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dc.contributor.authorDormont, Brigitte
dc.contributor.authorPéron, Mathilde
dc.date.accessioned2016-07-04T12:38:32Z
dc.date.available2016-07-04T12:38:32Z
dc.date.issued2016
dc.identifier.issn1057-9230
dc.identifier.urihttps://basepub.dauphine.fr/handle/123456789/15595
dc.language.isoenen
dc.subjecthealth insurance
dc.subjectbalance billing
dc.subjecthealth care access
dc.subjectC23
dc.subjectI18
dc.subjectI13
dc.subject.ddc334en
dc.subject.classificationjelI.I1.I13en
dc.subject.classificationjelI.I1.I18en
dc.subject.classificationjelC.C2.C23en
dc.titleDoes Health Insurance Encourage the Rise in Medical Prices? A Test on Balance Billing in France
dc.typeArticle accepté pour publication ou publié
dc.description.abstractenWe evaluate the causal impact of an improvement in insurance coverage on patients’ decisions to consult physicians whocharge more than the regulated fee. We use a French panel data set of 43,111 individuals observed from 2010 to 2012. Atthe beginning of the period, none of them were covered for balance billing; by the end, 3819 had switched to supplementaryinsurance contracts that cover balance billing. Using instrumental variables to deal with possible non-exogeneity of thedecision to switch, we find evidence that better coverage increases demand for specialists who charge high fees, therebycontributing to the rise in medical prices. People whose coverage improves increased their average amount of balancebilling per consultation by 32%. However, the impact of the coverage shock depends on the supply of physicians. Forpeople residing in areas where few specialists charge the regulated fee, better coverage increases not only prices but alsothe number of consultations, a finding that suggests that balance billing might limit access to care. Conversely, in areaswhere patients have a genuine choice between specialists who balance bill and those who do not, we find no evidence of aresponse to better coverage. Copyright © 2016 John Wiley & Sons, Ltd.
dc.relation.isversionofjnlnameHealth Economics
dc.relation.isversionofjnldate2016
dc.relation.isversionofdoi10.1002/hec.3347
dc.relation.isversionofjnlpublisherWiley
dc.subject.ddclabelEconomie socialeen
dc.relation.forthcomingnonen
dc.relation.forthcomingprintnonen
dc.description.ssrncandidatenon
dc.description.halcandidateoui
dc.description.readershiprecherche
dc.description.audienceInternational
dc.relation.Isversionofjnlpeerreviewedoui
dc.date.updated2016-07-05T08:15:17Z
hal.person.labIds163517*
hal.person.labIds163517*
hal.faultCode{"duplicate-entry":{"hal-01340009":{"doi":"1.0"}}}


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