Health Insurance and the Demand for Medical Care: Evidence from a Randomized Experiment
We estimate how cost sharing, the portion of the bill the patient pays, affects the demand for medical services. The data come from a randomized experiment. A catastrophic insurance plan reduces expenditures 31 percent relative to zero out-of-pocket price. The price elasticity is approximately -0.2....
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| Veröffentlicht in: | The American economic review 1987-06, Vol.77 (3), p.251-277 |
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| container_title | The American economic review |
| container_volume | 77 |
| creator | Manning, Willard G. Newhouse, Joseph P. Duan, Naihua Keeler, Emmett B. Leibowitz, Arleen |
| description | We estimate how cost sharing, the portion of the bill the patient pays, affects the demand for medical services. The data come from a randomized experiment. A catastrophic insurance plan reduces expenditures 31 percent relative to zero out-of-pocket price. The price elasticity is approximately -0.2. We reject the hypothesis that less favorable coverage of outpatient services increases total expenditure (for example, by deterring preventive care or inducing hospitalization). |
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The data come from a randomized experiment. A catastrophic insurance plan reduces expenditures 31 percent relative to zero out-of-pocket price. The price elasticity is approximately -0.2. We reject the hypothesis that less favorable coverage of outpatient services increases total expenditure (for example, by deterring preventive care or inducing hospitalization).</description><identifier>ISSN: 0002-8282</identifier><identifier>EISSN: 1944-7981</identifier><identifier>PMID: 10284091</identifier><identifier>CODEN: AENRAA</identifier><language>eng</language><publisher>United States: The American Economic Association</publisher><subject>Analysis of Variance ; Coinsurance ; Cost estimates ; Costs ; Deductibles and Coinsurance ; Econometrics ; Economic models ; Elasticity of demand ; Expenditures ; Experiments ; Health administration ; Health care ; Health insurance ; Health maintenance organizations ; Health Services Needs and Demand - economics ; Health Services Research - economics ; Health Status ; HMOs ; Insurance coverage ; Insurance deductibles ; Insurance, Health ; Insurance, Major Medical ; Medical care ; Medical service ; Mental health insurance ; Models, Theoretical ; Patient care ; Physicians ; Price elasticity ; Random Allocation ; Research Design ; Social research ; Studies ; Supply and demand ; United States ; Variance analysis</subject><ispartof>The American economic review, 1987-06, Vol.77 (3), p.251-277</ispartof><rights>Copyright 1987 American Economic Association</rights><rights>Copyright American Economic Association Jun 1987</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/1804094$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/1804094$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,799,27842,27846,57992,58225</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10284091$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Manning, Willard G.</creatorcontrib><creatorcontrib>Newhouse, Joseph P.</creatorcontrib><creatorcontrib>Duan, Naihua</creatorcontrib><creatorcontrib>Keeler, Emmett B.</creatorcontrib><creatorcontrib>Leibowitz, Arleen</creatorcontrib><title>Health Insurance and the Demand for Medical Care: Evidence from a Randomized Experiment</title><title>The American economic review</title><addtitle>Am Econ Rev</addtitle><description>We estimate how cost sharing, the portion of the bill the patient pays, affects the demand for medical services. The data come from a randomized experiment. A catastrophic insurance plan reduces expenditures 31 percent relative to zero out-of-pocket price. The price elasticity is approximately -0.2. We reject the hypothesis that less favorable coverage of outpatient services increases total expenditure (for example, by deterring preventive care or inducing hospitalization).</description><subject>Analysis of Variance</subject><subject>Coinsurance</subject><subject>Cost estimates</subject><subject>Costs</subject><subject>Deductibles and Coinsurance</subject><subject>Econometrics</subject><subject>Economic models</subject><subject>Elasticity of demand</subject><subject>Expenditures</subject><subject>Experiments</subject><subject>Health administration</subject><subject>Health care</subject><subject>Health insurance</subject><subject>Health maintenance organizations</subject><subject>Health Services Needs and Demand - economics</subject><subject>Health Services Research - economics</subject><subject>Health Status</subject><subject>HMOs</subject><subject>Insurance coverage</subject><subject>Insurance deductibles</subject><subject>Insurance, Health</subject><subject>Insurance, Major Medical</subject><subject>Medical care</subject><subject>Medical service</subject><subject>Mental health insurance</subject><subject>Models, Theoretical</subject><subject>Patient care</subject><subject>Physicians</subject><subject>Price elasticity</subject><subject>Random Allocation</subject><subject>Research Design</subject><subject>Social research</subject><subject>Studies</subject><subject>Supply and demand</subject><subject>United States</subject><subject>Variance 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The data come from a randomized experiment. A catastrophic insurance plan reduces expenditures 31 percent relative to zero out-of-pocket price. The price elasticity is approximately -0.2. We reject the hypothesis that less favorable coverage of outpatient services increases total expenditure (for example, by deterring preventive care or inducing hospitalization).</abstract><cop>United States</cop><pub>The American Economic Association</pub><pmid>10284091</pmid><tpages>27</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-8282 |
| ispartof | The American economic review, 1987-06, Vol.77 (3), p.251-277 |
| issn | 0002-8282 1944-7981 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_80995215 |
| source | Jstor Complete Legacy; MEDLINE; PAIS Index; Business Source Complete; Periodicals Index Online |
| subjects | Analysis of Variance Coinsurance Cost estimates Costs Deductibles and Coinsurance Econometrics Economic models Elasticity of demand Expenditures Experiments Health administration Health care Health insurance Health maintenance organizations Health Services Needs and Demand - economics Health Services Research - economics Health Status HMOs Insurance coverage Insurance deductibles Insurance, Health Insurance, Major Medical Medical care Medical service Mental health insurance Models, Theoretical Patient care Physicians Price elasticity Random Allocation Research Design Social research Studies Supply and demand United States Variance analysis |
| title | Health Insurance and the Demand for Medical Care: Evidence from a Randomized Experiment |
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