← Search

The Review of Economics and Statistics Vol. 95 No. 1 2013

Determinants of Health Care Decisions: Insurance, Utilization, and Expenditures

Chan Shen

Georgetown University

Abstract

This paper studies three interrelated health care decisions: insurance, utilization, and expenditures. The model treats insurance as an endogenous variable with respect to both utilization and expenditures, addresses potential selection issues, and takes into account that the decisions to use health care and the level of treatment are determined by different decision makers. We employ semiparametric methods to avoid making distributional assumptions. Using the Medical Expenditure Panel Survey 2005 data, the semiparametric approach predicts insurance to increase the level of expenditures by 48%, a number in accord with an important experimental study and less than half that obtained using parametric methods.

DOI
10.1162/rest_a_00232
Volume
95
Issue
1
Pages
142-153
Language
en
Sources
openalex crossref

Cite