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Social Exclusion and Switching Barriers in Medicare Part D Choices

Author

Listed:
  • Dong Woo Ko

    (School of Business, Hankuk University of Foreign Studies, Seoul 02450, Korea)

  • Young Han Bae

    (Department of Marketing, Pennsylvania State University, Greater Allegheny, McKeesport, PA 15132, USA)

  • Jayoung Han

    (School of Pharmacy and Health Sciences, Fairleigh Dickinson University, Florham Park, NJ 07932, USA)

Abstract

Previous studies have shown that Medicare beneficiaries do not tend to switch their prescription drug plans (Part D), even though they can greatly save on the money spent on drugs by switching plans. To explore this occurrence, the present study focused on the concept of social exclusion—one of the most important characteristics prevalent in the elderly. This study compared the impact of two types of social exclusion on the association between psychological cost and plan switching: active (or rejected) social exclusion and passive (or ignored) social exclusion. The study’s aim was to examine the moderating effect of social exclusion on the relationship between the cost of switching and willingness to switch plan to build sustainable health care system. The Prescription Drug Study supplementary to the Health and Retirement Study (HRS) data were utilized for analysis by applying a Hierarchical Linear Model (HLM) ( N = 1042). The findings suggest that active social exclusion moderates the relationship between the switching cost and willingness to switch plan. This study’s findings will help policymakers better understand the elderly’s decision-making process pertaining to plans and promote their informed plan decisions to build sustainable health care system.

Suggested Citation

  • Dong Woo Ko & Young Han Bae & Jayoung Han, 2018. "Social Exclusion and Switching Barriers in Medicare Part D Choices," Sustainability, MDPI, vol. 10(7), pages 1-10, July.
    • Handle: RePEc:gam:jsusta:v:10:y:2018:i:7:p:2419-:d:157443
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    References listed on IDEAS

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    1. Jason Abaluck & Jonathan Gruber, 2011. "Choice Inconsistencies among the Elderly: Evidence from Plan Choice in the Medicare Part D Program," American Economic Review, American Economic Association, vol. 101(4), pages 1180-1210, June.
    2. Ryan, Mandy & Yule, Brian, 1990. "Switching drugs from prescription-only to over-the-counter availability: economic benefits in the United Kingdom," Health Policy, Elsevier, vol. 16(3), pages 233-239, December.
    3. Joseph Farrell & Carl Shapiro, 1988. "Dynamic Competition with Switching Costs," RAND Journal of Economics, The RAND Corporation, vol. 19(1), pages 123-137, Spring.
    4. Michelle Bonera & Elisabetta Corvi & Anna Paola Codini & Ruijing Ma, 2017. "Does Nationality Matter in Eco-Behaviour?," Sustainability, MDPI, vol. 9(10), pages 1-17, September.
    5. Keith M. Marzilli Ericson, 2014. "Consumer Inertia and Firm Pricing in the Medicare Part D Prescription Drug Insurance Exchange," American Economic Journal: Economic Policy, American Economic Association, vol. 6(1), pages 38-64, February.
    6. Klemperer, Paul D, 1987. "Entry Deterrence in Markets with Consumer Switching Costs," Economic Journal, Royal Economic Society, vol. 97(388a), pages 99-117, Supplemen.
    7. Jaehoon Lee & L. J. Shrum, 2012. "Conspicuous Consumption versus Charitable Behavior in Response to Social Exclusion: A Differential Needs Explanation," Journal of Consumer Research, Journal of Consumer Research Inc., vol. 39(3), pages 530-544.
    8. repec:cdl:econwp:qt1h02g9q4 is not listed on IDEAS
    9. Paul Klemperer, 1987. "Markets with Consumer Switching Costs," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 102(2), pages 375-394.
    10. Kikyoung Park & Gangseog Ryu, 2018. "The Effect of Regulatory Focus on Individuals’ Donation Behavior," Sustainability, MDPI, vol. 10(3), pages 1-12, March.
    11. Kim, Moon-Koo & Park, Myeong-Cheol & Jeong, Dong-Heon, 2004. "The effects of customer satisfaction and switching barrier on customer loyalty in Korean mobile telecommunication services," Telecommunications Policy, Elsevier, vol. 28(2), pages 145-159, March.
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    Cited by:

    1. Linghan Zhang & Junyi Zhang, 2018. "Impacts of Leisure and Tourism on the Elderly’s Quality of Life in Intimacy: A Comparative Study in Japan," Sustainability, MDPI, vol. 10(12), pages 1-17, December.

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