Advanced Search
MyIDEAS: Login to save this paper or follow this series

Nonparametric Bounds on the Effect of Deductibles in Health Care Insurance on Doctor Visits – Swiss Evidence

Contents:

Author Info

  • Gerfin, Michael

    ()
    (University of Bern)

  • Schellhorn, Martin

    ()
    (University of Kiel)

Abstract

We evaluate the effect of the size of deductibles in the basic health insurance in Switzerland on the probability of a doctor visit. We employ nonparametric bounding techniques to minimise statistical assumptions. In order to tighten the bounds we consider three further assumptions: mean independence of an instrument, monotone treatment response, and monotone treatment selection. Under the first two assumptions we are able to bound the treatment effect of high deductibles compared to low deductibles below zero. Adding the third assumption allows to tighten the bounds further. We conclude that there is a negative treatment effect.

Download Info

If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
File URL: http://ftp.iza.org/dp1616.pdf
Download Restriction: no

Bibliographic Info

Paper provided by Institute for the Study of Labor (IZA) in its series IZA Discussion Papers with number 1616.

as in new window
Length: 22 pages
Date of creation: May 2005
Date of revision:
Publication status: published in: Health Economics, 2006, 15 (9), 1011-1020
Handle: RePEc:iza:izadps:dp1616

Contact details of provider:
Postal: IZA, P.O. Box 7240, D-53072 Bonn, Germany
Phone: +49 228 3894 223
Fax: +49 228 3894 180
Web page: http://www.iza.org

Order Information:
Postal: IZA, Margard Ody, P.O. Box 7240, D-53072 Bonn, Germany
Email:

Related research

Keywords: health insurance; bounds; treatment effects;

Other versions of this item:

Find related papers by JEL classification:

This paper has been announced in the following NEP Reports:

References

References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
as in new window
  1. Manski, C.F., 1989. "Nonparametric Bounds On Treatment Effects," Working papers, Wisconsin Madison - Social Systems 8909, Wisconsin Madison - Social Systems.
  2. Jay Bhattacharya & Azeem Shaikh & Edward Vytlacil, 2005. "Treatment Effect Bounds: An Application to Swan-Ganz Catheterization," NBER Working Papers, National Bureau of Economic Research, Inc 11263, National Bureau of Economic Research, Inc.
  3. Rainer Winkelmann, 2002. "Health Care Reform and the Number of Doctor Visits – An Econometric Analysis," SOI - Working Papers, Socioeconomic Institute - University of Zurich 0210, Socioeconomic Institute - University of Zurich.
  4. Arnaud Chevalier & Gauthier Lanot, 2002. "Monotonicity and the Roy Model," Keele Economics Research Papers, Centre for Economic Research, Keele University KERP 2002/06, Centre for Economic Research, Keele University.
  5. Azeem Shaikh & Edward Vytlacil, 2005. "Threshold Crossing Models and Bounds on Treatment Effects: A Nonparametric Analysis," NBER Technical Working Papers, National Bureau of Economic Research, Inc 0307, National Bureau of Economic Research, Inc.
  6. Robert E. Leu & Martin Schellhorn, 2004. "The evolution of income-related inequalities in health care utilization in Switzerland over time," Diskussionsschriften, Universitaet Bern, Departement Volkswirtschaft dp0413, Universitaet Bern, Departement Volkswirtschaft.
  7. Charles F. Manski & John V. Pepper, 1998. "Monotone Instrumental Variables with an Application to the Returns to Schooling," NBER Technical Working Papers, National Bureau of Economic Research, Inc 0224, National Bureau of Economic Research, Inc.
  8. Alberto Abadie & Guido W. Imbens, 2006. "Large Sample Properties of Matching Estimators for Average Treatment Effects," Econometrica, Econometric Society, Econometric Society, vol. 74(1), pages 235-267, 01.
  9. Leu, Robert E. & Schellhorn, Martin, 2004. "The Evolution of Income-Related Inequalities in Health Care Utilization in Switzerland over Time," IZA Discussion Papers, Institute for the Study of Labor (IZA) 1316, Institute for the Study of Labor (IZA).
  10. Chiappori, P.A. & Durand, F. & Geoffard, P.Y., 1998. "Moral Hazard and the Demand for Physician Services: First Lessons from a French Natural Experiment," DELTA Working Papers, DELTA (Ecole normale supérieure) 98-05, DELTA (Ecole normale supérieure).
  11. Martin Schellhorn, 2001. "The effect of variable health insurance deductibles on the demand for physician visits," Health Economics, John Wiley & Sons, Ltd., John Wiley & Sons, Ltd., vol. 10(5), pages 441-456.
  12. Manning, Willard G, et al, 1987. "Health Insurance and the Demand for Medical Care: Evidence from a Randomized Experiment," American Economic Review, American Economic Association, American Economic Association, vol. 77(3), pages 251-77, June.
  13. Libertad González, 2005. "Nonparametric bounds on the returns to language skills," Journal of Applied Econometrics, John Wiley & Sons, Ltd., John Wiley & Sons, Ltd., vol. 20(6), pages 771-795.
  14. Manski, C.F., 1996. "Monotone Treatment Response," Working papers, Wisconsin Madison - Social Systems 9604, Wisconsin Madison - Social Systems.
  15. Donna K. Ginther, 2000. "Alternative Estimates of the Effect of Schooling on Earnings," The Review of Economics and Statistics, MIT Press, MIT Press, vol. 82(1), pages 103-116, February.
  16. Abadie, Alberto, 2003. "Semiparametric instrumental variable estimation of treatment response models," Journal of Econometrics, Elsevier, Elsevier, vol. 113(2), pages 231-263, April.
  17. John V. Pepper, 2000. "The Intergenerational Transmission Of Welfare Receipt: A Nonparametric Bounds Analysis," The Review of Economics and Statistics, MIT Press, MIT Press, vol. 82(3), pages 472-488, August.
  18. Martin Schellhorn, 2004. "Wählbare Selbstbehalte in der Krankenversicherung der Schweiz: Nachfragesteuerung oder Selektion?," Diskussionsschriften, Universitaet Bern, Departement Volkswirtschaft dp0402, Universitaet Bern, Departement Volkswirtschaft.
  19. James J. Heckman & Edward J. Vytlacil, 2000. "Instrumental Variables, Selection Models, and Tight Bounds on the Average Treatment Effect," NBER Technical Working Papers, National Bureau of Economic Research, Inc 0259, National Bureau of Economic Research, Inc.
Full references (including those not matched with items on IDEAS)

Citations

Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
as in new window

Cited by:
  1. Tsunao Okumura & Emiko Usui, 2014. "Concave‐monotone treatment response and monotone treatment selection: With an application to the returns to schooling," Quantitative Economics, Econometric Society, Econometric Society, vol. 5, pages 175-194, 03.
  2. Marcel Bilger & Jean-Paul Chaze, 2008. "What Drives Individual Health Expenditure in Switzerland?," Swiss Journal of Economics and Statistics (SJES), Swiss Society of Economics and Statistics (SSES), Swiss Society of Economics and Statistics (SSES), vol. 144(III), pages 337-358, September.
  3. Trottmann, Maria & Zweifel, Peter & Beck, Konstantin, 2012. "Supply-side and demand-side cost sharing in deregulated social health insurance: Which is more effective?," Journal of Health Economics, Elsevier, Elsevier, vol. 31(1), pages 231-242.
  4. Claudia Pütz & Christian Hagist, 2006. "Optional deductibles in social health insurance systems," The European Journal of Health Economics, Springer, Springer, vol. 7(4), pages 225-230, December.
  5. Nicolas Ziebarth, 2014. "Assessing the effectiveness of health care cost containment measures: evidence from the market for rehabilitation care," International Journal of Health Care Finance and Economics, Springer, Springer, vol. 14(1), pages 41-67, March.
  6. Richey, Jeremiah, 2013. "An Odd Couple: Monotone Instrumental Variables and Binary Treatments," MPRA Paper, University Library of Munich, Germany 54785, University Library of Munich, Germany, revised 06 Nov 2013.
  7. Huber, Martin & Mellace, Giovanni, 2011. "Sharp bounds on causal effects under sample selection," Economics Working Paper Series, University of St. Gallen, School of Economics and Political Science 1134, University of St. Gallen, School of Economics and Political Science.
  8. Astrid Kiil, 2012. "Does employment-based private health insurance increase the use of covered health care services? A matching estimator approach," International Journal of Health Care Finance and Economics, Springer, Springer, vol. 12(1), pages 1-38, March.
  9. Stefan Boes, 2009. "Bounds on Counterfactual Distributions Under Semi-Monotonicity Constraints," SOI - Working Papers, Socioeconomic Institute - University of Zurich 0920, Socioeconomic Institute - University of Zurich.
  10. René Böheim & Thomas Leoni, 2014. "Firms' Sickness Costs and Workers' Sickness Absences," NBER Working Papers, National Bureau of Economic Research, Inc 20305, National Bureau of Economic Research, Inc.

Lists

This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

Statistics

Access and download statistics

Corrections

When requesting a correction, please mention this item's handle: RePEc:iza:izadps:dp1616. See general information about how to correct material in RePEc.

For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Mark Fallak).

If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

If references are entirely missing, you can add them using this form.

If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

Please note that corrections may take a couple of weeks to filter through the various RePEc services.