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Price and Saliency in Health Care: When Can Targeted Nudges Change Behaviors?

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  • Walker, Brigham

    (Tulane University)

Abstract

This paper takes advantage of a natural experiment to examine the relationship between the price and saliency of health services. A large employer e-mailed individually-targeted health education encouraging high-value care to high-risk employees. Weeks before the program launched, a company reorganization affecting about a quarter of employees resulted in that group not receiving the intervention. Using event study, difference-in-differences, and triple differences methods, I find that costlier services are associated with relatively less utilization and that prior use was associated with relatively more utilization following the campaigns. These results may inform employer, governmental, and health insurer choices concerning low-cost interventions seeking to shift health behaviors, and may also be relevant in other settings in which targeted informational nudges are deployed.

Suggested Citation

  • Walker, Brigham, 2020. "Price and Saliency in Health Care: When Can Targeted Nudges Change Behaviors?," IZA Discussion Papers 13851, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izadps:dp13851
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    References listed on IDEAS

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    1. Dayanand S. Manoli & Nicholas Turner, 2014. "Nudges and Learning: Evidence from Informational Interventions for Low-Income Taxpayers," NBER Working Papers 20718, National Bureau of Economic Research, Inc.
    2. Jessica Leight & Elana Safran, 2019. "Increasing immunization compliance among schools and day care centers: Evidence from a randomized controlled trial," Journal of Behavioral Public Administration, Center for Experimental and Behavioral Public Administration, vol. 2(2).
    3. Reisch, Lucia A. & Sunstein, Cass R. & Gwozdz, Wencke, 2017. "Viewpoint: Beyond carrots and sticks: Europeans support health nudges," Food Policy, Elsevier, vol. 69(C), pages 1-10.
    4. Raj Chetty & John N. Friedman & Emmanuel Saez, 2013. "Using Differences in Knowledge across Neighborhoods to Uncover the Impacts of the EITC on Earnings," American Economic Review, American Economic Association, vol. 103(7), pages 2683-2721, December.
    5. Pedro Bordalo & Nicola Gennaioli & Andrei Shleifer, 2013. "Salience and Consumer Choice," Journal of Political Economy, University of Chicago Press, vol. 121(5), pages 803-843.
    6. Booij, Adam S. & Leuven, Edwin & Oosterbeek, Hessel, 2012. "The role of information in the take-up of student loans," Economics of Education Review, Elsevier, vol. 31(1), pages 33-44.
    7. Saurabh Bhargava & Dayanand Manoli, 2015. "Psychological Frictions and the Incomplete Take-Up of Social Benefits: Evidence from an IRS Field Experiment," American Economic Review, American Economic Association, vol. 105(11), pages 3489-3529, November.
    8. Peter Bergman & Jeffrey T. Denning & Dayanand Manoli, 2019. "Is Information Enough? The Effect of Information about Education Tax Benefits on Student Outcomes," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 38(3), pages 706-731, June.
    9. Katherine Baicker & Sendhil Mullainathan & Joshua Schwartzstein, 2015. "Behavioral Hazard in Health Insurance," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 130(4), pages 1623-1667.
    10. Raj Chetty & Emmanuel Saez, 2013. "Teaching the Tax Code: Earnings Responses to an Experiment with EITC Recipients," American Economic Journal: Applied Economics, American Economic Association, vol. 5(1), pages 1-31, January.
    11. Findley, S.E. & Irigoyen, M. & See, D. & Sanchez, M. & Chen, S. & Sternfels, P. & Caesar, A., 2003. "Community-Provider Partnerships to Reduce Immunization Disparities: Field Report from Northern Manhattan," American Journal of Public Health, American Public Health Association, vol. 93(7), pages 1041-1044.
    12. Eric P. Bettinger & Bridget Terry Long & Philip Oreopoulos & Lisa Sanbonmatsu, 2012. "The Role of Application Assistance and Information in College Decisions: Results from the H&R Block Fafsa Experiment," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 127(3), pages 1205-1242.
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    More about this item

    Keywords

    information; saliency; price; health care; nudges; prior beliefs;
    All these keywords.

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • D8 - Microeconomics - - Information, Knowledge, and Uncertainty

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