Hybrid seminar: Responses to cost-sharing: Do socio-demographic characteristics matter?
On Tuesday November 26th, 2024, Kati Gaspar and Maud Hofland (CPB) will give a presentation titled: "Responses to cost-sharing: Do socio-demographic characteristics matter?." To attend this seminar, please send an e-mail to Simone Pailer (secretaressepool@cpb.nl). You will be registered at the reception or will receive a Teams invitation via Outlook.
PLEASE NOTE: this seminar starts at 11:00AM
Patient cost-sharing in health insurance tends to reduce moral hazard, but it may do so at the expense of equity and solidarity. The related out-of-pocket expenditure may disproportionately burden certain subgroups, such as those who incur higher healthcare costs or have less financial flexibility to cover additional expenses. We anticipate that these subgroups will respond differently to cost-sharing measures. With the help of a structural microsimulation model, we estimate the expected response to changes in cost-sharing across gender, age and income groups, also considering the interactions among these characteristics. We estimate the parameters of our model using Dutch individual-level healthcare data for the years 2011 to 2019. We find an overall average elasticity of approximately −0.12, with considerable variation in elasticities across age groups and less variation across income quintiles or between genders.