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来源类型Working Paper
规范类型报告
DOI10.3386/w27578
来源IDWorking 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
URLhttps://www.nber.org/papers/w27578
来源智库National Bureau of Economic Research (United States)
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资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/585249
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GB/T 7714
Jason Abaluck,Mauricio M. Caceres Bravo,Peter Hull,et al. Mortality Effects and Choice Across Private Health Insurance Plans. 2020.
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