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The Price Premium Induced by Branding: A Health Care Case Study

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  • Kick, Markus

Abstract

Germany’s statutory health insurance (SHI) system has been radically changed in the year 2009 by the introduction of premium equality across all SHI funds. As of today, all funds charge the same price, which is 15.5% of each insurant’s gross income. The option to charge additional contributions as a flat, monthly per head amount in case funds cannot cover their costs has only scarcely been used so far. However, research predicts that this current state of premium equality is soon to be changed (PFISTER, 2009, EIBICH et al., 2011). Based on KICK and LITTICH (2011), I conduct a choice-based conjoint experiment and include the new pricing signal of additional contributions. I find that price is not the dominating criterion on the current market, but equally important to voluntary coverage options. Corporate reputation and a provider’s brand name lose importance, but are still a major quality signal within consumers’ choice decisions. The brand name TK (Technical Health Insurance Fund), as reputational leader, provides additional value for insurants. TK is able to charge up to €1.46 additional contributions from each insurant per month without falling behind their competitors. Compared to the general contribution rate of 15.5% of each insurant’s gross income, of course, €1.46 seems rather low. However, the statutory health insurance funds that already charged additional contributions from their members collected between €5 and €16 per month and head. Using this rational reveals that TK is able to charge close to 10% of the additional contribution range simply due to their reputational advantage. Thus, corporate reputation proves to enhance a fund’s bargaining position towards its potential insurants, as it allows charging and justifying price premiums. A second empirical study reveals that people lack knowledge about funds’ benefit and coverage portfolios and the SHI system in general. Insurants consistently overestimate funds with comparably higher corporate reputation regarding their benefit and coverage details of selected performance categories. Implications for practitioners and policy makers are discussed.

Suggested Citation

  • Kick, Markus, 2015. "The Price Premium Induced by Branding: A Health Care Case Study," EconStor Preprints 182504, ZBW - Leibniz Information Centre for Economics.
    • Handle: RePEc:zbw:esprep:182504
    Note: Reworking the story for a broad target audience focussed on practitioners. Cf. Kick M. (2015): Selected Essays on Corporate Reputation and Social Media. Springer Gabler, Wiesbaden, https://doi.org/10.1007/978-3-658-08837-8
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    1. Gre[ss], Stefan & Groenewegen, Peter & Kerssens, Jan & Braun, Bernard & Wasem, Juergen, 2002. "Free choice of sickness funds in regulated competition: evidence from Germany and The Netherlands," Health Policy, Elsevier, vol. 60(3), pages 235-254, June.
    2. Richard H. Thaler, 2008. "Mental Accounting and Consumer Choice," Marketing Science, INFORMS, vol. 27(1), pages 15-25, 01-02.
    3. Jean Tirole, 1988. "The Theory of Industrial Organization," MIT Press Books, The MIT Press, edition 1, volume 1, number 0262200716, April.
    4. Yoon, Eunsang & Guffey, Hugh J. & Kijewski, Valerie, 1993. "The effects of information and company reputation on intentions to buy a business service," Journal of Business Research, Elsevier, vol. 27(3), pages 215-228, July.
    5. Winand Emons, 1997. "Credence Goods and Fraudelent Experts," RAND Journal of Economics, The RAND Corporation, vol. 28(1), pages 107-119, Spring.
    6. Höppner, Karin & Greß, Stefan & Rothgang, Heinz & Wasem, Jürgen & Braun, Bernard & Buitkamp, Martin, 2005. "Grenzen und Dysfunktionalitäten des Kassenwettbewerbs in der GKV: Theorie und Empirie der Risikolektion in Deutschland," Working papers of the ZeS 04/2005, University of Bremen, Centre for Social Policy Research (ZeS).
    7. Darby, Michael R & Karni, Edi, 1973. "Free Competition and the Optimal Amount of Fraud," Journal of Law and Economics, University of Chicago Press, vol. 16(1), pages 67-88, April.
    8. Manfred Schwaiger, 2004. "Components And Parameters Of Corporate Reputation – An Empirical Study," Schmalenbach Business Review (sbr), LMU Munich School of Management, vol. 56(1), pages 46-71, January.
    9. Chernev, Alexander, 2003. "When More Is Less and Less Is More: The Role of Ideal Point Availability and Assortment in Consumer Choice," Journal of Consumer Research, Journal of Consumer Research Inc., vol. 30(2), pages 170-183, September.
    10. Jacoby, Jacob & Speller, Donald E & Berning, Carol A Kohn, 1974. "Brand Choice Behavior as a Function of Information Load: Replication and Extension," Journal of Consumer Research, Journal of Consumer Research Inc., vol. 1(1), pages 33-42, June.
    11. Rinaldo Brau & Matteo Lippi Bruni, 2008. "Eliciting the demand for long‐term care coverage: a discrete choice modelling analysis," Health Economics, John Wiley & Sons, Ltd., vol. 17(3), pages 411-433, March.
    12. Rinus Haaijer & Michel Wedel, 2007. "Conjoint Choice Experiments: General Characteristics and Alternative Model Specifications," Springer Books, in: Anders Gustafsson & Andreas Herrmann & Frank Huber (ed.), Conjoint Measurement, edition 0, chapter 11, pages 199-229, Springer.
    13. Gates, Roger & McDaniel, Carl & Braunsberger, Karin, 2000. "Modeling Consumer Health Plan Choice Behavior To Improve Customer Value and Health Plan Market Share," Journal of Business Research, Elsevier, vol. 48(3), pages 247-257, June.
    14. Daniel Kahneman, 2003. "Maps of Bounded Rationality: Psychology for Behavioral Economics," American Economic Review, American Economic Association, vol. 93(5), pages 1449-1475, December.
    15. van den Berg, Bernard & Van Dommelen, Paula & Stam, Piet & Laske-Aldershof, Trea & Buchmueller, Tom & Schut, Frederik T., 2008. "Preferences and choices for care and health insurance," Social Science & Medicine, Elsevier, vol. 66(12), pages 2448-2459, June.
    16. Bettman, James R & Luce, Mary Frances & Payne, John W, 1998. "Constructive Consumer Choice Processes," Journal of Consumer Research, Journal of Consumer Research Inc., vol. 25(3), pages 187-217, December.
    17. Kevin Lane Keller & Donald R. Lehmann, 2006. "Brands and Branding: Research Findings and Future Priorities," Marketing Science, INFORMS, vol. 25(6), pages 740-759, 11-12.
    18. Jan Kerssens & Peter Groenewegen, 2005. "Consumer preferences in social health insurance," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 6(1), pages 8-15, March.
    19. Amitai Etzioni, 2011. "Behavioural Economics: Next Steps," Journal of Consumer Policy, Springer, vol. 34(3), pages 277-287, September.
    20. Kotha, Suresh & Rajgopal, Shivaram & Rindova, Violina, 2001. "Reputation Building and Performance: An Empirical Analysis of the Top-50 Pure Internet Firms," European Management Journal, Elsevier, vol. 19(6), pages 571-586, December.
    21. Peter Eibich & Hendrik Schmitz & Nicolas R. Ziebarth, 2011. "Zusatzbeiträge erhöhen die Preistransparenz: mehr Versicherte wechseln die Krankenkasse," DIW Wochenbericht, DIW Berlin, German Institute for Economic Research, vol. 78(51/52), pages 3-12.
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