期刊
AMERICAN ECONOMIC REVIEW
卷 104, 期 7, 页码 2152-2184出版社
AMER ECONOMIC ASSOC
DOI: 10.1257/aer.104.7.2152
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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.
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