000			02484cam a22003377 4500
001			w22802
003			NBER
005			20211020105114.0
006			m o d
007			cr cnu||||||||
008			210910s2016 mau fo 000 0 eng d
100	1		_aLin, Haizhen.
245	1	0	_aIntertemporal Substitution in Health Care Demand: _bEvidence from the RAND Health Insurance Experiment / _cHaizhen Lin, Daniel W. Sacks.
260			_aCambridge, Mass. _bNational Bureau of Economic Research _c2016.
300			_a1 online resource: _billustrations (black and white);
490	1		_aNBER working paper series _vno. w22802
500			_aNovember 2016.
520	3		_aNonlinear cost-sharing in health insurance encourages intertemporal substitution be- cause patients can reduce their out-of-pocket costs by concentrating spending in years when they hit the deductible. We test for such intertemporal substitution using data from the RAND Health Insurance Experiment, where people were randomly assigned either to a free care plan or to a cost-sharing plan which had coinsurance up to a maximum dollar expenditure (MDE). Hitting the MDE--leading to an effective price of zero--has a bigger effect on monthly health care spending and utilization than does being in free care, because people who hit the MDE face high future and past prices. As a result, we estimate that sensitivity to short-lasting price changes is about twice as large as sensitivity to long-lasting changes. These findings help reconcile conflicting estimates of the price elasticity of demand for health care, and suggest that high deductible health plans may be less effective than hoped in controlling health care spending.
530			_aHardcopy version available to institutional subscribers
538			_aSystem requirements: Adobe [Acrobat] Reader required for PDF files.
538			_aMode of access: World Wide Web.
588	0		_aPrint version record
690		7	_aD12 - Consumer Economics: Empirical Analysis _2Journal of Economic Literature class.
690		7	_aG22 - Insurance • Insurance Companies • Actuarial Studies _2Journal of Economic Literature class.
700	1		_aSacks, Daniel W.
710	2		_aNational Bureau of Economic Research.
830		0	_aWorking Paper Series (National Bureau of Economic Research) _vno. w22802.
856	4	0	_uhttps://www.nber.org/papers/w22802
856			_yAcceso en línea al DOI _uhttp://dx.doi.org/10.3386/w22802
942			_2ddc _cW-PAPER
999			_c325320 _d283882