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Search costs and Medicare plan choice

✍ Scribed by Ian M. McCarthy; Rusty Tchernis


Book ID
102233055
Publisher
John Wiley and Sons
Year
2009
Tongue
English
Weight
210 KB
Volume
19
Category
Article
ISSN
1057-9230

No coin nor oath required. For personal study only.

✦ Synopsis


Abstract

There is increasing evidence suggesting that Medicare beneficiaries do not make fully informed decisions when choosing among alternative Medicare health plans. To the extent that deciphering the intricacies of alternative plans consumes time and money; the Medicare health plan market is one in which search costs may play an important role. To account for this, we split beneficiaries into two groups – those who are informed and those who are uninformed. If uninformed, beneficiaries only use a subset of covariates to compute their maximum utilities, and if informed, they use the full set of variables considered. In a Bayesian framework with Markov Chain Monte Carlo (MCMC) methods, we estimate search cost coefficients based on the minimum and maximum statistics of the search cost distribution, incorporating both horizontal differentiation and information heterogeneities across eligibles. Our results suggest that, conditional on being uninformed, older, higher income beneficiaries with lower self‐reported health status are more likely to utilize easier access to information. Copyright Β© 2009 John Wiley & Sons, Ltd.


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