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来源类型Working Paper
规范类型报告
DOI10.3386/w22832
来源IDWorking Paper 22832
Screening in Contract Design: Evidence from the ACA Health Insurance Exchanges
Michael Geruso; Timothy J. Layton; Daniel Prinz
发表日期2016-11-14
出版年2016
语种英语
摘要We study insurers’ use of prescription drug formularies to screen consumers in the ACA Health Insurance Exchanges. We begin by showing that Exchange risk adjustment and reinsurance succeed in neutralizing selection incentives for most, but not all, consumer types. A minority of consumers, identifiable by demand for particular classes of prescription drugs, are predictably unprofitable. We then show that contract features relating to these drugs are distorted in a manner consistent with multi-dimensional screening. The empirical findings support a long theoretical literature examining how insurance contracts offered in equilibrium can fail to optimally trade-off risk protection and moral hazard.
主题Health, Education, and Welfare ; Health
URLhttps://www.nber.org/papers/w22832
来源智库National Bureau of Economic Research (United States)
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条目标识符http://119.78.100.153/handle/2XGU8XDN/580506
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Michael Geruso,Timothy J. Layton,Daniel Prinz. Screening in Contract Design: Evidence from the ACA Health Insurance Exchanges. 2016.
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