nep-ias New Economics Papers
on Insurance Economics
Issue of 2006‒12‒22
four papers chosen by
Soumitra K Mallick
Indian Institute of Social Welfare and Bussiness Management

  1. Health Insurance and Ex Ante Moral Hazard: Evidence from Medicare By Dhaval Dave; Robert Kaestner
  2. Is Drug Coverage a Free Lunch? Cross-Price Elasticities and the Design of Prescription Drug Benefits By Martin Gaynor; Jian Li; William B. Vogt
  3. Principle of Uncertain Future By Alexander Harin
  4. On the Macroeconomics of Asset Shortages By Ricardo J. Caballero

  1. By: Dhaval Dave; Robert Kaestner
    Abstract: Basic economic theory suggests that health insurance coverage may cause a reduction in prevention activities, but empirical studies have yet to provide evidence to support this prediction. However, in other insurance contexts that involve adverse health events, evidence of ex ante moral hazard is more consistent. In this paper, we extend the analysis of the effect of health insurance on health behaviors by allowing for the possibility that health insurance has a direct (ex ante moral hazard) and indirect effect on health behaviors. The indirect effect works through changes in health promotion information and the probability of illness that may be a byproduct of insurance-induced greater contact with medical professionals. We identify these two effects and in doing so identify the pure ex ante moral hazard effect. This study exploits the plausibly exogenous variation in health insurance as a result of obtaining Medicare coverage at age 65. We find limited evidence that obtaining health insurance reduces prevention and increases unhealthy behaviors among elderly persons. There is more robust evidence that physician counseling is successful in changing health behaviors.
    JEL: I12 I18
    Date: 2006–12
    URL: http://d.repec.org/n?u=RePEc:nbr:nberwo:12764&r=ias
  2. By: Martin Gaynor; Jian Li; William B. Vogt
    Abstract: Recently, many US employers have adopted less generous prescription drug benefits. In addition, the U.S. began to offer prescription drug insurance to approximately 42 million Medicare beneficiaries in 2006. We use data on individual health insurance claims and benefit data from 1997-2003 to study the effects of changing consumers' co-payments for prescription drugs on the quantity demanded and expenditure on prescription drugs, inpatient care and outpatient care. We allow for effects both in the year of the co-payment change and in the year following the change. Our results show that increases in prescription drug prices reduce both the use of and spending on prescription drugs. However, consumers substitute the use of outpatient care and inpatient care for prescription drug use, and the expenditure reductions on prescription drugs are largely offset by the increases in other spending.
    JEL: D12 I10 M50
    Date: 2006–12
    URL: http://d.repec.org/n?u=RePEc:nbr:nberwo:12758&r=ias
  3. By: Alexander Harin (Modern University for the Humanities)
    Abstract: The principle of uncertain future: the probability of a future event contains a degree of (hidden) uncertainty. As a result, this uncertainty (in a sense, similar to vibrations, fluctuations) pushes the probability value back from the bounds to the middle of its range (from the very high and very low probability values to the middle ones). In other words, the real values of high probabilities are lower than the preliminarily determined ones. Conversely, the real values of low probabilities are higher than the preliminarily determined ones. This result provides the uniform solution of a number of fundamental problems: the underweighting of high and the overweighting of low probabilities, the Allais paradox, risk aversion, loss aversion, the Ellsberg paradox, the equity premium puzzle, etc. The principle and its consequences can be applied in the fields of banking, investment, insurance, trade, industry, planning and forecasting. Explanations of the principle and examples of solution of three types of fundamental problems are provided.
    Keywords: uncertainty; risk; market; banking; industry; development; investments; insurance; utility
    JEL: C D C7 D8 A1 D81 G11
    Date: 2006–12–04
    URL: http://d.repec.org/n?u=RePEc:nos:wuwpmi:harin_alexander.34115-061203&r=ias
  4. By: Ricardo J. Caballero
    Abstract: The world has a shortage of financial assets. Asset supply is having a hard time keeping up with the global demand for store of value and collateral by households, corporations, governments, insurance companies, and financial intermediaries more broadly. The equilibrium response of asset prices and valuations to these shortages has played a central role in global economic developments over the last twenty years. The so-called "global imbalances," the recurrent emergence of speculative bubbles (which recently have transited from emerging markets, to the dot-coms, to real estate, to gold...), the historically low real interest rates and associated "interest-rate conundrum," and even the widespread low inflation environment and deflationary episodes in parts of the world, all fall into place once one adopts this asset shortage perspective.
    JEL: E3 E4 E5 F3 F41
    Date: 2006–12
    URL: http://d.repec.org/n?u=RePEc:nbr:nberwo:12753&r=ias

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