| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w27785 |
| 来源ID | Working Paper 27785 |
| The Social Determinants of Choice Quality: Evidence from Health Insurance in the Netherlands | |
| Benjamin R. Handel; Jonathan T. Kolstad; Thomas Minten; Johannes Spinnewijn | |
| 发表日期 | 2020-09-07 |
| 出版年 | 2020 |
| 语种 | 英语 |
| 摘要 | Market provision of impure public goods such as insurance retirement savings and education is common and growing as policy makers seek to offer more choice and gain efficiencies. This approach induces an important trade-off between improved surplus from matching individuals to products and misallocation due to well documented choice errors in these markets. We study this trade-off in the health insurance market in the Netherlands, with a specific focus on misallocation and inequality. We characterize choice quality as a function of predicted health risk and leverage rich administrative data to study how it depends on individual human capital, socioeconomic status and social and information networks. We find that choice quality is low on average, with many people foregoing options that deliver substantive value. We also find a strong choice quality gradient with respect to key socioeconomic variables. Individuals with higher education levels and more analytic degrees or professions make markedly better decisions. Social influence on choices further increases inequality in decision making. Using panel variation in exposure to peers we find strong within firm, location and family impacts on choice quality. Finally, we use our estimates to model the consumer surplus effects of different counterfactual scenarios. While smart default policies could improve welfare substantially, including the choice of a high-deductible option delivers little welfare gain, especially for low-income individuals who make lower quality choices and are in worse health. |
| 主题 | Microeconomics ; Behavioral Economics ; Public Economics ; Public Goods ; Health, Education, and Welfare ; Health |
| URL | https://www.nber.org/papers/w27785 |
| 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/585456 |
| 推荐引用方式 GB/T 7714 | Benjamin R. Handel,Jonathan T. Kolstad,Thomas Minten,et al. The Social Determinants of Choice Quality: Evidence from Health Insurance in the Netherlands. 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 | ||
| w27785.pdf（1453KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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