Abstract
estimate shows that for individuals around the age of eighteen, a one euro increase of the deductible reduces healthcare expenditures 18 eurocents more than a euro increase of the rebate. These results demonstrate that differences in the design of a cost-sharing scheme can lead to substantial different effects on total healthcare expenditure.
| Original language | English |
|---|---|
| Place of Publication | Tilburg |
| Publisher | CentER, Center for Economic Research |
| Number of pages | 57 |
| Volume | 2017-049 |
| Publication status | Published - 11 Dec 2017 |
Publication series
| Name | CentER Discussion Paper |
|---|---|
| Volume | 2017-049 |
Fingerprint
Keywords
- deductible
- rebate
- cost-sharing
- healthcare consumption
- regression discontinuity
- panel data
Cite this
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Cost-Sharing Design Matters : A Comparison of the Rebate and Deductible in Healthcare. / Remmerswaal, Minke; Boone, Jan; Bijlsma, Michiel; Douven, R.C.M.H.
Tilburg : CentER, Center for Economic Research, 2017. (CentER Discussion Paper; Vol. 2017-049).Research output: Working paper › Discussion paper › Other research output
TY - UNPB
T1 - Cost-Sharing Design Matters
T2 - A Comparison of the Rebate and Deductible in Healthcare
AU - Remmerswaal, Minke
AU - Boone, Jan
AU - Bijlsma, Michiel
AU - Douven, R.C.M.H.
PY - 2017/12/11
Y1 - 2017/12/11
N2 - Since 2006, the Dutch population has faced two different cost-sharing schemes in health insurance for curative care: a mandatory rebate of 255 euros in 2006 and 2007, and since 2008 a mandatory deductible. Using administrative data for the entire Dutch population, we compare the effect of both cost-sharing schemes on healthcare consumption between 2006 and 2013. We use a regression discontinuity design which exploits the fact that persons younger than eighteen years old neither face a rebate nor a deductible. Our fixed effectestimate shows that for individuals around the age of eighteen, a one euro increase of the deductible reduces healthcare expenditures 18 eurocents more than a euro increase of the rebate. These results demonstrate that differences in the design of a cost-sharing scheme can lead to substantial different effects on total healthcare expenditure.
AB - Since 2006, the Dutch population has faced two different cost-sharing schemes in health insurance for curative care: a mandatory rebate of 255 euros in 2006 and 2007, and since 2008 a mandatory deductible. Using administrative data for the entire Dutch population, we compare the effect of both cost-sharing schemes on healthcare consumption between 2006 and 2013. We use a regression discontinuity design which exploits the fact that persons younger than eighteen years old neither face a rebate nor a deductible. Our fixed effectestimate shows that for individuals around the age of eighteen, a one euro increase of the deductible reduces healthcare expenditures 18 eurocents more than a euro increase of the rebate. These results demonstrate that differences in the design of a cost-sharing scheme can lead to substantial different effects on total healthcare expenditure.
KW - deductible
KW - rebate
KW - cost-sharing
KW - healthcare consumption
KW - regression discontinuity
KW - panel data
M3 - Discussion paper
VL - 2017-049
T3 - CentER Discussion Paper
BT - Cost-Sharing Design Matters
PB - CentER, Center for Economic Research
CY - Tilburg
ER -