| Autor: |
Tobias J. Klein, Martin Salm, Suraj Upadhyay |
| Přispěvatelé: |
Econometrics and Operations Research, Tilburg Law and Economic Center (TILEC), Research Group: Econometrics, Center Ph. D. Students |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Journal of Public Economics, 210:104660. Elsevier |
| ISSN: |
0047-2727 |
| DOI: |
10.1016/j.jpubeco.2022.104660 |
| Popis: |
We develop a new approach to quantify how patients respond to dynamic incentives in health insurance contracts with a deductible. Our approach exploits two sources of variation in a differences-in-regression-discontinuities design: deductible contracts reset at the beginning of the year, and cost-sharing limits change over the years. Using rich claims-level data from a large Dutch health insurer we find that individuals are forward-looking. Changing dynamic incentives by increasing the deductible by €100 leads to a reduction in healthcare spending of around 3% on the first days of the year and 6% at the annual level. We find that the response to dynamic incentives is an important part of the overall effect of cost-sharing schemes on healthcare expenditures—much more so than what the previous literature has suggested. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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Full Text from ScienceDirect