Selection on moral hazard in health insurance

We use employee-level panel data from a single rm to explore the possibility that individuals may select insurance coverage in part based on their anticipated behavioral ( moral hazard ) response to insurance, a phenomenon we label selection on moral hazard. Using a model of plan choice and me...

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Bibliographic Details
Main Authors: Einav, Liran, Finkelstein, Amy, Ryan, Stephen, Schrimpf, Paul, Cullen, Mark R.
Other Authors: Massachusetts Institute of Technology. Department of Economics
Format: Article
Language:en_US
Published: American Economic Association 2012
Online Access:http://hdl.handle.net/1721.1/73884
https://orcid.org/0000-0002-9941-6684
Description
Summary:We use employee-level panel data from a single rm to explore the possibility that individuals may select insurance coverage in part based on their anticipated behavioral ( moral hazard ) response to insurance, a phenomenon we label selection on moral hazard. Using a model of plan choice and medical utilization, we present evidence of heterogeneous moral hazard as well as selection on it, and explore some of its implica- tions. For example, we show that, at least in our context, abstracting from selection on moral hazard could lead to over-estimates of the spending reduction associated with introducing a high-deductible health insurance option.