G2TT
来源类型Discussion paper
规范类型论文
来源IDDP14552
DP14552 The Response to Dynamic Incentives in Insurance Contracts with a Deductible: Evidence from a Differences-in-Regression-Discontinuities Design
Tobias Klein; Martin Salm; Suraj Upadhyay
发表日期2020-04-02
出版年2020
语种英语
摘要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 euros 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.
主题Labour Economics
关键词Patient cost-sharing Health insurance Dynamic incentives
URLhttps://cepr.org/publications/dp14552-0
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/543456
推荐引用方式
GB/T 7714
Tobias Klein,Martin Salm,Suraj Upadhyay. DP14552 The Response to Dynamic Incentives in Insurance Contracts with a Deductible: Evidence from a Differences-in-Regression-Discontinuities Design. 2020.
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