon.mnau.edu.ua\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/modecon.mnau.edu.ua\/en\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/modecon.mnau.edu.ua\/en\/wp-json\/wp\/v2\/comments?post=21494"}],"version-history":[{"count":3,"href":"https:\/\/modecon.mnau.edu.ua\/en\/wp-json\/wp\/v2\/posts\/21494\/revisions"}],"predecessor-version":[{"id":22256,"href":"https:\/\/modecon.mnau.edu.ua\/en\/wp-json\/wp\/v2\/posts\/21494\/revisions\/22256"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/modecon.mnau.edu.ua\/en\/wp-json\/wp\/v2\/media\/13475"}],"wp:attachment":[{"href":"https:\/\/modecon.mnau.edu.ua\/en\/wp-json\/wp\/v2\/media?parent=21494"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/modecon.mnau.edu.ua\/en\/wp-json\/wp\/v2\/categories?post=21494"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/modecon.mnau.edu.ua\/en\/wp-json\/wp\/v2\/tags?post=21494"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}