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对非线性健康保险合同的跨期替代反应

Intertemporal Substitution in Response to Non-Linear Health Insurance Contracts
Journal of Public Economics · 2024 · [{"name": "Katlyn Hettinger", "affiliation": ["Western Kentucky University"]}]

中文摘要

本文考察非线性健康保险合同如何使消费者能够将医疗消费从某一时期替代为另一时期:消费者在满足年度免赔额的当年增加医疗消费,同时减少未来的医疗消费,即以当期消费替代未来消费。本文利用一次产生大量医疗费用的受伤事件发生时间上的变异,识别满足免赔额对次年医疗消费的因果效应。估计结果表明,医疗消费存在跨年度的跨期替代,且消费者能够策略性地应对非线性定价方案,从而削弱免赔额计划可能带来的潜在节省。

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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