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Record W2008796304 · doi:10.1215/03616878-2007-062

Health Plan Switching and Attrition Bias in the RAND Health Insurance Experiment

2008· article· en· W2008796304 on OpenAlexaboutno aff
John A. Nyman

Bibliographic record

VenueJournal of Health Politics Policy and Law · 2008
Typearticle
Languageen
FieldEconomics, Econometrics and Finance
TopicHealthcare Policy and Management
Canadian institutionsnot available
Fundersnot available
KeywordsAttritionCost sharingQuarter (Canadian coin)IncentiveActuarial sciencePaymentHealth insuranceDemographic economicsDrop outBusinessMedicineHealth careEconomicsFinanceNursingEconomic growth

Abstract

fetched live from OpenAlex

One of the most influential “lessons” of the RAND Health Insurance Experiment (HIE) is that cost sharing can reduce hospitalizations by about a quarter, with no effect on health for the average adult. In an earlier paper in this journal, I suggested that a portion of this reduction is due to participants becoming ill and dropping out of the experiment in order to switch to their preexperiment insurance coverage and thus avoid paying the cost-sharing amount. The sixteenfold higher voluntary attrition rate in the cost-sharing arms provides compelling evidence in support of this alternative explanation. Evidence is also provided by the finding in Manning, Duan, Keeler (1993) that the predicted number of hospitalizations among those who dropped out of the coinsurance arms was significantly greater by 34.5 percent than the actual number of hospitalizations, suggesting that participants anticipate hospitalizations and leave the experiment before incurring the cost-sharing payment. Still more evidence is provided by the finding that those (cost-sharing) participants with greater incomes, instead of being more likely to be hospitalized, as greater income usually implies, were less likely to be hospitalized than poor participants. This finding is consistent with their having better preexperiment insurance coverage than poor participants and therefore being more likely to have an incentive to drop out. This inpatient attrition bias makes it dangerous to rely on this lesson of the HIE, because it is not clear that hospitalizations were actually reduced by one-quarter, much less that if such a reduction actually had occurred, there would be no health consequences.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.004
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.847
Threshold uncertainty score0.933

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0040.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.211
GPT teacher head0.368
Teacher spread0.157 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designTheoretical or conceptual
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations22
Published2008
Admission routes1
Has abstractyes

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