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We use a Regression Discontinuity Design (RDD) to evaluate the impact of cost-sharing on the use of health services. In the Italian health system, individuals reaching age 65 and earning low incomes are given total exemption from cost-sharing for health services consumption. Since the...
Persistent link: https://www.econbiz.de/10011453425
Health insurance premiums often do not reflect individual health risks, implying redistribution from individuals with … that was in place was a 350 euro deductible. Our counterfactual experiments show that redistribution would decrease when … the deductible would increase. Nonetheless, high-risk individuals can benefit from higher levels of cost-sharing. The …
Persistent link: https://www.econbiz.de/10014484386
We develop a new approach to quantify how patients respond to dynamic incentives in health insurance contracts with a … deductible. Our approach exploits two sources of variation in a differences-in-regression-discontinuities design: deductible … deductible by €100 leads to a reduction in healthcare spending of around 3% on the first days of the year and 6% at the annual …
Persistent link: https://www.econbiz.de/10012199099
We estimate the causal effect of having full health insurance on health care expenditures. We take advantage of a … regular insurance, until a policy change forced all individuals with an active plan to cover a minimum amount of their ….14 comparing full insurance with the cost-sharing model, and a significant upward shift in the likelihood to generate costs. …
Persistent link: https://www.econbiz.de/10010201715
The ACA requires insurers to provide cost-sharing reductions (CSRs) to low-income consumers on the marketplaces. We link 2013-2015 All-Payer Claims Data to 2004-2013 administrative hospital discharge data from Utah and exploit policy-driven differences in the value of CSRs that are solely...
Persistent link: https://www.econbiz.de/10012130268
Despite plausible mechanisms, little research has evaluated potential changes in health behaviors as a result of the Medicaid expansions of the 1980s and 1990s. In this paper, we provide the first national study of the effects of Medicaid on health behaviors for pregnant women, which is a group...
Persistent link: https://www.econbiz.de/10011452186
spells and (ii) reduced reemployment wages. Although full insurance requires both unemployment benefits and wage insurance …, supply difficulties limit actual-loss insurance, and separation packages typically include partial unemployment insurance and … integration of these insurance instruments in this complex planning environment. One important implication: given the structure of …
Persistent link: https://www.econbiz.de/10011455569
Disability Insurance (DI) may affect workers' outcomes such as their probability to enter DI, to recover, and their … employment. Supplementary insurance may increase these moral hazard effects, but also increases the financial gains of private … increased insurance coverage on workers' outcomes are thus ambiguous. This paper aims to separate worker and insurer responses …
Persistent link: https://www.econbiz.de/10013170382
We characterize how public insurance schemes are constrained by hidden financial transactions. When non …-exclusive private insurance entails increasing unit transaction costs, public transfers are only partly offset by hidden private … of insurance on unobservable effort and saving choices as well as the relative cost of public and private insurance …
Persistent link: https://www.econbiz.de/10009011636
with effort-determined probability. We show that if insurance against a negative shock is sufficiently incomplete, then … standard functional form restrictions ensure that individual objective functions are optimized by an effort and insurance … combination that is unique and satisfies first- and second-order conditions. Modeling insurance incompleteness in terms of costly …
Persistent link: https://www.econbiz.de/10010225898