title: Healthcare Demand in the Presence of Discrete Price Changes.
abstract: Deductibles in health insurance generate nonlinear budget sets and dynamic incentives. Using detailed individual health expenditure data from a Swiss health insurer, we estimate the response in healthcare demand to the discrete price increase generated by resetting the deductible at the start of each calendar year. We find that for individuals with high deductibles, healthcare demand drops by 27%. The decrease is most pronounced for inpatient care and prescription drugs. By contrast, for individuals with low deductibles, there is no significant change in healthcare demand (except for prescription drugs). Overall our results suggest that healthy individuals respond much stronger to the price change.
authors: Department of Economics, University of Bern, Bern, Switzerland.
authors: Michael
authors: M
authors: Gerfin
authors: Department of Economics, University of Bern, Bern, Switzerland.
authors: Boris
authors: B
authors: Kaiser
authors: Department of Economics, University of Bern, Bern, Switzerland.
authors: Christian
authors: C
authors: Schmid
mesh_terms: D000328:Adult; D003669:Deductibles and Coinsurance / Q000191:economics / Q000706:statistics & numerical data; D005251:Fees, Medical / Q000706:statistics & numerical data*; D005260:Female; D006301:Health Services Needs and Demand / Q000191:economics* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D055553:Prescription Drugs / Q000191:economics / Q000627:therapeutic use; D013557:Switzerland
chemical_list: D055553:Prescription Drugs
keywords: D12; I13; JELC31; dynamic incentives; health insurance; healthcare demand; nonlinear pricing