Literature DB >> 22454838

Comparison friction: experimental evidence from medicare drug plans.

Jeffrey R Kling1, Sendhil Mullainathan, Eldar Shafir, Lee C Vermeulen, Marian V Wrobel.   

Abstract

Consumers need information to compare alternatives for markets to function efficiently. Recognizing this, public policies often pair competition with easy access to comparative information. The implicit assumption is that comparison friction—the wedge between the availability of comparative information and consumers' use of it—is inconsequential because when information is readily available, consumers will access this information and make effective choices. We examine the extent of comparison friction in the market for Medicare Part D prescription drug plans in the United States. In a randomized field experiment, an intervention group received a letter with personalized cost information. That information was readily available for free and widely advertised. However, this additional step—providing the information rather than having consumers actively access it—had an impact. Plan switching was 28% in the intervention group, versus 17% in the comparison group, and the intervention caused an average decline in predicted consumer cost of about $100 a year among letter recipients—roughly 5% of the cost in the comparison group. Our results suggest that comparison friction can be large even when the cost of acquiring information is small and may be relevant for a wide range of public policies that incorporate consumer choice.

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Year:  2012        PMID: 22454838      PMCID: PMC3314343          DOI: 10.1093/qje/qjr055

Source DB:  PubMed          Journal:  Q J Econ        ISSN: 0033-5533


  12 in total

1.  Is the informed-choice policy approach appropriate for Medicare beneficiaries?

Authors:  J H Hibbard; P Slovic; E Peters; M L Finucane; M Tusler
Journal:  Health Aff (Millwood)       Date:  2001 May-Jun       Impact factor: 6.301

2.  Who failed to enroll in Medicare Part D, and why? Early results.

Authors:  Florian Heiss; Daniel McFadden; Joachim Winter
Journal:  Health Aff (Millwood)       Date:  2006-08-01       Impact factor: 6.301

3.  Medicare prescription drug coverage: consumer information and preferences.

Authors:  Joachim Winter; Rowilma Balza; Frank Caro; Florian Heiss; Byung-hill Jun; Rosa Matzkin; Daniel McFadden
Journal:  Proc Natl Acad Sci U S A       Date:  2006-05-08       Impact factor: 11.205

4.  Why using current medications to select a medicare Part D plan may lead to higher out-of-pocket payments.

Authors:  Marisa Elena Domino; Sally C Stearns; Edward C Norton; Wei-Shi Yeh
Journal:  Med Care Res Rev       Date:  2007-10-17       Impact factor: 3.929

5.  How much choice is too much? The case of the Medicare prescription drug benefit.

Authors:  Yaniv Hanoch; Thomas Rice; Janet Cummings; Stacey Wood
Journal:  Health Serv Res       Date:  2009-05-26       Impact factor: 3.402

6.  Part D Formulary and Benefit Design as a Risk-Steering Mechanism.

Authors:  Dana P Goldman; Geoffrey F Joyce; William B Vogt
Journal:  Am Econ Rev       Date:  2011-05

7.  Choice Inconsistencies Among the Elderly: Evidence from Plan Choice in the Medicare Part D Program.

Authors:  Jason Abaluck; Jonathan Gruber
Journal:  Am Econ Rev       Date:  2011-06-01

8.  Choice set size and decision making: the case of Medicare Part D prescription drug plans.

Authors:  M Kate Bundorf; Helena Szrek
Journal:  Med Decis Making       Date:  2010-03-12       Impact factor: 2.583

9.  The effect of the Medicare Part D prescription benefit on drug utilization and expenditures.

Authors:  Wesley Yin; Anirban Basu; James X Zhang; Atonu Rabbani; David O Meltzer; G Caleb Alexander
Journal:  Ann Intern Med       Date:  2008-01-07       Impact factor: 25.391

10.  Beneficiary survey-based feedback on new Medicare informational materials.

Authors:  L A McCormack; S A Garfinkel; J H Hibbard; K E Kilpatrick; W D Kalsbeek
Journal:  Health Care Financ Rev       Date:  2001
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  27 in total

1.  Health insurance coverage and take-up: lessons from behavioral economics.

Authors:  Katherine Baicker; William J Congdon; Sendhil Mullainathan
Journal:  Milbank Q       Date:  2012-03       Impact factor: 4.911

2.  Complexity, public reporting, and choice of doctors: a look inside the blackest box of consumer behavior.

Authors:  Mark Schlesinger; David E Kanouse; Steven C Martino; Dale Shaller; Lise Rybowski
Journal:  Med Care Res Rev       Date:  2013-09-01       Impact factor: 3.929

3.  Private provision of social insurance: drug-specific price elasticities and cost sharing in Medicare Part D.

Authors:  Liran Einav; Amy Finkelstein; Maria Polyakova
Journal:  Am Econ J Econ Policy       Date:  2018-08

4.  Choice Inconsistencies among the Elderly: Evidence from Plan Choice in the Medicare Part D Program: Reply.

Authors:  Jason Abaluck; Jonathan Gruber
Journal:  Am Econ Rev       Date:  2017-12

5.  Preparedness of Americans for the Affordable Care Act.

Authors:  Silvia Helena Barcellos; Amelie C Wuppermann; Katherine Grace Carman; Sebastian Bauhoff; Daniel L McFadden; Arie Kapteyn; Joachim K Winter; Dana Goldman
Journal:  Proc Natl Acad Sci U S A       Date:  2014-03-24       Impact factor: 11.205

6.  Improving Cancer Patients' Insurance Choices (I Can PIC): A Randomized Trial of a Personalized Health Insurance Decision Aid.

Authors:  Mary C Politi; Rachel L Grant; Nerissa P George; Abigail R Barker; Aimee S James; Lindsay M Kuroki; Timothy D McBride; Jingxia Liu; Courtney M Goodwin
Journal:  Oncologist       Date:  2020-02-28

7.  More Is Not Always Better: Intuitions About Effective Public Policy Can Lead to Unintended Consequences.

Authors:  Ellen Peters; William Klein; Annette Kaufman; Louise Meilleur; Anna Dixon
Journal:  Soc Issues Policy Rev       Date:  2013-01-01

8.  APPLYING INSIGHTS FROM BEHAVIORAL ECONOMICS TO POLICY DESIGN.

Authors:  Brigitte C Madrian
Journal:  Annu Rev Econom       Date:  2014-08

9.  Use of intelligent assignment to Medicare Part D plans for people with schizophrenia could produce substantial savings.

Authors:  Yuting Zhang; Seo Hyon Baik; Joseph P Newhouse
Journal:  Health Aff (Millwood)       Date:  2015-03       Impact factor: 6.301

10.  Suit the action to the word, the word to the action: Hypothetical choices and real decisions in Medicare Part D.

Authors:  Iris Kesternich; Florian Heiss; Daniel McFadden; Joachim Winter
Journal:  J Health Econ       Date:  2012-12-17       Impact factor: 3.883

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