Abstract:
:This study seeks to simulate the portion of moral hazard that is due to the income transfer contained in the coinsurance price reduction. Healthcare spending of uninsured individuals from the MEPS with a priority health condition is compared with the predicted counterfactual spending of those same individuals if they were insured with either (1) a conventional policy that paid off with a coinsurance rate or (2) a contingent claims policy that paid off by a lump sum payment upon becoming ill. The lump sum payment is set to be equal to the insurer's predicted spending under the coinsurance policy. The proportion of moral hazard that is efficient is calculated as the proportion of total moral hazard that is generated by this lump sum payment. We find that the efficient proportion of moral hazard varies from disease to disease, but is the highest for those with diabetes and cancer.
journal_name
J Health Econjournal_title
Journal of health economicsauthors
Nyman JA,Koc C,Dowd BE,McCreedy E,Trenz HMdoi
10.1016/j.jhealeco.2017.12.003subject
Has Abstractpub_date
2018-01-01 00:00:00pages
168-178eissn
0167-6296issn
1879-1646pii
S0167-6296(17)30068-1journal_volume
57pub_type
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