How can deductibles, copayments, and coinsurance reduce moral hazard?

Short Answer

Expert verified
Deductibles, copayments, and coinsurance reduce moral hazard by increasing the cost-sharing burden on the insured person, making them more cautious about their healthcare utilization. Deductibles require insured individuals to cover initial costs before insurance coverage begins, copayments involve fixed amounts paid for specific healthcare services, and coinsurance requires insured individuals to pay a percentage of medical costs even after meeting the deductible. These mechanisms encourage more responsible healthcare decision-making and minimize the risks and over-utilization of healthcare services.

Step by step solution

01

Deductibles

A deductible is the amount of money the insured person has to pay for covered healthcare services before the insurance plan starts to cover the costs. By having a deductible, the insured person will be more cautious in utilizing medical services, as they will have to bear the initial costs themselves. This self-regulation can be seen as a solution to at least partially reduce the moral hazard problem. In other words, implementing a deductible increases the cost-sharing burden and makes the insured person more aware of the expenses, leading to more responsible healthcare decisions.
02

Copayments

A copayment is a fixed amount the insured person has to pay for specific healthcare services. For example, a \(30 copayment for a doctor's visit or a \)15 copayment for prescription medication. Copayments help reduce moral hazard by making individuals think twice before using healthcare services because they have to contribute a portion of the cost. It discourages over-utilization of healthcare services that may not be necessary or essential by directly affecting the insured person's pocket.
03

Coinsurance

Coinsurance is the percentage of the cost of medical services that the insured person bears after meeting the deductible. For example, if a health plan has a 20% coinsurance rate and the cost of a medical service is \(100, the insured person will pay \)20, while the insurance company pays the remaining $80. Coinsurance is yet another way to share the cost of healthcare services between the insured and the insurer, making patients more accountable for their healthcare choices. By having coinsurance, patients will be more cautious when deciding which medical treatments to utilize, again reducing moral hazard in the process. In summary, each of these cost-sharing mechanisms (deductibles, copayments, and coinsurance) helps to reduce the moral hazard associated with insurance by increasing the financial responsibility placed on the insured person. As a result, they encourage more careful and responsible healthcare decision-making, minimizing the risks and over-utilization of healthcare services.

Unlock Step-by-Step Solutions & Ace Your Exams!

  • Full Textbook Solutions

    Get detailed explanations and key concepts

  • Unlimited Al creation

    Al flashcards, explanations, exams and more...

  • Ads-free access

    To over 500 millions flashcards

  • Money-back guarantee

    We refund you if you fail your exam.

Over 30 million students worldwide already upgrade their learning with Vaia!

One App. One Place for Learning.

All the tools & learning materials you need for study success - in one app.

Get started for free

Most popular questions from this chapter

Why is it difficult to measure health outcomes?

Imagine that you can divide 50-year-old men into two groups: those who have a family history of cancer and those who do not. For the purposes of this example, say that 20% of a group of 1,000 men have a family history of cancer , and these men have one chance in 50 of dying in the next year , while the other 80% of men have one chance in 200 of dying in the next year .The insurance company is selling a policy that will pay $100,000 to the estate of anyone who dies in the next year a. If the insurance company were selling life insurance separately to each group, what would be the actuarially fair premium for each group? b. If an insurance company were offering life insurance to the entire group, but could not find out about family cancer histories, what would be the actuarially fair premium for the group as a whole? c. What will happen to the insurance company if it tries to charge the actuarially fair premium to the group as a whole rather than to each group separately?

What are some ways that someone looking for a loan might reassure a bank that is faced with imperfect information about whether the borrower will repay the loan?

Why is there asymmetric information in the labor market? What signals can an employer look for that might indicate the traits they are seeking in a new employee?

For each of the following purchases, say whether you would expect the degree of imperfect information to be relatively high or relatively low: a. Buying apples at a roadside stand b. Buying dinner at the neighborhood restaurant around the corner c. Buying a used laptop computer at a garage sale d. Ordering flowers over the Internet for your friend in a different city

See all solutions

What do you think about this solution?

We value your feedback to improve our textbook solutions.

Study anywhere. Anytime. Across all devices.

Sign-up for free