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来源类型Working Paper
规范类型报告
DOI10.3386/w15392
来源IDWorking Paper 15392
Regulation of private health insurance markets: Lessons from enrollment, plan type choice, and adverse selection in Medicare Part D
Florian Heiss; Daniel McFadden; Joachim Winter
发表日期2009-10-01
出版年2009
语种英语
摘要We study the Medicare Part D prescription drug insurance program as a bellwether for designs of private, non-mandatory health insurance markets that control adverse selection and assure adequate access and coverage. We model Part D enrollment and plan choice assuming a discrete dynamic decision process that maximizes life-cycle expected utility, and perform counterfactual policy simulations of the effect of market design on participation and plan viability. Our model correctly predicts high Part D enrollment rates among the currently healthy, but also strong adverse selection in choice of level of coverage. We analyze alternative designs that preserve plan variety.
主题Econometrics ; Estimation Methods ; Microeconomics ; Households and Firms ; Public Economics ; National Fiscal Issues ; Health, Education, and Welfare ; Health
URLhttps://www.nber.org/papers/w15392
来源智库National Bureau of Economic Research (United States)
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条目标识符http://119.78.100.153/handle/2XGU8XDN/573068
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Florian Heiss,Daniel McFadden,Joachim Winter. Regulation of private health insurance markets: Lessons from enrollment, plan type choice, and adverse selection in Medicare Part D. 2009.
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