The Effect of Patient Cost Sharing on Utilization, Health, and Risk Protection
This paper exploits a sharp reduction in patient cost sharing at age 70 in Japan, using a regression discontinuity design to examine its effect on utilization, health, and financial risk arising from out-of-pocket expenditures. Due to the national policy, cost sharing is 60–80 percent lower at age 70 than at age 69. I find that both outpatient and inpatient care are price sensitive among the elderly. While I find little impact on mortality and other health outcomes, the results show that reduced cost sharing is associated with lower out-of-pocket expenditures, especially at the right tail of the distribution.
Volume (Year): 104 (2014)
Issue (Month): 7 (July)
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- Kopczuk, Wojciech, 2005.
"Tax bases, tax rates and the elasticity of reported income,"
Journal of Public Economics,
Elsevier, vol. 89(11-12), pages 2093-2119, December.
- Wojciech Kopczuk, 2003. "Tax Bases, Tax Rates and the Elasticity of Reported Income," NBER Working Papers 10044, National Bureau of Economic Research, Inc.
- Eric French & John Bailey Jones, 2004. "On the distribution and dynamics of health care costs," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 19(6), pages 705-721.
- Martin Feldstein & Jonathan Gruber, 1994.
"A Major Risk Approach to Health Insurance Reform,"
NBER Working Papers
4852, National Bureau of Economic Research, Inc.
- Finkelstein, Amy & McKnight, Robin, 2008. "What did Medicare do? The initial impact of Medicare on mortality and out of pocket medical spending," Journal of Public Economics, Elsevier, vol. 92(7), pages 1644-1668, July.
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