Decomposition of moral hazard.

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 Econ

authors

Nyman JA,Koc C,Dowd BE,McCreedy E,Trenz HM

doi

10.1016/j.jhealeco.2017.12.003

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

168-178

eissn

0167-6296

issn

1879-1646

pii

S0167-6296(17)30068-1

journal_volume

57

pub_type

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