Health Economics
14th Edition
ISBN: 9781137029966
Author: Jay Bhattacharya
Publisher: SPRINGER NATURE CUSTOMER SERVICE
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Indicate whether the statement is true, false, or unclear, and justify your answer.Cawley and Philipson (1999) find that, in life insurance markets, there is a bulk discount (that is, people buying larger policies pay lower per unit prices). They conclude that this finding is inconsistent with the Rothschild–Stiglitz model.
One major premise of the Rothschild–Stiglitz model is that there is a perfectly competitive market for health insurance. Suppose instead that the market is not perfectly competitive, and in fact competitor firms have a hard time entering the market. Could a pooling equilibrium occur in this case? What is it about competition that prevents pooling in the Rothschild–Stiglitz model? No formal proof is necessary, but do make your reasoning clear. Evaluate the following statement: competition in health insurance markets is harmful.
Consider that you want to apply the difference-in-differences approach to evaluate the
Health Insurance Subsidy Program (HISP). In this scenario, you have two rounds of data
on two groups of households: one group that enrolled in the program, and another that
did not. You know that you cannot compare the average health expenditures of the two
groups because of selection bias, thus you decide to compare change in health
expenditures as follows:
Table 7.2 Evaluating HISP: Difference-in-Differences Comparison of Means
After
Before
(baseline)
(follow-up)
Difference
Enrolled
7.84
14.49
-6.65
Nonenrolled
22.30
20.79
1.51
Difference
DD = -6.65 – 1.51 = -8.16
Note: The table presents mean household health expenditures (in dollars) for enrolled and
nonenrolled households, before and after the introduction of HISP.
How should you interpret this difference ($USD -8.16)? What are the basic assumptions
required to accept this result from difference-in-differences?
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Similar questions
- Multiple Choice Adverse selection describes a situation where an individual's demand for insurance is positively correlated with the individual's risk of loss. Adverse selection occurs when someone increases their exposure to risk when insured. This can happen, for example, when a person takes more risks because someone else bears the cost of those risks. The relationship between smoking status and mortality provides a good illustration for adverse selection, especially in the case in which a life insurance company did not vary its premiums according to smoking status of its customers. To counter the effects of adverse selection, insurers may offer premiums that are proportional to a customer's risk.arrow_forwardSuppose that in the fictional country ASU in 2012, a mandate was passed where everyone between the ages of 23-25 will receive health insurance at a discounted rate, while individuals aged 27-29 were not impacted by this policy. You, a researcher, want to study the effect of offering discounted health insurance coverage on the use of mental health services. You have data on the average number of visits for these two age groups over time. Using the information in the table below, a quick difference-in-difference calculation suggests that the mandate led to Time Periods Age group Avg. Avg. Number of Number of visits visits Pre-2012. Post-2012 23 to 25 2.3 27 to 29 2.5 approximately 0.3 more visits. approximately 0.7 more visits. approximately 0.4 fewer visits. approximately 0.7 fewer visits. approximately 0.3 fewer visits. 020202 337 SUCHARY 3.0 2.9 P 1302 126 70 5572 25 20120822 2012 Carrow_forwardIndicate whether the statement is true or false, and justify your answer.The take-up rate of health insurance among people with good jobs (that is full-time jobs that have lasted longer than a year) has declined in recent years, and this is an important reason for the increase in uninsurance rates over those same years.arrow_forward
- Indicate whether the statement is true or false, and justify your answer.The Rothschild–Stiglitz model predicts that people who own life insurance should have fewer unobserved traits (that is, unobserved by insurance companies) that lead to a higher risk of death when compared against people with the same level of income but who do not own life insurance.arrow_forwardIndicate whether the statement is true, false, or unclear, and justify your answer.One of the major predictions of the Rothschild–Stiglitz model is a positive correlation between risk and insurance coverage. This has never been observed in practice due to the confounding influence of moral hazard.arrow_forwardIndicate whether the statement is true or false, and justify your answer.In a Rothschild–Stiglitz model separating equilibrium, there is a volume discount for insurance purchases – those who choose to buy more insurance pay a lower per-unit price for it.arrow_forward
- Indicate whether the statement is true or false, and justify your answer.The RAND study was especially useful for measuring price elasticities because it randomly assigned insurance plans to participantsarrow_forwardIndicate whether the statement is true or false, and justify your answer.In a Rothschild–Stiglitz model separating equilibrium, low-risk consumers of insurance are quantity constrained. They cannot buy as much insurance as they want because the insurance company is worried it will lose money on them.arrow_forwardConsider the case of a competitive health insurance market, similar to what we studied in the graphical framework in Week 4A. Assume that, as in the Affordable Care Act, the government allows many insurers to compete (perfect competition) to offer the one kind of insurance contract allowed (this is just the same as the framework we’ve discussed all along, starting in Week 4A). Consumer demand for insurance is described by: P = 15 - .7 Q Qmax = 20 Assume that marginal and average costs are characterized by: MC= 10 – 4Q AC= 10 - .2Q A. Compute the competitive market price and quantity outcome under the usual assumptions. B. Compute the welfare loss from adverse selection in this competitive market. Also, compute the number of people who should have insurance from a social perspective. Remember that some people here may not have positive social value of insurance, so shouldn't be counted in the deadweight loss from adverse selection. This could be because, e.g. there are administrative…arrow_forward
- In the early 2000s, the state of Massachusetts in the U.S. implemented a health reform aimed at enrolling people without health insurance into an insurance plan. The reform required people without health insurance (at least those who could afford it) to buy insurance, and put in place penalties on those who nevertheless chose not to buy insurance. Below is the abstract of a recent National Bureau of Economic Research working paper entitled “Health Reform, Health Insurance, and Selection: Estimating Selection into Health Insurance Using the Massachusetts Health Reform” by Martin Hackmann, Jonathan Kolstad, and Amanda Kowalski. The authors conducted a study of the effects of the Massachusetts reform. They write: We implement an empirical test for selection into health insurance using changes in coverage induced by the introduction of mandated health insurance in Massachusetts. Our test examines changes in the cost of the newly insured relative to those who were insured prior to the…arrow_forwardIndicate whether the statement is true or false, and justify your answer.Results from the Oregon Medicaid Experiment suggest that having health insurance has a positive impact on health status.arrow_forwardIndicate whether the statement is true or false, and justify your answer.Under the typical assumptions of the Rothschild–Stiglitz model, there is nothing that an insurance company can do to distinguish between robust and frail customers.arrow_forward
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