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来源类型Working Paper
规范类型报告
DOI10.3386/w28529
来源IDWorking Paper 28529
Sharing the Burden of Subsidization: Evidence on Pass-Through from a Subsidy Revision in Medicare Part D
Colleen Carey
发表日期2021-03-08
出版年2021
语种英语
摘要In many federally-subsidized insurance markets, insurers are subsidized on the basis of enrollee characteristics; in principle, subsidies that are "risk adjusted" in this way compensate insurers for ex ante differences in expected cost. Between 2010 and 2011, the subsidies in Medicare Part D were revised, sharply changing the subsidy for diagnoses and demographic characteristics. This paper uses the response of insurers to the subsidy update to estimate pass-through of government subsidies to two insurer choice variables: premiums and out-of-pocket costs. We find that diagnostic subsidies are passed-through at a rate of 40% to the out-of-pocket costs for relevant drugs. Premiums are not responsive to overall subsidies, but do reflect changes in the demographic component of subsidies.
主题Public Economics ; National Fiscal Issues ; Health, Education, and Welfare ; Health ; Industrial Organization ; Market Structure and Firm Performance
URLhttps://www.nber.org/papers/w28529
来源智库National Bureau of Economic Research (United States)
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条目标识符http://119.78.100.153/handle/2XGU8XDN/586202
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Colleen Carey. Sharing the Burden of Subsidization: Evidence on Pass-Through from a Subsidy Revision in Medicare Part D. 2021.
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