全球智库信息集成服务系统(G2TT): Intertemporal Substitution in Health Care Demand: Evidence from the RAND Health Insurance Experiment

G2TT

来源类型	Working Paper
规范类型	报告
DOI	10.3386/w22802
来源ID	Working Paper 22802
	Intertemporal Substitution in Health Care Demand: Evidence from the RAND Health Insurance Experiment
	Haizhen Lin; Daniel W. Sacks
发表日期	2016-11-07
出版年	2016
语种	英语
摘要	Nonlinear cost-sharing in health insurance encourages intertemporal substitution be- cause patients can reduce their out-of-pocket costs by concentrating spending in years when they hit the deductible. We test for such intertemporal substitution using data from the RAND Health Insurance Experiment, where people were randomly assigned either to a free care plan or to a cost-sharing plan which had coinsurance up to a maximum dollar expenditure (MDE). Hitting the MDE—leading to an effective price of zero—has a bigger effect on monthly health care spending and utilization than does being in free care, because people who hit the MDE face high future and past prices. As a result, we estimate that sensitivity to short-lasting price changes is about twice as large as sensitivity to long-lasting changes. These findings help reconcile conflicting estimates of the price elasticity of demand for health care, and suggest that high deductible health plans may be less effective than hoped in controlling health care spending.
主题	Microeconomics ; Households and Firms ; Financial Economics ; Financial Institutions
URL	https://www.nber.org/papers/w22802
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/580474
推荐引用方式 GB/T 7714	Haizhen Lin,Daniel W. Sacks. Intertemporal Substitution in Health Care Demand: Evidence from the RAND Health Insurance Experiment. 2016.

条目包含的文件
文件名称/大小	资源类型	版本类型	开放类型	使用许可
w22802.pdf（408KB）	智库出版物		限制开放	CC BY-NC-SA	浏览