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对非线性医疗保险合约的跨期替代反应

Intertemporal Substitution in Response to Non-Linear Health Insurance Contracts
Journal of Public Economics · 2024 · Katlyn Hettinger

中文摘要

本文探讨非线性医疗保险合约如何使消费者能够将一个时期的医疗消费替代为另一个时期的医疗消费,即在达到年度免赔额的当年增加消费,并减少未来的消费。我利用导致重大医疗支出的伤病发生时间上的差异,识别达到免赔额对下一年度医疗消费的因果效应。估计结果表明,医疗消费在不同年份之间存在跨期替代,且消费者能够对非线性定价方案作出策略性反应,从而削弱免赔额保险计划可能带来的节省。

Abstract

I explore how non-linear health insurance contracts allow consumers to substitute healthcare in one period for healthcare in another period by increasing consumption in the year the annual deductible was met and decreasing future consumption. I exploit variation in the timing of an injury that generates significant healthcare expenses to identify the causal effect of meeting the deductible on healthcare consumption in the following year. Estimates indicate that there is intertemporal substitution across years in healthcare consumption and that consumers are able to strategically respond to non-linear pricing schemes to undermine the potential savings from deductible plans.
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