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The effect of patient cost sharing on utilization, health, and risk protection

Author: Hitoshi Shigeoka; National Bureau of Economic Research.
Publisher: Cambridge, Mass. : National Bureau of Economic Research, 2013.
Series: Working paper series (National Bureau of Economic Research), no. 19726.
Edition/Format:   eBook : Document : EnglishView all editions and formats
Summary:
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  Read more...
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Material Type: Document, Internet resource
Document Type: Internet Resource, Computer File
All Authors / Contributors: Hitoshi Shigeoka; National Bureau of Economic Research.
OCLC Number: 867546690
Notes: Title from http://www.nber.org/papers/19726 viewed January 6, 2014.
"December 2013."
Description: 1 online resource (37, 37 pages) : illustrations.
Series Title: Working paper series (National Bureau of Economic Research), no. 19726.
Responsibility: Hitoshi Shigeoka.

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.

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