Reducing Medical Spending of the Publicly Insured: The Case for a Cash-Out Option

Author:

Pashchenko Svetlana1,Porapakkarm Ponpoje2

Affiliation:

1. Terry College of Business, University of Georgia, 620 South Lumpkin Street, Athens, GA 30602 (email: )

2. National Graduate Institute for Policy Studies (GRIPS), 7-22-1 Roppongi, Minato-ku, Tokyo 106-8677 (email: )

Abstract

Individuals’ medical spending has both necessary and discretionary components, which are not, however, separately observable. This paper studies ways to improve upon existing public health insurance policies by using a framework where both the discretionary and necessary components of medical spending are explicitly modeled. First, using a simple theoretical framework, the paper shows that the key to reducing discretionary medical spending is to introduce a trade-off between nonmedical and medical consumption. Next, using a rich quantitative life-cycle model, the paper shows that this trade-off can be successfully implemented by introducing an option to substitute public health insurance with cash transfers. (JEL D91, G22, H51, I13, I18, I38)

Publisher

American Economic Association

Subject

General Economics, Econometrics and Finance

Cited by 4 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. The Lifetime Costs of Bad Health;Review of Economic Studies;2024-08-09

2. Why are older men working more? The role of social security;Journal of Public Economics;2024-03

3. CREDIT, DEFAULT, AND OPTIMAL HEALTH INSURANCE;International Economic Review;2022-12-20

4. Reducing Medical Spending of the Publicly Insured: The Case for a Cash-Out Option;American Economic Journal: Economic Policy;2019-08-01

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