Showing 1 - 10 of 1,377
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/10013120191
I take advantage of regulatory and pricing dynamics in Medicare Part D to empirically explore interactions among adverse selection, switching costs, and regulation. I first document novel evidence of adverse selection and switching costs within Part D using detailed administrative data. I then...
Persistent link: https://www.econbiz.de/10013015970
Medicare Part D provides prescription drug coverage through Medicare approved plans offered by private insurance companies and HMOs. In this paper, we study the role of current prescription drug use and health risks, related expectations, and subjective factors in the demand for prescription...
Persistent link: https://www.econbiz.de/10012759665
on an insurance exchange. Enrollment data show that consumers face switching frictions leading to inertia in plan choice … future prices, theory predicts firms respond to inertia by raising prices on existing enrollees, while introducing cheaper …
Persistent link: https://www.econbiz.de/10013100991
This study assesses the factors influencing the movement of people across health plans. We distinguish three types of cost-related transitions: adverse selection, the movement of the less healthy to more generous plans; adverse retention, the tendency for people to stay where they are when they...
Persistent link: https://www.econbiz.de/10013224415
We use unique data from an insurer that exclusively offers high-deductible, "consumer-directed" health plans to identify the effect of plan features, notably the spending account, on health care spending. Our results show that the marginal dollar in the spending account is entirely spent on...
Persistent link: https://www.econbiz.de/10013152383
Recent years have seen enormous growth in limited network plans that restrict patient choice of provider, particularly through state exchanges under the ACA. Opposition to such plans is based on concerns that restrictions on provider choice will harm patient care. We explore this issue in the...
Persistent link: https://www.econbiz.de/10013047771
Prior studies suggest that consumer-directed health plans (CDHPs) -characterized by high deductibles and health care accounts- reduce health costs, but there is concern that enrollees indiscriminately reduce use of low-value services (e.g., unnecessary emergency department use) and high-value...
Persistent link: https://www.econbiz.de/10013028554
for inertia: inattention and switching costs. The model allows for unobserved heterogeneity that is correlated across the … that consumers are more likely to pay attention to plan choice if overspending in the last year is more salient and if … their old plan gets worse, for instance due to premium increases. Moreover, conditional on attention there are significant …
Persistent link: https://www.econbiz.de/10012980659
obtaining health insurance reduces prevention and increases unhealthy behaviors among elderly men. We also find evidence that …
Persistent link: https://www.econbiz.de/10012760503