scholarly journals Do People Have a Bias for Low-Deductible Insurance?

2020 ◽  
Author(s):  
Howard Kunreuther ◽  
Mark Pauly
Keyword(s):  
1991 ◽  
Vol 55 (2) ◽  
pp. 435-440 ◽  
Author(s):  
Louis Eeckhoudt ◽  
Christian Gollier ◽  
Harris Schlesinger

2016 ◽  
Vol 34 (15_suppl) ◽  
pp. 552-552
Author(s):  
Christine Y. Lu ◽  
Anita K. Wagner ◽  
Fang Zhang ◽  
Larissa Nekhlyudov ◽  
Dennis Ross-Degnan ◽  
...  

1995 ◽  
Vol 17 (2) ◽  
pp. 119-123 ◽  
Author(s):  
Yaffa Machnes
Keyword(s):  

2006 ◽  
Vol 30 (4) ◽  
pp. 501-528
Author(s):  
Beatrix Hoffman

Health insurance with high deductibles is an important feature of the Bush administration's health savings accounts initiative. A similar type of insurance, known as major medical, was the most common type of health coverage in the United States from the 1950s through the 1970s. This article traces the history of cost sharing in health insurance from its origins in insurers' concerns about “moral hazard” to the heyday of major medical insurance to the temporary comeback of first-dollar coverage during the era of managed care. Proponents of deductibles and co-payments, today and in the past, have argued that they bring down costs by forcing consumers to make more careful health care choices. The history of major medical insurance, however, shows that high-deductible insurance failed to curb medical inflation and also hurt consumers who expected their coverage to protect their incomes from the costs of sickness and injury.


2016 ◽  
Vol 11 (3) ◽  
pp. 321-335 ◽  
Author(s):  
Olivier J. Wouters ◽  
Jonathan Cylus ◽  
Wei Yang ◽  
Sarah Thomson ◽  
Martin McKee

AbstractMedical savings accounts (MSAs) allow enrolees to withdraw money from earmarked funds to pay for health care. The accounts are usually accompanied by out-of-pocket payments and a high-deductible insurance plan. This article reviews the association of MSAs with efficiency, equity, and financial protection. We draw on evidence from four countries where MSAs play a significant role in the financing of health care: China, Singapore, South Africa, and the United States of America. The available evidence suggests that MSA schemes have generally been inefficient and inequitable and have not provided adequate financial protection. The impact of these schemes on long-term health-care costs is unclear. Policymakers and others proposing the expansion of MSAs should make explicit what they seek to achieve given the shortcomings of the accounts.


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