Abstract
Demand-side cost-sharing reduces moral hazard in healthcare but increases exposure to out-of-pocket expenditure. We introduce a structural microsimulation model to evaluate both total and out-of-pocket expenditure for different cost-sharing schemes. We use a Bayesian mixture model to capture the healthcare expenditure distributions across different age–gender categories. We estimate the model using Dutch data and simulate outcomes for a number of policies. The model suggests that for a deductible of 300 euros shifting the starting point of the deductible away from zero to 400 euros leads to an average 4% reduction in healthcare expenditure and 47% lower out-of-pocket payments.
Original language | English |
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Article number | 102900 |
Journal | Journal of Health Economics |
Volume | 97 |
DOIs | |
Publication status | Published - Sept 2024 |
Keywords
- moral hazard
- out-of-pocket
- shifted deductible
- co-insurance
- Bayesian mixture model
- microsimulation model
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Code for A Structural Microsimulation Model for Demand-Side Cost-Sharing in Healthcare
Boone, J. (Creator) & Remmerswaal, M. (Creator), DataverseNL, 20 Dec 2024
DOI: 10.34894/aay4an, https://dataverse.nl/citation?persistentId=doi:10.34894/AAY4AN
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