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  1. Moral hazard heterogeneity: genes and health insurance influence smoking after a health shock
    Autor*in: Biroli, Pietro; Zwyssig, Laura
    Erschienen: March 2021
    Verlag:  IZA - Institute of Labor Economics, Bonn, Germany

    Decision-making in the realm of health behaviors, such as smoking or drinking, is influenced both by biological factors, such as genetic predispositions, as well as environmental factors, such as financial liquidity and health insurance status. We... mehr

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    Standort:
    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
    Signatur:
    DS 4
    Fernleihe:
    keine Fernleihe

     

    Decision-making in the realm of health behaviors, such as smoking or drinking, is influenced both by biological factors, such as genetic predispositions, as well as environmental factors, such as financial liquidity and health insurance status. We show how the choice of smoking after a cardio-vascular health shock is jointly determined by the interplay between these biological and environmental constraints. Individuals who suffer a health shock when uninsured are 25.6 percentage points more likely to reduce smoking, but this is true only for those who have a low index of genetic predisposition to smoking. Individuals with a low index of genetic predisposition are more strategic and flexible in their behavioral response to an external shock. This differential elasticity of response depending on your genetic variants is evidence of individual-level heterogeneity in moral hazard. These results suggest that genetic heterogeneity is a factor that should be considered when evaluating the effectiveness and fairness of health insurance policies.

     
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    Quelle: Verbundkataloge
    Sprache: Englisch
    Medientyp: Buch (Monographie)
    Format: Online
    Weitere Identifier:
    hdl: 10419/236207
    Schriftenreihe: Discussion paper series / IZA ; no. 14176
    Schlagworte: moral hazard; genetics; smoking; medicare
    Umfang: 1 Online-Ressource (circa 72 Seiten), Illustrationen
  2. The effects of multispecialty group practice on health care spending and use
    Autor*in: Baker, Laurence Claude; Bundorf, M. Kate; Royalty, Anne Beeson
    Erschienen: June 2019
    Verlag:  National Bureau of Economic Research, Cambridge, MA

    Standort:
    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
    Signatur:
    W 1 (25915)
    Fernleihe:
    uneingeschränkte Fernleihe, Kopie und Ausleihe
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    Quelle: Verbundkataloge
    Sprache: Englisch
    Medientyp: Buch (Monographie)
    Format: Druck
    Schriftenreihe: Working paper series / National Bureau of Economic Research ; 25915
    Schlagworte: Arztpraxis; Gesundheitsversorgung; Integrierte Versorgung; Patienten; Verhalten; Wohnungswechsel; Gesundheitskosten; USA; medicare
    Umfang: 43 Seiten, Illustrationen
    Bemerkung(en):

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  3. Age-based health insurance coverage policies and mental health
    Autor*in: Han, Yiran; Yörük, Barış K.
    Erschienen: August 2022
    Verlag:  CESifo, Center for Economic Studies & Ifo Institute, Munich, Germany

    More than 18 percent of U.S. adults met the diagnostic criteria for a mental illness. Yet, many who could benefit from mental health care do not receive any treatment, mostly due to the inability to pay for care or lack of health insurance coverage.... mehr

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    DS 63
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    keine Fernleihe

     

    More than 18 percent of U.S. adults met the diagnostic criteria for a mental illness. Yet, many who could benefit from mental health care do not receive any treatment, mostly due to the inability to pay for care or lack of health insurance coverage. How does a sudden change in health insurance coverage status affect psychological well-being and mental health? We explore this question using age-based health insurance coverage policies in the United States as natural experiments. We provide evidence that losing health insurance coverage at age 26 due to aging out from dependent coverage is associated with a statistically significant deterioration in certain indicators of mental health among young adults. On the other hand, we find no evidence of an improvement in mental health or psychological well-being among the elderly at age 65 due to becoming eligible for Medicare. These results are robust to potential changes in risk-taking behavior and physical health at the same age cutoffs.

     
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    Quelle: Verbundkataloge
    Sprache: Englisch
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    Format: Online
    Weitere Identifier:
    hdl: 10419/265928
    Schriftenreihe: CESifo working paper ; no. 9893 (2022)
    Schlagworte: Affordable Care Act; dependent coverage; health insurance; medicare; mental health; psychological well-being
    Umfang: 1 Online-Ressource (circa 36 Seiten), Illustrationen
  4. Age-based health insurance coverage policies and mental health
    Autor*in: Han, Yiran; Yörük, Barış K.
    Erschienen: August 2022
    Verlag:  IZA - Institute of Labor Economics, Bonn, Germany

    More than 18 percent of U.S. adults met the diagnostic criteria for a mental illness. Yet, many who could benefit from mental health care do not receive any treatment, mostly due to the inability to pay for care or lack of health insurance coverage.... mehr

    Zugang:
    Verlag (kostenfrei)
    Verlag (kostenfrei)
    Resolving-System (kostenfrei)

    Standort:
    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
    Signatur:
    DS 4
    Fernleihe:
    keine Fernleihe

     

    More than 18 percent of U.S. adults met the diagnostic criteria for a mental illness. Yet, many who could benefit from mental health care do not receive any treatment, mostly due to the inability to pay for care or lack of health insurance coverage. How does a sudden change in health insurance coverage status affect psychological well-being and mental health? We explore this question using age-based health insurance coverage policies in the United States as natural experiments. We provide evidence that losing health insurance coverage at age 26 due to aging out from dependent coverage is associated with a statistically significant deterioration in certain indicators of mental health among young adults. On the other hand, we find no evidence of an improvement in mental health or psychological well-being among the elderly at age 65 due to becoming eligible for Medicare. These results are robust to potential changes in risk-taking behavior and physical health at the same age cutoffs.

     
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    Quelle: Verbundkataloge
    Sprache: Englisch
    Medientyp: Buch (Monographie)
    Format: Online
    Weitere Identifier:
    hdl: 10419/265710
    Schriftenreihe: Discussion paper series / IZA ; no. 15489
    Schlagworte: affordable care act; dependent coverage; health insurance; medicare; mental health; psychological well-being
    Umfang: 1 Online-Ressource (circa 36 Seiten), Illustrationen
  5. Preferred pharmacy networks and drug costs
    Autor*in: Starc, Amanda; Swanson, Ashley
    Erschienen: July 2018
    Verlag:  National Bureau of Economic Research, Cambridge, MA

    Standort:
    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
    Signatur:
    W 1 (24862)
    Fernleihe:
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    Quelle: Verbundkataloge
    Sprache: Englisch
    Medientyp: Buch (Monographie)
    Format: Druck
    Schriftenreihe: Working paper series / National Bureau of Economic Research ; 24862
    Schlagworte: Arzneimittel; Pharmahandel; Gesundheitskosten; Gesundheitswesen; medicare
    Umfang: 53 Seiten, Illustrationen
    Bemerkung(en):

    Erscheint auch als Online-Ausgabe
  6. The effect of Medicare part D on pharmaceutical prices and utilization
    Autor*in: Duggan, Mark G.; Scott Morton, Fiona
    Erschienen: 2008
    Verlag:  National Bureau of Economic Research, Cambridge, Mass.

    "On January 1, 2006, the federal government began providing insurance coverage for Medicare recipients' prescription drug expenditures through a new program known as Medicare Part D. Rather than setting pharmaceutical prices itself, the government... mehr

    Standort:
    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
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    W 1 (13917)
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    "On January 1, 2006, the federal government began providing insurance coverage for Medicare recipients' prescription drug expenditures through a new program known as Medicare Part D. Rather than setting pharmaceutical prices itself, the government contracted with private insurance plans to provide this coverage. Enrollment in Part D was voluntary, with each Medicare recipient allowed to choose from one of the private insurers with a contract to offer coverage in her geographic region. This paper evaluates the effect of this program on the price and utilization of pharmaceutical treatments. Theoretically, it is ambiguous whether the expansion in insurance coverage would increase or reduce pharmaceutical prices. Insurance-induced reductions in demand elasticities would predict an increase in pharmaceutical firms' optimal prices. However, Part D plans could potentially negotiate price discounts through their ability to influence the market share of specific treatments. Using data on product-specific prices and quantities sold in each year in the U.S., our findings indicate that Part D substantially lowered the average price and increased the total utilization of prescription drugs by Medicare recipients. Our results further suggest that the magnitude of these average effects varies across drugs as predicted by economic theory"--National Bureau of Economic Research web site

     
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    Schriftenreihe: NBER working paper series ; 13917
    Schlagworte: Krankenversicherung; Gesundheitsreform; Arzneimittel; Preis; Nachfrage; USA; medicare
    Umfang: 37, [10] S., graph. Darst.
  7. The effect of Medicare coverage for the disabled on the market for private insurance
    Autor*in: Cogan, John F.; Hubbard, R. Glenn; Kessler, Daniel P.
    Erschienen: 2008

    Standort:
    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
    Signatur:
    W 1 (14309)
    Fernleihe:
    uneingeschränkte Fernleihe, Kopie und Ausleihe

    Standort:
    ifo Institut für Wirtschaftsforschung an der Universität München, Bibliothek
    Signatur:
    http://www.nber.org/papers/w14309.pdfi
    Export in Literaturverwaltung   RIS-Format
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    Quelle: Verbundkataloge
    Sprache: Englisch
    Medientyp: Buch (Monographie)
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    Schriftenreihe: NBER working paper series ; 14309
    Schlagworte: Gesundheitskosten; Subvention; Behinderte; Krankenversicherung; Private Krankenversicherung; USA; medicare
    Umfang: 26 S.
  8. Medicare part D's effects on elderly drug costs and utilization
    Autor*in: Ketcham, Jonathan D.; Simon, Kosali Ilayperuma
    Erschienen: 2008

    Standort:
    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
    Signatur:
    W 1 (14326)
    Fernleihe:
    uneingeschränkte Fernleihe, Kopie und Ausleihe

    Standort:
    ifo Institut für Wirtschaftsforschung an der Universität München, Bibliothek
    Signatur:
    http://www.nber.org/papers/w14326.pdfi
    Export in Literaturverwaltung   RIS-Format
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    Quelle: Verbundkataloge
    Sprache: Englisch
    Medientyp: Buch (Monographie)
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    Schriftenreihe: NBER working paper series ; 14326
    Schlagworte: Gesundheitswesen; Arzneimittel; Gesundheitskosten; Ältere Menschen; USA; medicare
    Umfang: 19, [5] S.
  9. Insurers' negotiating leverage and the external effects of medicare Part D
    Autor*in: Lakdawalla, Darius N.; Yin, Wesley
    Erschienen: 2010

    "The NBER Bulletin on Aging and Health provides summaries of publications like this. You can sign up to receive the NBER Bulletin on Aging and Health by email. Public financing of private health insurance may generate external effects beyond the... mehr

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    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
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    W 1 (16251)
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    "The NBER Bulletin on Aging and Health provides summaries of publications like this. You can sign up to receive the NBER Bulletin on Aging and Health by email. Public financing of private health insurance may generate external effects beyond the subsidized population, by influencing the size and bargaining power of health insurers. We test for this external effect in the context of Medicare Part D. We analyze how Part D-related insurer size increases impacted retail drug prices negotiated by insurers for their non-Part D commercial market. On average, Part D lowered retail prices for commercial insureds by 5.8% to 8.5%. The cost-savings to the commercial market amount to $3bn per year, which approximates the total annual savings experienced by Part D beneficiaries who previously lacked drug coverage"--National Bureau of Economic Research web site

     
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    Quelle: Verbundkataloge
    Sprache: Englisch
    Medientyp: Buch (Monographie)
    Format: Druck
    Schriftenreihe: NBER working paper series ; 16251
    Schlagworte: Gesetzliche Krankenversicherung; Private Krankenversicherung; Öffentliche Sozialleistungen; Subvention; Externer Effekt; USA; medicare
    Umfang: 34, [9] S., graph. Darst.
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