Abstract
From 2004 to 2012, the German social health insurance levied a co-payment for the first doctor visit in a calendar quarter. We develop a new model for estimating the effect of such a co-payment on the individual number of visits per quarter. The model combines a one-time increase in the otherwise constant hazard rate determining the timing of doctor visits with a difference-in-differences strategy to identify the reform effect. An extended version of the model accounts for a mismatch between reporting period and calendar quarter. Using data from the German Socio-Economic Panel, we do not find an effect of the co-payment on demand for doctor visits.
Original language | English |
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Pages (from-to) | 691-702 |
Number of pages | 12 |
Journal | Health Economics |
Volume | 26 |
Issue number | 6 |
DOIs | |
Publication status | Published - Jun 2017 |
Externally published | Yes |
Keywords
- co-payment
- count data
- hurdle model
- Poisson process