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Reductions in out-o...
Reductions in out-of-pocket prices and forward-looking moral hazard in health care demand
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- Johansson, Naimi, 1988- (author)
- Gothenburg University,Göteborgs universitet,Örebro universitet,Institutionen för hälsovetenskaper,Region Örebro län,School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Medicinaregatan 18A, Gothenburg SE-40530, Sweden; Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Sweden,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine
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- de New, Sonja C (author)
- Centre for Health Economics, Monash University, Level 5 Building H, Caulfield, Victoria 3145, Australia; IZA Institute of Labor Economics, ARC Centre of Excellence for Children and Families over the Life Course, RWI Research Network, Germany
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- Kunz, Johannes S (author)
- Centre for Health Economics, Monash University, Level 5 Building H, Caulfield, Victoria 3145, Australia
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- Petrie, Dennis (author)
- Centre for Health Economics, Monash University, Level 5 Building H, Caulfield, Victoria 3145, Australia
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- Svensson, Mikael, 1980 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine
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(creator_code:org_t)
- Elsevier, 2023
- 2023
- English.
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In: Journal of Health Economics. - : Elsevier. - 0167-6296 .- 1879-1646. ; 87
- Related links:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://gup.ub.gu.se...
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Abstract
Subject headings
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- 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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
- SAMHÄLLSVETENSKAP -- Ekonomi och näringsliv -- Nationalekonomi (hsv//swe)
- SOCIAL SCIENCES -- Economics and Business -- Economics (hsv//eng)
Keyword
- Demand for health care
- Donut regression discontinuity
- Forward-looking behavior
- Moral hazard
- Older adults
- Out-of-pocket prices
Publication and Content Type
- ref (subject category)
- art (subject category)
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