Health Care Financing and Payment, RTI International, Durham, NC, USA.
Health Econ. 2019 Mar;28(3):339-349. doi: 10.1002/hec.3843. Epub 2018 Nov 19.
Because health insurance is intended to protect patients in the event of a health shock, it is important to evaluate health insurance policy in the context of patients who experience health shocks. I measure the effect of cancer diagnosis on health insurance switching in order to compare cancer patient's preferences among private and publicly administered Medicare. I estimate that a cancer diagnosis increases the probability a patient will leave a private Medicare plan, for the public plan, by 0.8% points (41%). Similarly, a cancer diagnosis decreases the probability a patient will leave the public Medicare plan, for a private plan, by 0.5% points (16%). The implication is that private Medicare plans are relatively less attractive to cancer patients than they are to noncancer patients.
由于健康保险旨在保护患者免受健康冲击的影响,因此在考虑经历健康冲击的患者的情况下评估健康保险政策非常重要。我衡量了癌症诊断对健康保险转换的影响,以便比较癌症患者对私人和公共管理的医疗保险的偏好。我估计,癌症诊断会使患者离开私人医疗保险计划转而加入公共计划的概率增加 0.8 个百分点(41%)。同样,癌症诊断会使患者离开公共医疗保险计划转而加入私人计划的概率降低 0.5 个百分点(16%)。这意味着与非癌症患者相比,私人医疗保险计划对癌症患者的吸引力相对较低。