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More Health Care Utilisation With More Insurance Coverage? Evidence from a Latent Class Model with German Data

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  • Hendrik Schmitz

    (Universität Duisburg-Essen = University of Duisburg-Essen [Essen], RWI - RWI)

Abstract

We analyse the impact of optional deductibles, private supplementary health insurance and income on the demand for health care utilisation, measured as the number of physician visits with data from the German Socioeconomic Panel. With a set of newly available variables for the years 2002, 2004, and 2006 that measure individual health more accurately and including risk-attitudes towards health we find that possible endogeneity of the insurance choice is not a problem. A latent class approach that takes into account the panel structure of the data reveals that especially individuals who have few doctor visits, the low users, respond strongest to insurance status and income. In this group we find that more insurance increases the demand for physician visits and there is a pro-rich inequity in health care utilisation. No such effects are found for the high users.

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  • Hendrik Schmitz, 2011. "More Health Care Utilisation With More Insurance Coverage? Evidence from a Latent Class Model with German Data," Post-Print hal-00719479, HAL.
  • Handle: RePEc:hal:journl:hal-00719479
    DOI: 10.1080/00036846.2011.591733
    Note: View the original document on HAL open archive server: https://hal.science/hal-00719479
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    1. Veronika Kalouguina & Joël Wagner, 2020. "How Do Health, Care Services Consumption and Lifestyle Factors Affect the Choice of Health Insurance Plans in Switzerland?," Risks, MDPI, vol. 8(2), pages 1-21, April.
    2. Stefanie Thönnes, 2019. "Ex-post moral hazard in the health insurance market: empirical evidence from German data," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(9), pages 1317-1333, December.
    3. Thomas Kopetsch & Hendrik Schmitz, 2014. "Regional Variation In The Utilisation Of Ambulatory Services In Germany," Health Economics, John Wiley & Sons, Ltd., vol. 23(12), pages 1481-1492, December.
    4. Thönnes, Stefanie, 2015. "Do Deductibles reduce Moral Hazard in the German Statutory Health Insurance? - Empirical Evidence," VfS Annual Conference 2015 (Muenster): Economic Development - Theory and Policy 112912, Verein für Socialpolitik / German Economic Association.
    5. David G. Lugo-Palacios & Brenda Gannon, 2017. "Health care utilisation amongst older adults with sensory and cognitive impairments in Europe," Health Economics Review, Springer, vol. 7(1), pages 1-15, December.
    6. Galina Besstremyannaya, 2012. "Heterogeneous effect of coinsurance rate on the demand for health care: a finite mixture approach," Working Papers w0163, New Economic School (NES).
    7. Galina Besstremyannaya, 2012. "Heterogeneous effect of coinsurance rate on the demand for health care: a finite mixture approach," Working Papers w0163, Center for Economic and Financial Research (CEFIR).
    8. Galina Besstremyannaya, 2014. "Heterogeneous effect of coinsurance rate on healthcare costs: generalized finite mixtures and matching estimators," Discussion Papers 14-014, Stanford Institute for Economic Policy Research.

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