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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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
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author Einav, Liran
Finkelstein, Amy
Ryan, Stephen
Schrimpf, Paul
Cullen, Mark R.
author2 Massachusetts Institute of Technology. Department of Economics
author_facet Massachusetts Institute of Technology. Department of Economics
Einav, Liran
Finkelstein, Amy
Ryan, Stephen
Schrimpf, Paul
Cullen, Mark R.
author_sort Einav, Liran
collection MIT
description 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.
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spelling mit-1721.1/738842022-09-27T18:20:41Z Selection on moral hazard in health insurance Einav, Liran Finkelstein, Amy Ryan, Stephen Schrimpf, Paul Cullen, Mark R. Massachusetts Institute of Technology. Department of Economics Finkelstein, Amy Finkelstein, Amy 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. National Institute on Aging (NIA (R01 AG032449)) National Cancer Institute (U.S.) (Grant SES-0643037) United States. Social Security Administration (grant #5 RRC08098400-03-00) Aluminum Company of America Alfred P. Sloan Foundation John D. and Catherine T. MacArthur Foundation (Network on Socioeconomic Status and Health) 2012-10-11T17:52:47Z 2012-10-11T17:52:47Z 2013-02 2012-03 Article http://purl.org/eprint/type/JournalArticle http://hdl.handle.net/1721.1/73884 Einav, Liran et al. "Selection on moral hazard in health insurance." American Economic Review, 103(1): 178-219. https://orcid.org/0000-0002-9941-6684 en_US http://dx.doi.org/10.1257/aer.103.1.178 American Economic Review Creative Commons Attribution-Noncommercial-Share Alike 3.0 http://creativecommons.org/licenses/by-nc-sa/3.0/ application/pdf American Economic Association MIT web domain
spellingShingle Einav, Liran
Finkelstein, Amy
Ryan, Stephen
Schrimpf, Paul
Cullen, Mark R.
Selection on moral hazard in health insurance
title Selection on moral hazard in health insurance
title_full Selection on moral hazard in health insurance
title_fullStr Selection on moral hazard in health insurance
title_full_unstemmed Selection on moral hazard in health insurance
title_short Selection on moral hazard in health insurance
title_sort selection on moral hazard in health insurance
url http://hdl.handle.net/1721.1/73884
https://orcid.org/0000-0002-9941-6684
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