SwePub - search: WFRF:(de New Sonja C)

Enumeration	Reference	Cover	Find
1.	Johansson, Naimi, 1988-, et al. (author) Reductions in out-of-pocket prices and forward-looking moral hazard in health care demand 2023 In: Journal of Health Economics. - : Elsevier. - 0167-6296 .- 1879-1646. ; 87 Journal article (peer-reviewed)abstract Little is known about how patients dynamically respond to a forthcoming reduction in health care out-of-pocket prices. Using a kinked Donut Regression Discontinuity design with kinks entering and exiting the donut, we evaluate a Swedish cost-sharing policy, where primary care out-of-pocket prices were eliminated at age 85. We find evidence of forward-looking moral hazard with older adults delaying primary care visits up to four months before the out-of-pocket elimination and shifting these visits until shortly after. These health care delays are driven by non-urgent care: non-physician visits, planned visits and follow up visits. We find no evidence of severe negative health effects in the short-term as a result of the delay. Contrary to our finding of forward-looking behavior with respect to out-of-pocket prices, we do not find evidence of typical moral hazard, as we do not find a persistent increase in primary health care use after the copayment elimination.

Johansson, Naimi, 1988-, et al. (author)
Reductions in out-of-pocket prices and forward-looking moral hazard in health care demand
2023
In: Journal of Health Economics. - : Elsevier. - 0167-6296 .- 1879-1646. ; 87
Journal article (peer-reviewed)abstract
- Little is known about how patients dynamically respond to a forthcoming reduction in health care out-of-pocket prices. Using a kinked Donut Regression Discontinuity design with kinks entering and exiting the donut, we evaluate a Swedish cost-sharing policy, where primary care out-of-pocket prices were eliminated at age 85. We find evidence of forward-looking moral hazard with older adults delaying primary care visits up to four months before the out-of-pocket elimination and shifting these visits until shortly after. These health care delays are driven by non-urgent care: non-physician visits, planned visits and follow up visits. We find no evidence of severe negative health effects in the short-term as a result of the delay. Contrary to our finding of forward-looking behavior with respect to out-of-pocket prices, we do not find evidence of typical moral hazard, as we do not find a persistent increase in primary health care use after the copayment elimination.

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