TY - JOUR
T1 - Healthcare Demand under Simple Prices
T2 - Evidence from Tiered Hospital Networks†
AU - Prager, Elena
N1 - Funding Information:
* Kellogg School of Management, Northwestern University, 2211 Campus Drive, Evanston, IL 60208 (email: elena.prager@kellogg.northwestern.edu). Ilyana Kuziemko was coeditor for this article. I am indebted to my advisor, Bob Town, and to my dissertation committee, Mark Pauly, Katja Seim, and Ashley Swanson, for their invaluable guidance and support. I received helpful suggestions from numerous seminar and conference participants. I also thank Nora Becker, Allan Collard-Wexler, Guy David, Sunita Desai, David Dranove, Craig Garthwaite, Kate Ho, Shulamite Huang, Tom Hubbard, Brian Finkelman, Cinthia Konichi, Adam Leive, Dan Miller, Chris Ody, Dan Polsky, Preethi Rao, and Amanda Starc, and three anonymous referees for valuable feedback. Financial support from the Agency for Healthcare Research and Quality (dissertation grant R36-HS024164), the Social Sciences and Humanities Research Council of Canada, the Leonard Davis Institute Pilot Grant program, and the Ackoff Doctoral Student Fellowship is gratefully acknowledged. This research does not represent the official views of any of these funders.
Publisher Copyright:
© 2020, American Economic Journal: Applied Economics. All Rights Reserved.
PY - 2020/10
Y1 - 2020/10
N2 - This paper shows that consumers respond to prices for complex healthcare when they can easily assess out of-pocket prices. Healthcare cost containment efforts increasingly incentivize price shopping despite a dearth of evidence that this steers consumers toward lower-priced care for major medical services. I show that consumers shift toward lower-priced hospitals in the highly simplified price information environment of insurance plans with tiered hospital networks. Consumers observe a single predictable, well-defined price that applies to a broad range of services within each of at most three hospital tiers. Within three years, expected partial-equilibrium savings reach 8–17 percent of baseline spending.
AB - This paper shows that consumers respond to prices for complex healthcare when they can easily assess out of-pocket prices. Healthcare cost containment efforts increasingly incentivize price shopping despite a dearth of evidence that this steers consumers toward lower-priced care for major medical services. I show that consumers shift toward lower-priced hospitals in the highly simplified price information environment of insurance plans with tiered hospital networks. Consumers observe a single predictable, well-defined price that applies to a broad range of services within each of at most three hospital tiers. Within three years, expected partial-equilibrium savings reach 8–17 percent of baseline spending.
UR - http://www.scopus.com/inward/record.url?scp=85108074726&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85108074726&partnerID=8YFLogxK
U2 - 10.1257/app.20180422
DO - 10.1257/app.20180422
M3 - Article
AN - SCOPUS:85108074726
VL - 12
SP - 196
EP - 223
JO - American Economic Journal: Applied Economics
JF - American Economic Journal: Applied Economics
SN - 1945-7782
IS - 4
ER -