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Bridging the gap: Experimental evidence on information provision and health insurance choices

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  • Ana Cecilia Quiroga Gutierrez
  • Stefan Boes

Abstract

Previous research has shown that individuals do not always make rational decisions when selecting their health insurance, for example, due to the existence of information frictions or mental gaps. We study the effect of specific types of information provision for decision support on health plan choices and test their potential to improve decision quality by implementing a randomized laboratory experiment. We provide personalized and generic aids, differentiate between numerical and visual decision support, and provide one or two optional formats of personalized information. We find that generic aids have no effect on health plan choices while personalized information leads to better choices as measured by several indicators of decision quality. The largest effects were observed for those who “opted in” to visualize personalized information, with immediate and lasting improvements in health insurance decisions. By reducing information frictions, our results suggest that accessible and easy‐to‐use tools can positively impact health insurance navigation, improve decision‐making, and reduce switching costs.

Suggested Citation

  • Ana Cecilia Quiroga Gutierrez & Stefan Boes, 2024. "Bridging the gap: Experimental evidence on information provision and health insurance choices," Health Economics, John Wiley & Sons, Ltd., vol. 33(6), pages 1368-1386, June.
  • Handle: RePEc:wly:hlthec:v:33:y:2024:i:6:p:1368-1386
    DOI: 10.1002/hec.4820
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    1. repec:mpr:mprres:7375 is not listed on IDEAS
    2. Suzanne Bartholomae & Mia B. Russell & Bonnie Braun & Teresa McCoy, 2016. "Building Health Insurance Literacy: Evidence from the Smart Choice Health Insurance™ Program," Journal of Family and Economic Issues, Springer, vol. 37(2), pages 140-155, June.
    3. Sai Krishnan S. & Subramanian S. Iyer & Sai Balaji SMR, 2022. "Insights from behavioral economics for policymakers of choice‐based health insurance markets: A scoping review," Risk Management and Insurance Review, American Risk and Insurance Association, vol. 25(2), pages 115-143, June.
    4. Jeffrey R. Kling & Sendhil Mullainathan & Eldar Shafir & Lee C. Vermeulen & Marian V. Wrobel, 2012. "Comparison Friction: Experimental Evidence from Medicare Drug Plans," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 127(1), pages 199-235.
    5. Schram, Arthur & Sonnemans, Joep, 2011. "How individuals choose health insurance: An experimental analysis," European Economic Review, Elsevier, vol. 55(6), pages 799-819, August.
    6. Kesternich, Iris & Heiss, Florian & McFadden, Daniel & Winter, Joachim, 2013. "Suit the action to the word, the word to the action: Hypothetical choices and real decisions in Medicare Part D," Journal of Health Economics, Elsevier, vol. 32(6), pages 1313-1324.
    7. Benjamin Handel & Joshua Schwartzstein, 2018. "Frictions or Mental Gaps: What's Behind the Information We (Don't) Use and When Do We Care?," Journal of Economic Perspectives, American Economic Association, vol. 32(1), pages 155-178, Winter.
    8. Kairies-Schwarz, Nadja & Kokot, Johanna & Vomhof, Markus & Weßling, Jens, 2017. "Health insurance choice and risk preferences under cumulative prospect theory – an experiment," Journal of Economic Behavior & Organization, Elsevier, vol. 137(C), pages 374-397.
    9. Herbert A. Simon, 1955. "A Behavioral Model of Rational Choice," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 69(1), pages 99-118.
    10. Kaufmann, Cornel & Müller, Tobias & Hefti, Andreas & Boes, Stefan, 2018. "Does personalized information improve health plan choices when individuals are distracted?," Journal of Economic Behavior & Organization, Elsevier, vol. 149(C), pages 197-214.
    11. James A. Schirillo & Eric R. Stone, 2005. "The Greater Ability of Graphical Versus Numerical Displays to Increase Risk Avoidance Involves a Common Mechanism," Risk Analysis, John Wiley & Sons, vol. 25(3), pages 555-566, June.
    12. Saurabh Bhargava & George Loewenstein, 2015. "Behavioral Economics and Public Policy 102: Beyond Nudging," American Economic Review, American Economic Association, vol. 105(5), pages 396-401, May.
    13. Chris M. R. Smerecnik & Ilse Mesters & Loes T. E. Kessels & Robert A. C. Ruiter & Nanne K. De Vries & Hein De Vries, 2010. "Understanding the Positive Effects of Graphical Risk Information on Comprehension: Measuring Attention Directed to Written, Tabular, and Graphical Risk Information," Risk Analysis, John Wiley & Sons, vol. 30(9), pages 1387-1398, September.
    14. Florian Heiss & Daniel McFadden & Joachim Winter & Amelie Wuppermann & Bo Zhou, 2021. "Inattention and Switching Costs as Sources of Inertia in Medicare Part D," American Economic Review, American Economic Association, vol. 111(9), pages 2737-2781, September.
    15. Catherine Equey Balzli, 2021. "A Digital Individual Benefit Statement to Mitigate the Risk of Poverty in Retirement: The Case of Switzerland," Risks, MDPI, vol. 9(6), pages 1-14, June.
    16. Saurabh Bhargava & George Loewenstein & Justin Sydnor, 2017. "Choose to Lose: Health Plan Choices from a Menu with Dominated Option," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 132(3), pages 1319-1372.
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