No-claim refunds and healthcare use

Avdic, D; Decker, S; Karlsson, M; Salm, M

No-claim refunds and healthcare use

Avdic, D Decker, S Karlsson, M Salm, M

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Publisher:: ELSEVIER SCIENCE SA
Publication Type:: Journal Article
Citation:: Journal of Public Economics, 2024, 230
Issue Date:: 2024-02-01

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Field	Value	Language
dc.contributor.author	Avdic, D
dc.contributor.author	Decker, S
dc.contributor.author	Karlsson, M
dc.contributor.author	Salm, M
dc.date.accessioned	2025-03-12T04:38:11Z
dc.date.available	2025-03-12T04:38:11Z
dc.date.issued	2024-02-01
dc.identifier.citation	Journal of Public Economics, 2024, 230
dc.identifier.issn	0047-2727
dc.identifier.uri	http://hdl.handle.net/10453/185736
dc.description.abstract	No-claim refunds are cost-control instruments which stipulate a payback agreement contingent on one or more claim-free years. We study how such no-claim refunds affect claiming behavior using claims data from a large German health insurer and a policy that increased the refund size for certain plans. We propose a method to decompose the effect on claims into behavioral and non-behavioral components, and show that individuals responded to the refund policy by reducing claims by eight percent on average. The effect persisted for several years; behavioral responses were stronger for clients with more to gain from the policy; and reductions in claims were not restricted to treatments of questionable medical value.
dc.language	English
dc.publisher	ELSEVIER SCIENCE SA
dc.relation.ispartof	Journal of Public Economics
dc.relation.isbasedon	10.1016/j.jpubeco.2023.105061
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1401 Economic Theory, 1402 Applied Economics, 1403 Econometrics
dc.subject.classification	Economics
dc.subject.classification	3801 Applied economics
dc.subject.classification	3803 Economic theory
dc.title	No-claim refunds and healthcare use
dc.type	Journal Article
utslib.citation.volume	230
utslib.for	1401 Economic Theory
utslib.for	1402 Applied Economics
utslib.for	1403 Econometrics
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/
dc.date.updated	2025-03-12T04:38:09Z
pubs.publication-status	Published
pubs.volume	230

Abstract:

No-claim refunds are cost-control instruments which stipulate a payback agreement contingent on one or more claim-free years. We study how such no-claim refunds affect claiming behavior using claims data from a large German health insurer and a policy that increased the refund size for certain plans. We propose a method to decompose the effect on claims into behavioral and non-behavioral components, and show that individuals responded to the refund policy by reducing claims by eight percent on average. The effect persisted for several years; behavioral responses were stronger for clients with more to gain from the policy; and reductions in claims were not restricted to treatments of questionable medical value.

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http://hdl.handle.net/10453/185736