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来源类型Working Paper
规范类型报告
DOI10.3386/w17802
来源IDWorking Paper 17802
Moral Hazard in Health Insurance: How Important Is Forward Looking Behavior?
Aviva Aron-Dine; Liran Einav; Amy Finkelstein; Mark R. Cullen
发表日期2012-02-02
出版年2012
语种英语
摘要We investigate whether individuals exhibit forward looking behavior in their response to the non-linear pricing common in health insurance contracts. Our empirical strategy exploits the fact that employees who join an employer-provided health insurance plan later in the calendar year face the same initial ("spot") price of medical care but a higher expected end-of-year ("future") price than employees who join the same plan earlier in the year. Our results reject the null of completely myopic behavior; medical utilization appears to respond to the future price, with a statistically significant elasticity of medical utilization with respect to the future price of -0.4 to -0.6. To try to quantify the extent of forward looking behavior, we develop a stylized dynamic model of individual behavior and calibrate it using our estimated behavioral response and additional data from the RAND Health Insurance Experiment. Our calibration suggests that the elasticity estimate may be substantially smaller than the one implied by fully forward-looking behavior, yet it is sufficiently high to have an economically significant effect on the response of annual medical utilization to a non-linear health insurance contract. Overall, our results point to the empirical importance of accounting for dynamic incentives in analyses of the impact of health insurance on medical utilization.
主题Microeconomics ; Households and Firms ; Financial Economics ; Financial Institutions
URLhttps://www.nber.org/papers/w17802
来源智库National Bureau of Economic Research (United States)
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资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/575477
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GB/T 7714
Aviva Aron-Dine,Liran Einav,Amy Finkelstein,et al. Moral Hazard in Health Insurance: How Important Is Forward Looking Behavior?. 2012.
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