| 来源类型 | Discussion paper |
| 规范类型 | 论文 |
| 来源ID | DP17057 |
| DP17057 A structural microsimulation model for demand-side cost-sharing in healthcare | |
| jan boone; Minke Remmerswaal | |
| 发表日期 | 2022-02-21 |
| 出版年 | 2022 |
| 语种 | 英语 |
| 摘要 | Demand-side cost-sharing schemes reduce moral hazard in healthcare at the expense of out-of-pocket risk. With a structural microsimulation model, we show that shifting the starting point of the deductible away from zero to 400 euros for all insured individuals, leads to an average 4% reduction in healthcare expenditure and 47% lower out-of-pocket payments for people without a chronic condition. We use administrative healthcare expenditure data for the Dutch population to analyze expenditure under different cost-sharing schemes. The model is estimated with a Bayesian mixture model to capture distributions of healthcare expenditure. This allows us to predict the effects of cost-sharing schemes that have not been used in the Netherlands. |
| 主题 | Public Economics |
| 关键词 | Moral hazard Risk Equity Out-of-pocket Shifted deductible Co-insurance Bayesian mixture model Microsimulation model |
| URL | https://cepr.org/publications/dp17057 |
| 来源智库 | Centre for Economic Policy Research (United Kingdom) |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/546017 |
| 推荐引用方式 GB/T 7714 | jan boone,Minke Remmerswaal. DP17057 A structural microsimulation model for demand-side cost-sharing in healthcare. 2022. |
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