Abstract:
:Why do people purchase health insurance? Many economists would answer that it permits purchasers to avoid risk of financial loss. This note suggests that health insurance is also demanded because it represents a mechanism for gaining access to health care that would otherwise be unaffordable. For example, although a US$300,000 procedure is unaffordable to a person with US$50,000 in net worth, access is possible through insurance because the annual premium is only a fraction of the procedure's cost. The value of insurance for coverage of unaffordable care is derived from the value of the medical care that insurance makes accessible.
journal_name
J Health Econjournal_title
Journal of health economicsauthors
Nyman JAdoi
10.1016/s0167-6296(98)00049-6subject
Has Abstractpub_date
1999-04-01 00:00:00pages
141-52issue
2eissn
0167-6296issn
1879-1646pii
S0167-6296(98)00049-6journal_volume
18pub_type
杂志文章abstract::We examine the effects of diverse dimensions of hospital quality - including consumers' perceptions of unobserved attributes - on future hospital choice. We utilize consumers' stated preference weights to obtain hospital-specific estimates of perceptions about unmeasured attributes such as reputation. We report three ...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2011.05.006
更新日期:2011-07-01 00:00:00
abstract::Do urban hospital closures affect health care access or health outcomes? We study closures in Los Angeles County between 1997 and 2003, through their effect on distance to the nearest hospital. We find that increased distance to the closest hospital increases deaths from heart attacks and unintentional injuries. This ...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2005.10.006
更新日期:2006-07-01 00:00:00
abstract::This paper investigates the relationship between health care expenditure, income, and other factors that are not related to income for China with pooled cross-section and time series data. To study the stationarity property of these variables, we use panel Lagrange Multiplier (LM) unit root tests that allow for struct...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2006.12.002
更新日期:2007-07-01 00:00:00
abstract::This article extends several recent contributions that have compared the physician-induced demand hypothesis to the theory of a monopoly where advertising is included as a decision variable. By introducing a standard profit-maximizing model with inducement, it derives the conditions for the optimum level of inducement...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/0167-6296(87)90010-5
更新日期:1987-09-01 00:00:00
abstract::As health care costs increase, cost-control mechanisms become more widespread and it is crucial to understand their implications for the health care market. This paper examines the effect that managed care activity (based on the aim to control health care expenditure) has on the adoption of technologies by hospitals. ...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2008.02.009
更新日期:2008-07-01 00:00:00
abstract::In clinical terms, a screening compliance rate of 100% may be deemed optimal in that the number of abnormalities detected is thereby maximized. This paper explores optimum compliance rates from the cost-effectiveness point of view by modelling the individual's decision to participate in the screening programme. Using ...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/0167-6296(91)90004-7
更新日期:1991-07-01 00:00:00
abstract::This paper analyses if privatisation of vocational rehabilitation can improve labour market opportunities for individuals on long-term sickness absence. We use a field experiment performed by the Public Employment Service and the Social Insurance Agency in Sweden during 2008-2010, in which over 4000 participants were ...
journal_title:Journal of health economics
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jhealeco.2013.12.002
更新日期:2014-03-01 00:00:00
abstract::Recently, much research has been devoted to the question of how the conventional net national product measure should be augmented so as to cover changes in the stocks of natural resources. This paper investigates the treatment of health (capital) and the risk of 'doomsday' caused by pollution in such welfare measures....
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/0167-6296(94)00037-5
更新日期:1995-05-01 00:00:00
abstract::We performed an empirical elicitation of the equity-efficiency trade-off in cost-utility analysis using the rank-dependent quality-adjusted life-year (QALY) model, a model that includes as special cases many of the social welfare functions that have been proposed in the literature. Our elicitation method corrects for ...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2004.10.001
更新日期:2005-07-01 00:00:00
abstract::We develop a model where a genetic test reveals whether an individual has a low or high probability of developing a disease. Testing is not mandatory, but agents have to reveal their test results to the insurers, facing a discrimination risk. A costly prevention effort allows agents with a genetic predisposition to de...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2013.04.008
更新日期:2013-09-01 00:00:00
abstract::Recent analyses suggest that cigarette excise taxes lower prenatal smoking. It is unclear, however, whether the association between taxes and prenatal smoking represents a decline among women of reproductive age or a particular response by pregnant women. We address this question directly with an analysis of quit and ...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2003.06.003
更新日期:2003-11-01 00:00:00
abstract::Proponents of hospital consolidation claim that mergers lead to significant cost savings, but there is little systematic evidence backing these claims. For a large sample of hospital mergers between 2000 and 2010, I estimate difference-in-differences models that compare cost trends at acquired hospitals to cost trends...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2017.01.007
更新日期:2017-03-01 00:00:00
abstract::The dynamic evolution of health and persistent relationship status pose econometric challenges to disentangling the causal effect of relationships on health from the selection effect of health on relationship choice. Using a new econometric strategy we find that marriage is not universally better for health. Rather, c...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2014.03.010
更新日期:2014-07-01 00:00:00
abstract::We study the importance of childhood socioeconomic conditions in predicting differences in life expectancy using data from a large sample of children collected in 16 locations in England and Scotland in 1937-39, who have been traced through official death records up to 2005. We estimate a number of duration of life mo...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2009.10.004
更新日期:2010-01-01 00:00:00
abstract::We show that when health care providers have market power and engage in Cournot competition, a competitive upstream health insurance market results in over-insurance and over-priced health care. Even though consumers and firms anticipate the price interactions between these two markets - the price set in one market af...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2006.03.003
更新日期:2006-11-01 00:00:00
abstract::In this paper, we present a simple model of health insurance with asymmetric information, where we compare two alternative ways of organizing the insurance market. Either as a competitive insurance market, where some risks remain uninsured, or as a compulsory scheme, where however, the level of reimbursement of loss i...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/s0167-6296(02)00062-0
更新日期:2002-09-01 00:00:00
abstract::The US health insurance industry is highly concentrated, and health insurance premiums are high and rising rapidly. Policymakers have focused on the possible link between the two, leading to ACA provisions to increase insurer competition. However, while market power may enable insurers to include higher profit margins...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2015.03.009
更新日期:2015-07-01 00:00:00
abstract::This paper examines the effects of the reference pricing program implemented by the California Public Employees Retirement System (CalPERS) in 2012. The program uses targeted cost-sharing to incentivize patient price shopping. We find that the program leads to a 10.3% increase in the use of low-price providers and red...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2017.09.012
更新日期:2017-12-01 00:00:00
abstract::Despite its salience as a regulatory tool to ensure the delivery of unprofitable medical services, cross-subsidization of services within hospital systems has been notoriously difficult to detect and quantify. We use repeated shocks to a profitable service in the market for hospital-based medical care to test for cros...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2014.06.007
更新日期:2014-09-01 00:00:00
abstract::Measuring the lifetime costs and benefits of medical technologies is essential in evaluating technological change and determining the productivity of medical care. Using data on Medicare beneficiaries with a heart attack in the late 1980s and 17 years of follow up data, I evaluate the long-term costs and benefits of r...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2007.09.003
更新日期:2007-12-01 00:00:00
abstract::We investigate whether there was a causal effect of income changes on the health satisfaction of East and West Germans in the years following reunification. Our data source is the German Socio-Economic Panel (GSOEP) between 1984 and 2002, and we fit a recently proposed fixed-effects ordinal estimator to our health mea...
journal_title:Journal of health economics
pub_type: 杂志文章,评审
doi:10.1016/j.jhealeco.2005.01.004
更新日期:2005-09-01 00:00:00
abstract::Using administrative data from Norway, we examine the extent to which family doctors influence their clients' propensity to claim sick-pay. The analysis exploits exogenous switches of family doctors occurring when physicians quit, retire, or for other reasons sell their patient lists. We find that family doctors have ...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2013.10.005
更新日期:2013-12-01 00:00:00
abstract::The conventional theory of optimal coinsurance rates for health insurance with moral hazard indicates that coinsurance should vary with the price responsiveness or price-elasticity of demand for different medical services. An alternative theory called "value-based cost sharing" indicates that coinsurance should be low...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2008.07.003
更新日期:2008-12-01 00:00:00
abstract::Assessing the welfare impact of consumer health advisories is a thorny task. Recently, Shimshack and Ward (2010) studied how U.S. households responded to FDA's 2001 mercury-in-fish advisory. They found that the average at-risk household reduced fish consumption by 21%, resulting in a 17%-reduction in mercury exposure ...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2014.06.005
更新日期:2014-09-01 00:00:00
abstract::This study estimates the impact of the price of alcoholic beverages on latent dimensions of current alcohol dependence and abuse. A three-part econometric model is used to estimate the impact of price on three latent dimensions (factors). For heavier drinking, the estimated price elasticity is -1.325 (P = 0.027); for ...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/s0167-6296(02)00099-1
更新日期:2003-01-01 00:00:00
abstract::This paper responds to Culyer and Wagstaff's (CW) and Buckingham's (B) arguments. We refute their claim about the equivalence of HYEs and QALYs; they fail to distinguish between choice under uncertainty and under certainty. CW assume that all individuals have a specific form of utility function, which yields their con...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/0167-6296(93)90015-7
更新日期:1993-10-01 00:00:00
abstract::During the 1990s, a record number of U.S. hospitals entered into some form of vertical combination with physicians. During the same period, many integrated hospital-physician arrangements broke up. Using data from California, we investigate whether such vertical activity affected hospital pricing. We find that neither...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2005.04.008
更新日期:2006-01-01 00:00:00
abstract::Understanding how physicians respond to incentives from payment schemes is a central concern in health economics research. We introduce a controlled laboratory experiment to analyse the influence of incentives from fee-for-service and capitation payments on physicians' supply of medical services. In our experiment, ph...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2011.05.001
更新日期:2011-07-01 00:00:00
abstract::This paper examines the impact of parental illness on children's education. We find that only father's illness decreases children's school attendance. Father's illness also has long-term impacts on child education, as it decreases children's likelihood of completing primary school and leads to fewer years of schooling...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2015.09.004
更新日期:2015-12-01 00:00:00
abstract::Prenatal care should improve infant health, yet research frequently finds only weak effects. If there are two kinds of pregnancies, 'complicated' and 'normal' ones, then combining these pregnancies may lead prenatal care to appear ineffective. Data from the National Maternal and Infant Health Survey (NMIHS) offers com...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2004.09.012
更新日期:2005-05-01 00:00:00