全球智库信息集成服务系统(G2TT): DP12507 Cost-Sharing Design Matters: A Comparison of the Rebate and Deductible in Healthcare

G2TT

来源类型	Discussion paper
规范类型	论文
来源ID	DP12507
	DP12507 Cost-Sharing Design Matters: A Comparison of the Rebate and Deductible in Healthcare
	jan boone; Minke Remmerswaal; Rudy Douven
发表日期	2017-12-14
出版年	2017
语种	英语
摘要	Since 2006, the Dutch population has faced two different cost-sharing schemes in health insurance for curative care: a mandatory rebate of 255 euros in 2006 and 2007, and since 2008 a mandatory deductible. Using administrative data for the entire Dutch population, we compare the effect of both cost-sharing schemes on healthcare consumption between 2006 and 2013. We use a regression discontinuity design which exploits the fact that persons younger than eighteen years old neither face a rebate nor a deductible. Our fixed effect estimate shows that for individuals around the age of eighteen, a one euro increase of the deductible reduces healthcare expenditures 18 eurocents more than a euro increase of the rebate. These results demonstrate that differences in the design of a cost-sharing scheme can lead to substantial different effects on total healthcare expenditure.
主题	Industrial Organization ; Public Economics
关键词	Deductible Rebate Cost-sharing Healthcare consumption Regression discontinuity design Panel data
URL	https://cepr.org/publications/dp12507
来源智库	Centre for Economic Policy Research (United Kingdom)
资源类型	智库出版物
条目标识符	http://119.78.100.153/handle/2XGU8XDN/541318
推荐引用方式 GB/T 7714	jan boone,Minke Remmerswaal,Rudy Douven. DP12507 Cost-Sharing Design Matters: A Comparison of the Rebate and Deductible in Healthcare. 2017.