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The influence of health care preferences on insurance enrollment and medical expenditure behaviors

Author

Listed:
  • B. Cohen, Steven

    (Center for Financing, Access and Cost Trends (CFACT), Agency for Healthcare Research and Quality)

Abstract

Individual attitudes and opinions may visibly impact upon an individual's decisions on how and when to use health care services and associated decisions with respect to medical expenditures. These health care preferences also serve as important inputs in helping to predict health insurance coverage take-up decisions. This paper considers the degree of concordance over time in health care attitudes regarding the need and value of health insurance coverage based on national data from the Medical Expenditure Panel Survey. It demonstrates that individuals who consistently indicated they were healthy and did not need coverage were substantially less likely to have a medical expense in both years, relative to their counterparts who consistently disagreed with that classification. The paper also finds that adults under the age of 65 who consistently indicated that health insurance was not worth the cost were at nearly three times as likely to be continuously uninsured relative to those who consistently disagreed.

Suggested Citation

  • B. Cohen, Steven, 2013. "The influence of health care preferences on insurance enrollment and medical expenditure behaviors," Journal of Economic and Social Measurement, IOS Press, issue 4, pages 325-345.
  • Handle: RePEc:ris:iosjes:0009
    as

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    More about this item

    Keywords

    Healthcare preferences; medical expenditures; health insurance; MEPS;
    All these keywords.

    JEL classification:

    • C81 - Mathematical and Quantitative Methods - - Data Collection and Data Estimation Methodology; Computer Programs - - - Methodology for Collecting, Estimating, and Organizing Microeconomic Data; Data Access
    • C83 - Mathematical and Quantitative Methods - - Data Collection and Data Estimation Methodology; Computer Programs - - - Survey Methods; Sampling Methods
    • L11 - Industrial Organization - - Market Structure, Firm Strategy, and Market Performance - - - Production, Pricing, and Market Structure; Size Distribution of Firms
    • L60 - Industrial Organization - - Industry Studies: Manufacturing - - - General

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