Departmental Bulletin Paper THE EFFECT OF PATIENT COST SHARING ON HEALTH CARE UTILIZATION AMONG LOW-INCOME CHILDREN

TAKAKU, REO

58 ( 1 )  , pp.69 - 88 , 2017-06 , Hitotsubashi University
ISSN:0018-280x
NCID:AA00207547
Description
This paper examines how health care utilization among low-income children is affected by a reduction of the coinsurance rate, exploiting an institutional change in the Medical Subsidy for Children and Infants (MSCI) system, as a natural experiment. In 2004, the maximum age for MSCI recipients in Hokkaido Prefecture was raised from 3 years to include all children of preschool age. The implied arc price elasticity of outpatient care utilization is −0.23, which is congruent with the commonly cited value (−0.2) presented in the RAND health insurance experiment.
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http://hermes-ir.lib.hit-u.ac.jp/rs/bitstream/10086/28614/1/HJeco0580100690.pdf

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