健康保险市场中的广告与风险选择

Advertising and Risk Selection in Health Insurance Markets

American Economic Review · 2018
被引 50
人大 A+FT50ABS 4*

中文导读

研究广告如何成为医疗保险优势计划中风险选择的渠道,发现广告吸引健康新参保者,改善风险池并降低保费,但可能通过交叉补贴影响不健康消费者。

Abstract

This paper studies the impact of advertising as a channel for risk selection in Medicare Advantage. We provide evidence that insurer advertising is responsive to the gains from risk selection. Then we develop and estimate an equilibrium model of Medicare Advantage with advertising, allowing rich individual heterogeneity. Our estimates show that advertising is effective in attracting healthy individuals who are newly eligible for Medicare, contributing to advantageous selection into Medicare Advantage. Moreover, risk selection through advertising substantially lowers premiums by improving insurers' risk pools. The distributional implication is that unhealthy consumers may be better off through cross-subsidization from healthy individuals.

广告风险选择医疗保险市场