Part D Formulary and Benefit Design as a Risk-Steering Mechanism

S-Tier
Journal: American Economic Review
Year: 2011
Volume: 101
Issue: 3
Pages: 382-86

Authors (3)

Dana P. Goldman (University of Southern Califor...) Geoffrey F. Joyce (not in RePEc) William B. Vogt (not in RePEc)

Score contribution per author:

2.681 = (α=2.01 / 3 authors) × 4.0x S-tier

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

Abstract

Medicare Part D relies upon drug plan competition. Plans have enormous scope to design benefits and to set premiums, but they may not charge differential premiums based on risk. We use the formulary and benefit design of all Medicare prescription drug plans and pharmacy claims data to construct a simulation model of out-of-pocket drug spending. We use this simulation model to examine individual incentives in Medicare Part D for adverse selection. We find that high drug users have much stronger incentives to enroll in generous plans than do low users, thus there is significant scope for adverse selection.

Technical Details

RePEc Handle
repec:aea:aecrev:v:101:y:2011:i:3:p:382-86
Journal Field
General
Author Count
3
Added to Database
2026-01-25