| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w20181 |
| 来源ID | Working Paper 20181 |
| Dominated Choices and Medicare Advantage Enrollment | |
| Christopher Afendulis; Anna Sinaiko; Richard Frank | |
| 发表日期 | 2014-05-29 |
| 出版年 | 2014 |
| 语种 | 英语 |
| 摘要 | Research in behavioral economics suggests that certain circumstances, such as large numbers of complex options or revisiting prior choices, can lead to decision errors. This paper explores the enrollment decisions of Medicare beneficiaries in the Medicare Advantage (MA) program. During the time period we study (2007-2010), private fee-for-service (PFFS) plans offered enhanced benefits beyond those of traditional Medicare (TM) without any restrictions on physician networks or additional cost, making TM a dominated choice relative to PFFS. Yet more than three quarters of Medicare beneficiaries remained in TM during our study period. We explore two possible explanations for this behavior: status quo bias and choice overload. Our results suggest that status quo bias plays an important role; the rate of MA enrollment was significantly higher among new Medicare beneficiaries than among incumbents. Our results also provide some evidence of choice overload; while the MA enrollment rate did not decline with an increase in the number of plans, among incumbent beneficiaries it failed to increase. Our results illustrate the importance of the choice environment that is in place when enrollees first enter the Medicare program. |
| 主题 | Health, Education, and Welfare ; Health |
| URL | https://www.nber.org/papers/w20181 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/577854 |
| 推荐引用方式 GB/T 7714 | Christopher Afendulis,Anna Sinaiko,Richard Frank. Dominated Choices and Medicare Advantage Enrollment. 2014. |
| 条目包含的文件 | 条目无相关文件。 | |||||
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