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Expenditure response to health insurance policies: Evidence from kinks in rural China

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  • Lu, Yi
  • Shi, Julie
  • Yang, Wanyu

Abstract

This paper utilizes administrative data to analyze expenditure responses to the health insurance policy in rural China, and clear visual evidence of bunching is observed at the kink point. A static response model with optimization frictions estimates that a complete elimination of the reimbursement would cause the total expenditure per visit to decrease by 34.5%, and approximately one-third of the studied population makes decisions with errors. Heterogeneous expenditure responses and optimization frictions are observed across demographic groups. Cost-benefit and counterfactual analyses indicate that the current policy generates the greatest welfare gains.

Suggested Citation

  • Lu, Yi & Shi, Julie & Yang, Wanyu, 2019. "Expenditure response to health insurance policies: Evidence from kinks in rural China," Journal of Public Economics, Elsevier, vol. 178(C).
    • Handle: RePEc:eee:pubeco:v:178:y:2019:i:c:s0047272719301100
    DOI: 10.1016/j.jpubeco.2019.104049
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    Cited by:

    1. Guanfu Fang & Xin Li & Tianyu Tang, 2024. "Growing up without health insurance: Evidence from rural China," Health Economics, John Wiley & Sons, Ltd., vol. 33(2), pages 363-390, February.
    2. Zhang, Yan & Zhao, Guangchuan & Gu, Hai, 2022. "Investing in health capital: Does medical insurance matter?," Research in International Business and Finance, Elsevier, vol. 61(C).
    3. Shen, Menghan & He, Wen & Li, Linyan, 2020. "Incentives to use primary care and their impact on healthcare utilization: Evidence using a public health insurance dataset in China," Social Science & Medicine, Elsevier, vol. 255(C).

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    More about this item

    Keywords

    Bunching; Health care; Health insurance; Optimization friction;
    All these keywords.

    JEL classification:

    • D12 - Microeconomics - - Household Behavior - - - Consumer Economics: Empirical Analysis
    • G22 - Financial Economics - - Financial Institutions and Services - - - Insurance; Insurance Companies; Actuarial Studies
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private

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