nep-hea New Economics Papers
on Health Economics
Issue of 2013‒12‒20
two papers chosen by
Yong Yin
SUNY at Buffalo

  1. The Effect of Patient Cost Sharing on Utilization, Health, and Risk Protection By Hitoshi Shigeoka
  2. To Fix, or Not to Fix, Structural Imbalance in Mental Services: That is the Choice By Ruth Williams; Darrel Doessel

  1. By: 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.
    JEL: I1 I11 I18
    Date: 2013–12
  2. By: Ruth Williams (School Economics, La Trobe University); Darrel Doessel (University of Queensland)
    Abstract: The systemic nature of economic inefficiency in Australia’s mental health services sector is serious.
    Keywords: structural imbalance, Australia, mental health sector
    JEL: L19
    Date: 2013

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