EconPapers    
Economics at your fingertips  
 

Cost-Sharing Design Matters: A Comparison of the Rebate and Deductible in Healthcare

Minke Remmerswaal, Jan Boone, Michiel Bijlsma and R.C.M.H. Douven
Additional contact information
Minke Remmerswaal: Tilburg University, Center For Economic Research
Michiel Bijlsma: Tilburg University, Center For Economic Research

No 2017-049, Discussion Paper from Tilburg University, Center for Economic Research

Abstract: Since 2006, the Dutch population has faced two different cost-sharing schemes in health insurance for curative care: a mandatory rebate of 255 euros in 2006 and 2007, and since 2008 a mandatory deductible. Using administrative data for the entire Dutch population, we compare the effect of both cost-sharing schemes on healthcare consumption between 2006 and 2013. We use a regression discontinuity design which exploits the fact that persons younger than eighteen years old neither face a rebate nor a deductible. Our fixed effect estimate shows that for individuals around the age of eighteen, a one euro increase of the deductible reduces healthcare expenditures 18 eurocents more than a euro increase of the rebate. These results demonstrate that differences in the design of a cost-sharing scheme can lead to substantial different effects on total healthcare expenditure.

Keywords: deductible; rebate; cost-sharing; healthcare consumption; regression discontinuity; panel data (search for similar items in EconPapers)
New Economics Papers: this item is included in nep-eur and nep-ias
Date: 2017
References: View references in EconPapers View complete reference list from CitEc
Citations: Track citations by RSS feed

Downloads: (external link)
https://pure.uvt.nl/ws/portalfiles/portal/19635365/TILEC_CentER_DP_2017_049.pdf (application/pdf)

Related works:
Working Paper: Cost-Sharing Design Matters: A Comparison of the Rebate and Deductible in Healthcare (2017) Downloads
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:tiu:tiucen:624251d4-89fb-4c0b-8dd1-f0d3d949e591

Access Statistics for this paper

More papers in Discussion Paper from Tilburg University, Center for Economic Research
Bibliographic data for series maintained by Richard Broekman ().

 
Page updated 2019-10-15
Handle: RePEc:tiu:tiucen:624251d4-89fb-4c0b-8dd1-f0d3d949e591