Dynamics of Consumer Responses to Medical Price Changes

How individuals respond to coinsurance rates is fundamental for insurance market design, but most existing estimates speak only to short-run responses. We exploit a unique policy experiment that increased the coinsurance rate some elderly individuals face when they are aged 70–74 but not before or after. Higher coinsurance rates have an immediate and persistent effect on health care expenditure, and a sizable share of this effect persists after age 75. We find no evidence that higher coinsurance rates affect health. These results suggest that health care utilization depends on dynamic factors other than health stock, such as habits. (JEL D12, G22, H51, I11, I12, I13, J14)

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Journal
American Economic Review Insights
Published
2025-11-25
DOI
https://doi.org/10.1257/aeri.20240228
Primary Topic
Healthcare Policy and Management
Type
article
Field-Weighted Citation Impact
0.00
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article

Dynamics of Consumer Responses to Medical Price Changes

Shun‐ichiro Bessho, Norihiro Komura
American Economic Review Insights
Healthcare Policy and Management
article

Dynamics of Consumer Responses to Medical Price Changes

Shun‐ichiro Bessho, Norihiro Komura
article en

Abstract

How individuals respond to coinsurance rates is fundamental for insurance market design, but most existing estimates speak only to short-run responses. We exploit a unique policy experiment that increased the coinsurance rate some elderly individuals face when they are aged 70–74 but not before or after. Higher coinsurance rates have an immediate and persistent effect on health care expenditure, and a sizable share of this effect persists after age 75. We find no evidence that higher coinsurance rates affect health. These results suggest that health care utilization depends on dynamic factors other than health stock, such as habits. (JEL D12, G22, H51, I11, I12, I13, J14)

American Economic Review InsightsVol. 7(4)
Waseda University (JP), Institute of Economic Research of the Slovak Academy of Sciences (SK)
Openalex Percentile: Top 56%
Healthcare Policy and Management
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