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A Reminder to Pay Less for Healthcare: take-up of Increased Reimbursement in a large-scale randomized field experiment

Author

Listed:
  • Raf Van Gastel
  • Tim Goedemé
  • Julie Janssens
  • Eva Lefevere
  • Rik Lemkens
Abstract
We evaluate how a simple letter and flyer sent to a low-income group stimulates the participation in a beneficial health insurance plan. Using a large-scale randomized field experiment we study the effect of contacting potential beneficiaries on the take-up of the Increased Reimbursement (IR) for healthcare in Belgium. We find a fourfold increase in the take-up of IR, with large differences across geographic areas. The group that remains without IR is, on average, less vulnerable than the group that takes up IR in response to the letter. As such, the mailing arguably succeeds in reaching out to the target population.

Suggested Citation

  • Raf Van Gastel & Tim Goedemé & Julie Janssens & Eva Lefevere & Rik Lemkens, 2017. "A Reminder to Pay Less for Healthcare: take-up of Increased Reimbursement in a large-scale randomized field experiment," Working Papers 1712, Herman Deleeck Centre for Social Policy, University of Antwerp.
    • Handle: RePEc:hdl:wpaper:1712
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    References listed on IDEAS

    as
    1. repec:mpr:mprres:7375 is not listed on IDEAS
    2. Benjamin R. Handel & Jonathan T. Kolstad & Johannes Spinnewijn, 2019. "Information Frictions and Adverse Selection: Policy Interventions in Health Insurance Markets," The Review of Economics and Statistics, MIT Press, vol. 101(2), pages 326-340, May.
    3. Dean Karlan & Margaret McConnell & Sendhil Mullainathan & Jonathan Zinman, 2016. "Getting to the Top of Mind: How Reminders Increase Saving," Management Science, INFORMS, vol. 62(12), pages 3393-3411, December.
    4. Aviva Aron-Dine & Liran Einav & Amy Finkelstein, 2013. "The RAND Health Insurance Experiment, Three Decades Later," Journal of Economic Perspectives, American Economic Association, vol. 27(1), pages 197-222, Winter.
    5. Lantz, P.M. & Stencil, D. & Lippert, M.T. & Beversdorf, S. & Jaros, L. & Remington, P.L., 1995. "Erratum: Breast and cervical cancer screening in a low-income managed care sample: The efficacy of physician letters and phone calls (American Journal of Public Health (1995) 85 (834-836))," American Journal of Public Health, American Public Health Association, vol. 85(8), pages 1063-1063.
    6. Jeffrey B. Liebman & Erzo F. P. Luttmer, 2015. "Would People Behave Differently If They Better Understood Social Security? Evidence from a Field Experiment," American Economic Journal: Economic Policy, American Economic Association, vol. 7(1), pages 275-299, February.
    7. Jill E. Luoto & David I. Levine & Jeff Albert, 2011. "Information and Persuasion Achieving Safe Water Behaviors in Kenya," Working Papers WR-885, RAND Corporation.
    8. Anna Aizer, 2003. "Low Take-Up in Medicaid: Does Outreach Matter and for Whom?," American Economic Review, American Economic Association, vol. 93(2), pages 238-241, May.
    9. Kaufmann, Cornel & Müller, Tobias & Hefti, Andreas & Boes, Stefan, 2018. "Does personalized information improve health plan choices when individuals are distracted?," Journal of Economic Behavior & Organization, Elsevier, vol. 149(C), pages 197-214.
    10. Matthew Rabin & Ted O'Donoghue, 1999. "Doing It Now or Later," American Economic Review, American Economic Association, vol. 89(1), pages 103-124, March.
    11. Sophie Guthmuller & Florence Jusot & Jérôme Wittwer, 2014. "Improving Takeup of Health Insurance Program: A Social Experiment in France," Journal of Human Resources, University of Wisconsin Press, vol. 49(1), pages 167-194.
    12. Erik Schokkaert & Tom Van Ourti & Diana De Graeve & Ann Lecluyse & Carine Van de Voorde, 2010. "Supplemental health insurance and equality of access in Belgium," Health Economics, John Wiley & Sons, Ltd., vol. 19(4), pages 377-395, April.
    13. Amanda Kowalski, 2016. "Doing more when you're running LATE: Applying marginal treatment effect methods to examine treatment effect heterogeneity in experiments," Artefactual Field Experiments 00560, The Field Experiments Website.
    14. Eric P. Bettinger & Bridget Terry Long & Philip Oreopoulos & Lisa Sanbonmatsu, 2009. "The Role of Simplification and Information in College Decisions: Results from the H&R Block FAFSA Experiment," NBER Working Papers 15361, National Bureau of Economic Research, Inc.
    15. Gerlinde Fellner & Rupert Sausgruber & Christian Traxler, 2009. "Testing Enforcement Strategies in the Field: Legal Threat, Moral Appeal and Social Information," Working Papers 2009-23, Faculty of Economics and Statistics, Universität Innsbruck.
    16. Janet Currie, 2004. "The Take Up of Social Benefits," NBER Working Papers 10488, National Bureau of Economic Research, Inc.
    17. Jeffrey R. Kling & Sendhil Mullainathan & Eldar Shafir & Lee C. Vermeulen & Marian V. Wrobel, 2012. "Comparison Friction: Experimental Evidence from Medicare Drug Plans," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 127(1), pages 199-235.
    18. Jeremy D. Goldhaber-Fiebert & Erik Blumenkranz & Alan M. Garber, 2010. "Committing to Exercise: Contract Design for Virtuous Habit Formation," NBER Working Papers 16624, National Bureau of Economic Research, Inc.
    19. Jill Luoto & David I. Levine & Jeff Albert, 2011. "Information and Persuasion Achieving Safe Water Behaviors in Kenya," Working Papers 885, RAND Corporation.
    20. Amy Finkelstein & Sarah Taubman & Bill Wright & Mira Bernstein & Jonathan Gruber & Joseph P. Newhouse & Heidi Allen & Katherine Baicker, 2012. "The Oregon Health Insurance Experiment: Evidence from the First Year," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 127(3), pages 1057-1106.
    21. Jonathan D. Ketcham & Claudio Lucarelli & Eugenio J. Miravete & M. Christopher Roebuck, 2012. "Sinking, Swimming, or Learning to Swim in Medicare Part D," American Economic Review, American Economic Association, vol. 102(6), pages 2639-2673, October.
    22. Marieke Huysentruyt & Eva Lefevere, 2010. "Child Benefit Support and Method of Payment: Evidence from a Randomized Experiment in Belgium," NBER Chapters, in: Income Taxation, Trans-Atlantic Public Economics Seminar (TAPES), pages 163-184, National Bureau of Economic Research, Inc.
    23. Lantz, P.M. & Stencil, D. & Lippert, M.T. & Beversdorf, S. & Jaros, L. & Remington, P.L., 1995. "Breast and cervical cancer screening in a low-income managed care sample: The efficacy of physician letters and phone calls," American Journal of Public Health, American Public Health Association, vol. 85(6), pages 834-836.
    24. Gerlinde Fellner & Rupert Sausgruber & Christian Traxler, 2013. "Testing Enforcement Strategies In The Field: Threat, Moral Appeal And Social Information," Journal of the European Economic Association, European Economic Association, vol. 11(3), pages 634-660, June.
    25. Marieke Huysentruyt & Eva Lefevere, 2010. "Child Benefit Support and Method of Payment: Evidence from a Randomized Experiment in Belgium," American Economic Journal: Economic Policy, American Economic Association, vol. 2(2), pages 163-184, May.
    26. Brigitte C. Madrian & Dennis F. Shea, 2001. "The Power of Suggestion: Inertia in 401(k) Participation and Savings Behavior," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 116(4), pages 1149-1187.
    27. Amy Finkelstein, 2007. "The Aggregate Effects of Health Insurance: Evidence from the Introduction of Medicare," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(1), pages 1-37.
    28. Millett, C. & Chattopadhyay, A. & Bindman, A.B., 2010. "Unhealthy competition: Consequences of health plan choice in California medicaid," American Journal of Public Health, American Public Health Association, vol. 100(11), pages 2235-2240.
    29. repec:dau:papers:123456789/9715 is not listed on IDEAS
    30. Saurabh Bhargava & Dayanand Manoli, 2015. "Psychological Frictions and the Incomplete Take-Up of Social Benefits: Evidence from an IRS Field Experiment," American Economic Review, American Economic Association, vol. 105(11), pages 3489-3529, November.
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    Cited by:

    1. Antinyan, A. & Bertoni, M. & Corazzini, L., 2020. "Cancer screening invitations in the developing world," Health, Econometrics and Data Group (HEDG) Working Papers 20/13, HEDG, c/o Department of Economics, University of York.
    2. Antinyan, Armenak & Bertoni, Marco & Corazzini, Luca, 2021. "Cervical cancer screening invitations in low and middle income countries: Evidence from Armenia," Social Science & Medicine, Elsevier, vol. 273(C).

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    More about this item

    Keywords

    accessible health care; field experiment; Increased Reimbursement; Nudging; RCT;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • C93 - Mathematical and Quantitative Methods - - Design of Experiments - - - Field Experiments

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