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Efficiency versus Equity in the Allocation of Medical Specialty Training Positions in Spain: A Health Policy Simulation Based on a Discrete Choice Model

Harris, Jeffrey E.; López-Valcárcel, Beatriz G.; … - National Bureau of Economic Research (NBER) - 2014

Background. In Spain's "MIR" system of allocating residency training positions, medical school graduates are ranked according to their performance on a national exam and then sequentially choose from the remaining available training slots. We studied how changes in the MIR system might address...

Persistent link: https://www.econbiz.de/10010969452

Plan Selection in Medicare Part D: Evidence from Administrative Data

Winter, Joachim; Heiss, Florian; Leive, Adam; McFadden, … - National Bureau of Economic Research (NBER) - 2012

We study the Medicare Part D prescription drug insurance program as a bellwether for designs of private, non-mandatory health insurance markets, focusing on the ability of consumers to evaluate and optimize their choices of plans. Our analysis of administrative data on medical claims in Medicare...

Persistent link: https://www.econbiz.de/10010951181

Regulation of private health insurance markets: Lessons from enrollment, plan type choice, and adverse selection in Medicare Part D

Winter, Joachim; Heiss, Florian; McFadden, Daniel - National Bureau of Economic Research (NBER) - 2009

We study the Medicare Part D prescription drug insurance program as a bellwether for designs of private, non-mandatory health insurance markets that control adverse selection and assure adequate access and coverage. We model Part D enrollment and plan choice assuming a discrete dynamic decision...

Persistent link: https://www.econbiz.de/10008610954

Do Individuals Make Sensible Health Insurance Decisions? Evidence from a Menu with Dominated Options

Loewenstein, George; Bhargava, Saurabh; Sydnor, Justin - National Bureau of Economic Research (NBER) - 2015

The recent expansion of health-plan choice has been touted as increasing competition and enabling people to choose plans that fit their needs. This study provides new evidence challenging these proposed benefits of expanded health-insurance choice. We examine health-insurance decisions of...

Persistent link: https://www.econbiz.de/10011276434

Sources of Advantageous Selection: Evidence from the Medigap Insurance Market

Fang, Hanming; Silverman, Dan; Keane, Michael P. - National Bureau of Economic Research (NBER) - 2006

We provide strong evidence of advantageous selection in the Medigap insurance market, and analyze its sources. Using Medicare Current Beneficiary Survey (MCBS) data, we find that, conditional on controls for the price of Medigap, medical expenditures for senior citizens with Medigap coverage...

Persistent link: https://www.econbiz.de/10005085041

Adverse Selection and Switching Costs in Health Insurance Markets: When Nudging Hurts

Handel, Benjamin R. - National Bureau of Economic Research (NBER) - 2011

This paper investigates consumer switching costs in the context of health insurance markets, where adverse selection is a potential concern. Though previous work has studied these phenomena in isolation, they interact in a way that directly impacts market outcomes and consumer welfare. Our...

Persistent link: https://www.econbiz.de/10009323425

Pricing and Welfare in Health Plan Choice

Levin, Jonathan; Bundorf, M. Kate; Mahoney, Neale - National Bureau of Economic Research (NBER) - 2008

Prices in government and employer-sponsored health insurance markets only partially reflect insurers' expected costs of coverage for different enrollees. This can create inefficient distortions when consumers self-select into plans. We develop a simple model to study this problem and estimate it...

Persistent link: https://www.econbiz.de/10005710694

Moral Hazard, Adverse Selection and Health Expenditures: A Semiparametric Analysis

Bajari, Patrick; Hong, Han; Khwaja, Ahmed - National Bureau of Economic Research (NBER) - 2006

-parametric estimation strategy we find significant evidence of moral hazard, but not of adverse selection. …

Persistent link: https://www.econbiz.de/10005719964

Demanding Customers: Consumerist Patients and Quality of Care

Zeckhauser, Richard; Fang, Hai; Miller, Nolan H.; … - National Bureau of Economic Research (NBER) - 2008

Consumerism arises when patients acquire and use medical information from sources apart from their physicians, such as … the Internet and direct-to-patient advertising. Consumerism has been hailed as a means of improving quality. This need not … on other patients. Our theoretical model has the physician treat both consumerist and ordinary patient under a binding …

Persistent link: https://www.econbiz.de/10005828521

Estimating Welfare in Insurance Markets Using Variation in Prices

Einav, Liran; Finkelstein, Amy; Cullen, Mark R. - National Bureau of Economic Research (NBER) - 2008

We show how standard consumer and producer theory can be used to estimate welfare in insurance markets with selection …

Persistent link: https://www.econbiz.de/10005830102

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