Replication data for: The Effect of Patient Cost Sharing on Utilization, Health, and Risk Protection

Principal Investigator(s): View help for Principal Investigator(s) Hitoshi Shigeoka

Name	File Type	Size	Last Modified
code_claim			10/11/2019 10:40:PM
code_csls			10/11/2019 10:40:PM
code_inp			10/11/2019 10:40:PM
code_mortality			10/11/2019 10:40:PM
code_other			10/11/2019 10:40:PM
code_outp			10/11/2019 10:40:PM
data			10/11/2019 10:40:PM
ReadMe.pdf	application/pdf	171.2 KB	10/11/2019 06:40:PM

Project Description

Summary: This paper exploits a sharp reduction in patient cost sharing at age 70 in Japan, using a regression discontinuity design to examine its effect on utilization, health, and financial risk arising from out-of-pocket expenditures. Due to the national policy, cost sharing is 60–80 percent lower at age 70 than at age 69. I find that both outpatient and inpatient care are price sensitive among the elderly. While I find little impact on mortality and other health outcomes, the results show that reduced cost sharing is associated with lower out-of-pocket expenditures, especially at the right tail of the distribution.

Scope of Project

JEL Classification:
      G22 Insurance; Insurance Companies; Actuarial Studies
      I11 Analysis of Health Care Markets
      I12 Health Behavior
      I13 Health Insurance, Public and Private
      I18 Health: Government Policy; Regulation; Public Health
      J14 Economics of the Elderly; Economics of the Handicapped; Non-labor Market Discrimination

Geographic Coverage: Japan

Universe: Nationally representative in Japan

Data Type(s): [administrative records data, observational data]

Methodology

Data Source: Patient Survey, 1984-2008 Vital Statistics, 1984-2008 Comprehensive Survey of Living Conditions, 1986-2007

Unit(s) of Observation: Individuals,

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Published Versions

V1 [2019-10-11]

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DDI 2.5

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