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The Review of Economics and Statistics Vol. 97 No. 4 2015

Moral Hazard in Health Insurance: Do Dynamic Incentives Matter?

Aviva Aron-Dine1; Liran Einav2; Amy Finkelstein3; Mark R. Cullen2

1 Office of Management · 2 Stanford University · 3 Moscow Institute of Thermal Technology

open access

Abstract

Using data from employer-provided health insurance and Medicare Part D, we investigate whether healthcare utilization responds to the dynamic incentives created by the nonlinear nature of health insurance contracts. We exploit the fact that, because annual coverage usually resets every January, individuals who join a plan later in the year face the same initial ("spot") price of healthcare but a higher expected end-of-year ("future") price. We find a statistically significant response of initial utilization to the future price, rejecting the null that individuals respond only to the spot price. We discuss implications for analysis of moral hazard in health insurance.

DOI
10.1162/rest_a_00518
Volume
97
Issue
4
Pages
725-741
Language
en
Sources
openalex crossref

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