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来源类型 | Working Paper |
规范类型 | 报告 |
DOI | 10.3386/w27578 |
来源ID | Working Paper 27578 |
Mortality Effects and Choice Across Private Health Insurance Plans | |
Jason Abaluck; Mauricio M. Caceres Bravo; Peter Hull; Amanda Starc | |
发表日期 | 2020-07-27 |
出版年 | 2020 |
语种 | 英语 |
摘要 | Competition in health insurance markets may fail to improve health outcomes if consumers are not willing to pay for high quality plans. We document large differences in the mortality rates of Medicare Advantage (MA) plans within local markets. We then show that when high (low) mortality plans exit these markets, enrollees tend to switch to more typical plans and subsequently experience lower (higher) mortality. We develop a framework that uses this variation to estimate the relationship between observed mortality rates and causal mortality effects; we find a tight link. We then extend the framework to study other predictors of mortality effects and estimate consumer willingness to pay. Higher spending plans tend to reduce enrollee mortality, but existing quality ratings are uncorrelated with plan mortality effects. Consumers place little weight on mortality effects when choosing plans. Moving beneficiaries out of the bottom 5% of plans could save tens of thousands of elderly lives each year. |
主题 | Econometrics ; Estimation Methods ; Health, Education, and Welfare ; Health ; Labor Economics ; Demography and Aging |
URL | https://www.nber.org/papers/w27578 |
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/585249 |
推荐引用方式 GB/T 7714 | Jason Abaluck,Mauricio M. Caceres Bravo,Peter Hull,et al. Mortality Effects and Choice Across Private Health Insurance Plans. 2020. |
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 | ||
w27578.pdf(561KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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