Please use this identifier to cite or link to this item: https://hdl.handle.net/10419/215127 
Year of Publication: 
2019
Series/Report no.: 
IZA Discussion Papers No. 12731
Publisher: 
Institute of Labor Economics (IZA), Bonn
Abstract: 
The ACA requires insurers to provide cost-sharing reductions (CSRs) to low-income consumers on the marketplaces. We link 2013-2015 All-Payer Claims Data to 2004-2013 administrative hospital discharge data from Utah and exploit policy-driven differences in the value of CSRs that are solely determined by income. We find that enrollees with lower cost sharing have higher levels of health care spending, controlling for past health care use. We estimate the demand elasticity of total health care spending to be -0.10, but find larger elasticities for emergency room care, lifestyle drugs, and low-value care. We also find positive cross-price elasticities between outpatient and inpatient care.
Subjects: 
demand elasticities
health insurance
moral hazard
ACA
marketplaces
AV-variants
low-value care
lifestyle drugs
value-based CSRs
Utah
JEL: 
H24
H41
H43
H51
I11
I18
J32
J33
J68
Document Type: 
Working Paper

Files in This Item:
File
Size
1.17 MB





Items in EconStor are protected by copyright, with all rights reserved, unless otherwise indicated.