Learning and the value of information: Evidence from health plan report cards

被引:41
作者
Chernew, Michael [2 ,4 ]
Gowrisankaran, Gautain [1 ,4 ]
Scanlon, Dennis P. [3 ]
机构
[1] Univ Arizona, Dept Econ, Tucson, AZ 85721 USA
[2] Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 USA
[3] Penn State Univ, Dept Hlth Policy & Adm, Ctr Hlth Care Policy Res, University Pk, PA 16802 USA
[4] Natl Bur Econ Res, Cambridge, MA 02138 USA
基金
美国医疗保健研究与质量局;
关键词
information; uncertainty; Bayesian learning models; health plan choice; health plan quality; managed care; report cards;
D O I
10.1016/j.jeconom.2008.01.001
中图分类号
F [经济];
学科分类号
02 ;
摘要
This paper develops a framework to analyze the value of information in the context of health plan choice. We use a Bayesian learning model to estimate the impact and value of information using data from a large employer, which started distributing health plan ratings to its employees in 1997. We estimate the parameters of the model with simulated maximum likelihood, and use the estimates to quantify the value of the report card information. We model both continuous specifications with Gaussian priors and signals, and discrete specifications with Beta priors and Binomial signals. We find that the release of information had a statistically significant effect on health plan choices. Consumers were willing to pay about $330 per year per below expected performance rating avoided, and the average value of the report card per employee was about $20 per year. We find large variation in valuations across different performance domains, but no significant evidence of heterogeneity based on observable employee characteristics or unobservable dimensions. (C) 2008 Elsevier B.V. All rights reserved.
引用
收藏
页码:156 / 174
页数:19
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