The Effect of Patient Cost Sharing on Utilization, Health, and Risk Protection

S-Tier
Journal: American Economic Review
Year: 2014
Volume: 104
Issue: 7
Pages: 2152-84

Score contribution per author:

8.043 = (α=2.01 / 1 authors) × 4.0x S-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

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.

Technical Details

RePEc Handle
repec:aea:aecrev:v:104:y:2014:i:7:p:2152-84
Journal Field
General
Author Count
1
Added to Database
2026-01-29