How individuals choose health insurance: An experimental analysis
AbstractAn individual choosing a health insurance policy faces a complex decision environment where a large set of alternatives differ on a variety of dimensions. There is uncertainty and the choice is repeated at least once a year. We study decisions and decision strategies in a laboratory experiment where we create a controlled environment that closely mirrors this setting. We use an electronic information board that allows to carefully monitor the individual's decision strategy. The number of alternatives, switching costs, and the speed at which health deteriorates are varied across treatments. We find that most subjects' search is based more on attributes than on policies. Moreover, we find that an increase in the number of alternatives increases decision-making time; makes subjects consider a lower fraction of the available information; makes it more likely that subjects will switch; and decreases the quality of their decisions. The introduction of positive costs of switching makes people switch less often but improves the quality of their decisions. Finally, if health deteriorates only gradually, individuals tend to stick to their current policy too long.
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Bibliographic InfoArticle provided by Elsevier in its journal European Economic Review.
Volume (Year): 55 (2011)
Issue (Month): 6 (August)
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Web page: http://www.elsevier.com/locate/eer
Health insurance Laboratory experiments Decision making under uncertainty;
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- Ariel Rubinstein, 2007.
"Instinctive and Cognitive Reasoning: A Study of Response Times,"
Royal Economic Society, vol. 117(523), pages 1243-1259, October.
- Ariel Rubinstein, 2006. "Instinctive and Cognitive Reasoning: A Study of Response Times," Discussion Papers 1424, Northwestern University, Center for Mathematical Studies in Economics and Management Science.
- Ariel Rubinstein, 2006. "Instinctive and Cognitive Reasoning: A Study of Response Times," Working Papers 2006.36, Fondazione Eni Enrico Mattei.
- Roger Feldman & Michael Finch & Bryan Dowd & Steven Cassou, 1989. "The Demand for Employment-Based Health Insurance Plans," Journal of Human Resources, University of Wisconsin Press, vol. 24(1), pages 115-142.
- Gur Huberman & Wei Jiang, 2006. "Offering versus Choice in 401(k) Plans: Equity Exposure and Number of Funds," Journal of Finance, American Finance Association, vol. 61(2), pages 763-801, 04.
- David M. Cutler & Sarah J. Reber, 1998.
"Paying For Health Insurance: The Trade-Off Between Competition And Adverse Selection,"
The Quarterly Journal of Economics,
MIT Press, vol. 113(2), pages 433-466, May.
- David M. Cutler & Sarah Reber, 1996. "Paying for Health Insurance: The Tradeoff between Competition and Adverse Selection," NBER Working Papers 5796, National Bureau of Economic Research, Inc.
- Strombom, Bruce A. & Buchmueller, Thomas C. & Feldstein, Paul J., 2002. "Switching costs, price sensitivity and health plan choice," Journal of Health Economics, Elsevier, vol. 21(1), pages 89-116, January.
- Jason T. Abaluck & Jonathan Gruber, 2009. "Choice Inconsistencies Among the Elderly: Evidence from Plan Choice in the Medicare Part D Program," NBER Working Papers 14759, National Bureau of Economic Research, Inc.
- Johnson, Eric J. & Camerer, Colin & Sen, Sankar & Rymon, Talia, 2002. "Detecting Failures of Backward Induction: Monitoring Information Search in Sequential Bargaining," Journal of Economic Theory, Elsevier, vol. 104(1), pages 16-47, May.
- Selten, Reinhard & Abdolkarim Sadrieh & Klaus Abbink, 1995.
"Money does Not Induce Risk Neutral Behavior, but Binary Lotteries Do even Worse,"
Discussion Paper Serie B
343, University of Bonn, Germany.
- Reinhard Selten & Abdolkarim Sadrieh & Klaus Abbink, 1999. "Money Does Not Induce Risk Neutral Behavior, but Binary Lotteries Do even Worse," Theory and Decision, Springer, vol. 46(3), pages 213-252, June.
- Short, Pamela Farley & Taylor, Amy K., 1989. "Premiums, benefits, and employee choice of health insurance options," Journal of Health Economics, Elsevier, vol. 8(3), pages 293-311, December.
- Schut, Frederik T. & Hassink, Wolter H. J., 2002. "Managed competition and consumer price sensitivity in social health insurance," Journal of Health Economics, Elsevier, vol. 21(6), pages 1009-1029, November.
- Anne Beeson Royalty & Neil Solomon, 1999. "Health Plan Choice: Price Elasticities in a Managed Competition Setting," Journal of Human Resources, University of Wisconsin Press, vol. 34(1), pages 1-41.
- Florian Heiss & Daniel McFadden & Joachim Winter, 2010.
"Mind the Gap! Consumer Perceptions and Choices of Medicare Part D Prescription Drug Plans,"
in: Research Findings in the Economics of Aging, pages 413-481
National Bureau of Economic Research, Inc.
- Florian Heiss & Daniel McFadden & Joachim Winter, 2007. "Mind the Gap! Consumer Perceptions and Choices of Medicare Part D Prescription Drug Plans," NBER Working Papers 13627, National Bureau of Economic Research, Inc.
- Arthur Schram, 2005. "Artificiality: The tension between internal and external validity in economic experiments," Journal of Economic Methodology, Taylor & Francis Journals, vol. 12(2), pages 225-237.
- Smith, Vernon L, 1976. "Experimental Economics: Induced Value Theory," American Economic Review, American Economic Association, vol. 66(2), pages 274-79, May.
- repec:feb:framed:0074 is not listed on IDEAS
- Samuelson, William & Zeckhauser, Richard, 1988. " Status Quo Bias in Decision Making," Journal of Risk and Uncertainty, Springer, vol. 1(1), pages 7-59, March.
- Terrance Odean, 1999. "Do Investors Trade Too Much?," American Economic Review, American Economic Association, vol. 89(5), pages 1279-1298, December.
- Melissa W. Barringer & Olivia S. Mitchell, .
"Workers' Preferences Among Company-Provided Health Insurance Plans,"
Pension Research Council Working Papers
94-5, Wharton School Pension Research Council, University of Pennsylvania.
- Melissa W. Barringer & Olivia S. Mitchell, 1994. "Workers' preferences among company-provided health insurance plans," Industrial and Labor Relations Review, ILR Review, Cornell University, ILR School, vol. 48(1), pages 141-152, October.
- Jan Kerssens & Peter Groenewegen, 2005. "Consumer preferences in social health insurance," The European Journal of Health Economics, Springer, vol. 6(1), pages 8-15, March.
- Ziebarth, N.; & Schmitz, H.;, 2012.
"In absolute or relative terms? How framing prices affects the consumer price sensitivity of health plan choice,"
Health, Econometrics and Data Group (HEDG) Working Papers
12/03, HEDG, c/o Department of Economics, University of York.
- Schmitz, Hendrik & Ziebarth, Nicolas R., 2011. "In Absolute or Relative Terms? How Framing Prices Affects the Consumer Price Sensitivity of Health Plan Choice," IZA Discussion Papers 6241, Institute for the Study of Labor (IZA).
- Hendrik Schmitz & Nicolas R. Ziebarth, 2011. "In Absolute or Relative Terms?: How Framing Prices Affects the Consumer Price Sensitivity of Health Plan Choice," SOEPpapers on Multidisciplinary Panel Data Research 423, DIW Berlin, The German Socio-Economic Panel (SOEP).
- Hendrik Schmitz & Nicolas R. Ziebarth, 2011. "In Absolute or Relative Terms? How Framing Prices Affects the Consumer Price Sensitivity of," Ruhr Economic Papers 0304, Rheinisch-Westfälisches Institut für Wirtschaftsforschung, Ruhr-Universität Bochum, Universität Dortmund, Universität Duisburg-Essen.
- Sudipta Sarangi & Tibor Besedes & Cary Deck & Mikhael Shor, .
"Decision-making Strategies and Performance among Seniors,"
Departmental Working Papers
2011-08, Department of Economics, Louisiana State University.
- Besedeš, Tibor & Deck, Cary & Sarangi, Sudipta & Shor, Mikhael, 2012. "Decision-making strategies and performance among seniors," Journal of Economic Behavior & Organization, Elsevier, vol. 81(2), pages 524-533.
- Tibor Besedes & Cary Deck & Sudipta Sarangi & Mikhael Shor, 2012.
"Designing a Sequential Choice Architecture to Reduce Choice Overload,"
2012-24, University of Connecticut, Department of Economics.
- Besedes, Tibor & Deck, Cary & Sarangi, Sudipta & Shor, Mikhael, 2012. "Designing a sequential choice architecture to reduce choice overload," MPRA Paper 38173, University Library of Munich, Germany.
- Buckley, Neil J. & Cuff, Katherine & Hurley, Jeremiah & McLeod, Logan & Mestelman, Stuart & Cameron, David, 2012.
"An experimental investigation of mixed systems of public and private health care finance,"
Journal of Economic Behavior & Organization,
Elsevier, vol. 84(3), pages 713-729.
- Neil J. Buckley & Katherine Cuff & Jeremiah Hurley & Logan McLeod & Stuart Mestelman & David Cameron, 2012. "An Experimental Investigation of Mixed Systems of Public and Private Health Care Finance," Department of Economics Working Papers 2012-02, McMaster University.
- Fels, Markus, 2013. "Limited Attention and the Demand for Health Insurance," Annual Conference 2013 (Duesseldorf): Competition Policy and Regulation in a Global Economic Order 80485, Verein für Socialpolitik / German Economic Association.
- Filippin, A. & Crosetto, P., 2014.
"A reconsideration of gender differences in risk attitudes,"
2014-01, Grenoble Applied Economics Laboratory (GAEL).
- Antonio FILIPPIN & Paolo CROSETTO, 2014. "A Reconsideration of Gender Differences in Risk Attitudes," Departmental Working Papers 2014-01, Department of Economics, Management and Quantitative Methods at Università degli Studi di Milano.
- Jan Brosse & Mathias Kifmann, 2013. "Competition in Health Insurance and Premium Regulation," CESifo DICE Report, Ifo Institute for Economic Research at the University of Munich, vol. 11(1), pages 21-26, 04.
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