老年人中的选择不一致:来自Medicare D部分计划选择的证据

Choice Inconsistencies among the Elderly: Evidence from Plan Choice in the Medicare Part D Program

American Economic Review · 2011
被引 7
人大 A+FT50ABS 4*

中文导读

利用处方药索赔数据,研究老年人在Medicare D部分计划中的选择行为,发现他们过度看重保费而忽视自付费用,若理性选择则福利可提高27%。

Abstract

We evaluate the choices of elders across their insurance options under the Medicare Part D Prescription Drug plan, using a unique dataset of prescription drug claims matched to information on the characteristics of choice sets. We document that elders place much more weight on plan premiums than on expected out-of-pocket costs; value plan financial characteristics beyond any impacts on their own financial expenses or risk; and place almost no value on variance-reducing aspects of plans. Partial equilibrium welfare analysis implies that welfare would have been 27 percent higher if patients had all chosen rationally.

老年人选择不一致医疗保险D部分计划选择