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质量披露与保险公司调整时机:来自医疗保险优势计划的证据。

Quality disclosure and the timing of insurers' adjustments: Evidence from medicare advantage.

机构信息

Emory University, USA; NBER, USA.

出版信息

J Health Econ. 2018 Sep;61:13-26. doi: 10.1016/j.jhealeco.2018.06.007. Epub 2018 Jun 30.

Abstract

Mandatory quality disclosure often includes a period over which the quality of new entrants is unreported. This provides the opportunity for forward-looking firms to adjust product characteristics in advance of disclosure. Using comprehensive data on Medicare Advantage (MA) from 2007 to 2015, I exploit the design of the MA Star Rating program to examine the presence of forward-looking behavior among insurers. I find that high-quality insurers reduce prices leading up to quality disclosure, while low-quality insurers increase prices in advance of quality disclosure. These dynamics are consistent with firms anticipating a future change in consumer inertia and updating current-period prices accordingly.

摘要

强制性质量披露通常包括一个新进入者质量未报告的时间段。这为前瞻性公司提供了在披露之前调整产品特征的机会。本文利用 2007 年至 2015 年医疗保险优势(MA)的综合数据,利用 MA 星级评定计划的设计来检验保险公司的前瞻性行为。发现高质量保险公司在质量披露前降低价格,而低质量保险公司在质量披露前提高价格。这些动态与公司预期消费者惯性未来会发生变化,并相应地调整当前时期的价格一致。

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