School of Public Finance and Public Policy, Central University of Finance and Economics, Beijing, China.
Health Econ. 2011 Nov;20(11):1312-29. doi: 10.1002/hec.1670. Epub 2010 Sep 29.
For most insurers, traditional methods of controlling health-care demand include deductibles, co-payments, stop-losses, and insurance ceilings. This paper examines the effect of the patient reimbursement method of health insurance (immediate reimbursement or later reimbursement) on individuals' health-care utilization decisions. We find that immediate reimbursement significantly increases the likelihood of patients seeking outpatient treatment in China. We also empirically explore the channels through which immediate reimbursement affects individual's incentives on health-care demand.
对于大多数保险公司来说,控制医疗需求的传统方法包括免赔额、共付额、止损额和保险上限。本文研究了医疗保险的患者报销方式(即时报销或事后报销)对个人医疗服务利用决策的影响。我们发现,即时报销显著增加了中国患者寻求门诊治疗的可能性。我们还通过实证研究探索了即时报销影响个人医疗需求激励的途径。