The DOI matches its Crossref record; 19 of the 19 references it cites were found in a registry or an index.
Asymmetric Information in Health Insurance: Evidence from the National Medical Expenditure Survey
Open accessAbstract
Adverse selection is perceived to be a major source of market failure in insurance markets. There is little empirical evidence on the extent of the problem. We estimate a structural model of health insurance and health care choices using data on single individuals from the NMES. A robust prediction of adverse-selection models is that riskier types buy more coverage and, on average, end up using more care. We test for unobservables linking health insurance status and health care consumption. We find no evidence of informational asymmetries.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Cardon and Hendel (2001) find no evidence of selection based on private information”
From Health Insurance for “Humans”: Information Frictions, Plan Choice, and Consumer Welfare (2015) · cites this paper as Cardon and Hendel (2001)
Citations
Cites
The Market for "Lemons": Quality Uncertainty and the Market Mechanism
Akerlof, G. A. (1970) · The Quarterly Journal of Economics · doi:10.2307/1879431 · Cited by 23,016
Consumption and Liquidity Constraints: An Empirical Investigation
Zeldes, S. P. (1989) · Journal of Political Economy · doi:10.1086/261605 · Cited by 1,933
An Econometric Analysis of Residential Electric Appliance Holdings and Consumption
Dubin, J. A., & McFadden, D. L. (1984) · Econometrica · doi:10.2307/1911493 · Cited by 1,625
A Microeconometric Model of the Demand for Health Care and Health Insurance in Australia
Cameron, A. C., Trivedi, P. K., Milne, F., & Piggott, J. (1988) · The Review of Economic Studies · doi:10.2307/2297531 · Cited by 481
Taxation, health insurance, and market failure in the medical economy.
Pauly, M. V. (1986) · PubMed · Cited by 391
Testing Contract Theory: A Survey of Some Recent WorkPreprint
Chiappori, P., & Salanié, B. (2002) · SSRN Electronic Journal · doi:10.2139/ssrn.318780 · Cited by 288
The Role of Commitment in Dynamic Contracts: Evidence from Life Insurance
Hendel, I. E., & Lizzeri, A. (2003) · The Quarterly Journal of Economics · doi:10.1162/00335530360535216 · Cited by 256
Self-citationTesting inequality constraints in linear econometric models
Wolak, F. A. (1989) · Journal of Econometrics · doi:10.1016/0304-4076(89)90094-8 · Cited by 243
Time-Consistent Health Insurance
Cochrane, J. H. (1995) · Journal of Political Economy · doi:10.1086/261991 · Cited by 226
A Dynamic Stochastic Model of Medical Care Use and Work Absence
Gilleskie, D. (1998) · Econometrica · doi:10.2307/2998539 · Cited by 212
Flagged first, then by citations
Cited by
Sorted by citations
Items 101–200 of 410
Life cycle responses to health insurance status
Pelgrin, F., & St‐Amour, P. (2016) · Journal of Health Economics · doi:10.1016/j.jhealeco.2016.06.007 · Cited by 32
Chapter 31 Health care and the public sector
Cutler, D. (2002) · Handbook of public economics · doi:10.1016/s1573-4420(02)80010-6 · Cited by 32
Preference Heterogeneity and Insurance Markets: Explaining a Puzzle of Insurance
Cutler, D., Finkelstein, A. N., & McGarry, K. M. (2008) · National Bureau of Economic Research · doi:10.3386/w13746 · Cited by 32
Incentive and selection effects of Medigap insurance on inpatient care
Dardanoni, V., & Donni, P. L. (2012) · Journal of Health Economics · doi:10.1016/j.jhealeco.2012.02.007 · Cited by 31
How big is the “lemons” problem? Historical evidence from French wines
Mérel, P., Ortiz‐Bobea, A., & Paroissien, E. (2021) · European Economic Review · doi:10.1016/j.euroecorev.2021.103824 · Cited by 31
Managing adverse selection: underinsurance versus underenrollment
Saltzman, E. A. (2021) · The RAND Journal of Economics · doi:10.1111/1756-2171.12372 · Cited by 30
Pricing and Welfare in Health Plan Choice
Bundorf, M. K., Levin, J., & Mahoney, N. (2008) · National Bureau of Economic Research · doi:10.3386/w14153 · Cited by 30
Intermediaries and product quality in used car markets
Biglaiser, G., Li, F., Murry, C., & Zhou, Y. (2020) · The RAND Journal of Economics · doi:10.1111/1756-2171.12344 · Cited by 29
Determinants of Health Care Decisions: Insurance, Utilization, and Expenditures
Shen, C. (2011) · The Review of Economics and Statistics · doi:10.1162/rest_a_00232 · Cited by 29
Waiting times for elective surgery and the decision to buy private health insurance
Johar, M., Jones, G., Keane, M. P., Savage, E., & Stavrunova, O. (2011) · Health Economics · doi:10.1002/hec.1707 · Cited by 28
Loss Coverage as a Public Policy Objective for Risk Classification Schemes
Thomas, R. G. (2008) · Journal of Risk & Insurance · doi:10.1111/j.1539-6975.2008.00294.x · Cited by 27
Ketcham, J. D., Kuminoff, N. V., & Powers, C. A. (2016) · American Economic Review · doi:10.1257/aer.20131048 · Cited by 27
Insurance choice and tax-preferred health savings accounts
Cardon, J. H., & Showalter, M. H. (2006) · Journal of Health Economics · doi:10.1016/j.jhealeco.2006.10.010 · Cited by 25
Self-citationIntertemporal substitution in health care demand: Evidence from the RAND Health Insurance Experiment
Lin, H., & Sacks, D. W. (2019) · Journal of Public Economics · doi:10.1016/j.jpubeco.2019.04.006 · Cited by 25
Health Insurance and Life Style Choices: Identifying the Ex Ante Moral HazardPreprint
Stanciole, A. E. (2007) · RePEc: Research Papers in Economics · Cited by 25
Nguyen, K. A. T., & Jolly, C. M. (2018) · Reviews in Fisheries Science & Aquaculture · doi:10.1080/23308249.2018.1481363 · Cited by 24
Health Characteristics Associated With Gaining and Losing Private and Public Health Insurance
Jerant, A. F., Fiscella, K. A., & Franks, P. J. (2011) · Medical Care · doi:10.1097/mlr.0b013e31822dcc72 · Cited by 24
Child health insurance coverage: a survey among temporary and permanent residents in Shanghai
Lu, M., Zhang, J., Ma, J., Li, B., & Quan, H. (2008) · BMC Health Services Research · doi:10.1186/1472-6963-8-238 · Cited by 24
An examination of flexible spending accounts
Cardon, J. H., & Showalter, M. H. (2001) · Journal of Health Economics · doi:10.1016/s0167-6296(01)00100-x · Cited by 24
Self-citationBahia, L., Costa, A. J. L., Fernandes, C. A. C., Luiz, R. R., & Cavalcanti, M. D. L. T. (2002) · Ciência & Saúde Coletiva · doi:10.1590/s1413-81232002000400006 · Cited by 24
Demand Analysis using Strategic Reports: An application to a school choice mechanism
Agarwal, N., & Somaini, P. (2014) · National Bureau of Economic Research · doi:10.3386/w20775 · Cited by 24
Nill, A., Laczniak, G. R., & Thistle, P. D. (2017) · Journal of Business Ethics · doi:10.1007/s10551-017-3554-y · Cited by 23
Liran Einav, B., Finkelstein, A. N., & Mahoney, N. (2021) · Handbook of Industrial Organization · doi:10.1016/bs.hesind.2021.11.014 · Cited by 22
Geoffard, P., Gardiol, L., & Grandchamp, C. (2003) · RePEc: Research Papers in Economics · Cited by 22
Public versus private: evidence on health insurance selection
Pardo, C., & Schott, W. (2012) · International Journal of Health Care Finance and Economics · doi:10.1007/s10754-012-9105-2 · Cited by 21
Effects of Insurance Coverage on Use of Care and Health Outcomes for Nonpoor Young Women
Pauly, M. V. (2005) · American Economic Review · doi:10.1257/000282805774669844 · Cited by 21
Do the Better Insured Cause More Damage? Testing for Asymmetric Information in Car Insurance
Zavadil, T. (2014) · Journal of Risk & Insurance · doi:10.1111/jori.12040 · Cited by 21
Insurance Law and Economics: an empirical perspectivePreprint
van Boom, W. (2008) · SSRN Electronic Journal · Cited by 21
Trillo, F. H. (2017) · Applied Economics Letters · doi:10.1080/13504851.2017.1321828 · Cited by 20
Is there dynamic adverse selection in the life insurance market?
He, D. (2011) · Economics Letters · doi:10.1016/j.econlet.2011.03.038 · Cited by 20
What to expect when you are expecting: Are health care consumers forward-looking?
Guo, A., & Zhang, J. (2019) · Journal of Health Economics · doi:10.1016/j.jhealeco.2019.06.003 · Cited by 20
Gao, F., Powers, M. R., & Wang, J. (2009) · Insurance Mathematics and Economics · doi:10.1016/j.insmatheco.2009.02.004 · Cited by 20
The History of Insurance: Risk, Uncertainty and Entrepreneurship
Masci, P. (2011) · Business and public administration studies · Cited by 19
Identification in differentiated product markets
Berry, S., & Haile, P. (2017) · doi:10.1920/wp.cem.2015.4715 · Cited by 20
Opt Out or Top Up? Voluntary Health Care Insurance and the Public vs. Private Substitution
Fabbri, D., & Monfardini, C. (2015) · Oxford Bulletin of Economics and Statistics · doi:10.1111/obes.12107 · Cited by 18
Data-Driven Services in Insurance: Potential Evolution and Impact in the Swiss Market
Pugnetti, C., & Seitz, M. (2021) · Journal of risk and financial management · doi:10.3390/jrfm14050227 · Cited by 18
Wang, K., & Lee, Y.-M. (2018) · Economic Research-Ekonomska Istraživanja · doi:10.1080/1331677x.2018.1429943 · Cited by 18
Social Insurance: Connecting Theory to Data
Chetty, R., & Finkelstein, A. N. (2012) · National Bureau of Economic Research · doi:10.3386/w18433 · Cited by 22
Industrial Organization of Health Care Markets
Handel, B., & Ho, K. (2021) · National Bureau of Economic Research · doi:10.3386/w29137 · Cited by 18
The Demand for Health Insurance in the Group Setting: Can You Always Get What You Want?
Pauly, M. V., & Herring, B. J. (2007) · Journal of Risk & Insurance · doi:10.1111/j.1539-6975.2007.00204.x · Cited by 17
Dörr, U., & Schulte, K. L. (2012) · Journal of Contextual Economics – Schmollers Jahrbuch · doi:10.3790/schm.132.2.233 · Cited by 16
A Comparative Feature Selection Approach for the Prediction of Healthcare Coverage
Sethi, P., & Jain, M. (2010) · Communications in computer and information science · doi:10.1007/978-3-642-12035-0_41 · Cited by 16
Physicians' financial incentives and treatment choices in heart attack management
Coey, D. (2015) · Quantitative Economics · doi:10.3982/qe365 · Cited by 24
Separating selection and incentive effects in health insurance
Gardiol, L., Geoffard, P., & Grandchamp, C. (2005) · Cited by 16
The Welfare Cost of Asymmetric Information: Evidence from the U.K. Annuity Market
Liran Einav, B., Finkelstein, A. N., & Schrimpf, P. (2007) · National Bureau of Economic Research · doi:10.3386/w13228 · Cited by 16
Adverse selection in the health insurance market: some empirical evidence
Resende, M., & Zeidan, R. (2010) · The European Journal of Health Economics · doi:10.1007/s10198-010-0219-5 · Cited by 15
Pandemic uncertainties and fiscal procyclicality: A dynamic non-linear approach
Chakrabarty, H. S., & Roy, R. P. (2020) · International Review of Economics & Finance · doi:10.1016/j.iref.2020.12.027 · Cited by 15
Aistov, A. V., Александрова, Е. А., & Gerry, C. J. (2020) · The European Journal of Health Economics · doi:10.1007/s10198-020-01252-2 · Cited by 15
Moral hazard, insurance claims, and repeated insurance contracts
Robinson, C., & Zheng, B. (2010) · Canadian Journal of Economics/Revue canadienne d économique · doi:10.1111/j.1540-5982.2010.01602.x · Cited by 15
Empirical Evidence for Advantageous Selection in the Commercial Fire Insurance Market
Wang, K. C., Huang, R. J., & Tzeng, L. Y. (2009) · The Geneva Risk and Insurance Review · doi:10.1057/grir.2008.13 · Cited by 15
Who chooses prepaid dental care? A baseline report of a prospective observational study
Andås, C. A., & Hakeberg, M. (2014) · BMC Oral Health · doi:10.1186/1472-6831-14-146 · Cited by 15
What Drives Differences in Health Care Demand? The Role of Health Insurance and Selection BiasPreprint
Shane, Dan, D., & Trivedi, P. K. (2012) · RePEc: Research Papers in Economics · Cited by 15
Economic Analysis of Risk and Uncertainty induced by Health Shocks: A Review and Extension
Philipson, T., & Zanjani, G. (2013) · National Bureau of Economic Research · doi:10.3386/w19005 · Cited by 15
Bankruptcy as Implicit Health Insurance
Mahoney, N. (2012) · National Bureau of Economic Research · doi:10.3386/w18105 · Cited by 15
Should There Be Vertical Choice in Health Insurance Markets?
Marone, V., & Sabety, A. H. (2021) · National Bureau of Economic Research · doi:10.3386/w28779 · Cited by 15
Restrictive Rating and Adverse Selection in Health Insurance
Born, P., & Sirmans, E. T. (2018) · Journal of Risk & Insurance · doi:10.1111/jori.12282 · Cited by 14
Investigating the stationarity of insurance premiums: international evidence
Lee, C., Tsong, C., Yang, S., & Chang, C.-H. (2012) · European Journal of Finance · doi:10.1080/1351847x.2011.653577 · Cited by 14
Cronin, C. J. (2018) · International Economic Review · doi:10.1111/iere.12349 · Cited by 14
Panzone, L., Garrod, G. D., Adinolfi, F., & Pasquale, J. D. (2022) · Journal of Agricultural Economics · doi:10.1111/1477-9552.12489 · Cited by 14
The industrial organization of health care markets
Handel, B., & Ho, K. (2021) · Handbook of Industrial Organization · doi:10.1016/bs.hesind.2021.11.016 · Cited by 14
Age or health status: which influences medical insurance enrollment greater?
Xu, W., Cai, G., Li, G., Cao, J., Shi, Q., & Bai, J. (2016) · Journal of Global Health · doi:10.7189/jogh.06.020801 · Cited by 13
Obisesan, O. O., & Olayide, O. E. (2020) · Business Strategy & Development · doi:10.1002/bsd2.154 · Cited by 13
INSURANCE LOSS COVERAGE UNDER RESTRICTED RISK CLASSIFICATION: THE CASE OF ISO-ELASTIC DEMAND
Hao, M., Macdonald, A. S., Tapadar, P., & Thomas, R. G. (2016) · Astin Bulletin · doi:10.1017/asb.2016.6 · Cited by 13
Atal, J. P., Fang, H., Karlsson, M., & Ziebarth, N. R. (2017) · Journal of Risk & Insurance · doi:10.1111/jori.12233 · Cited by 13
Insurance Market Development in Latin America and the Caribbean
Masci, P., Tejerina, L., & Webb, I. (2007) · doi:10.18235/0009064 · Cited by 13
Insurance and Perceptions: How to Screen Optimists and Pessimists?Preprint
Johannes Spinnewijn, Y. (2008) · SSRN Electronic Journal · doi:10.2139/ssrn.1273915 · Cited by 13
Machine Learning for Dynamic Incentive ProblemsPreprint
Renner, P., & Scheidegger, S. (2018) · SSRN Electronic Journal · doi:10.2139/ssrn.3282487 · Cited by 13
Finkelstein, A. N., & Poterba, J. M. (2006) · National Bureau of Economic Research · doi:10.3386/w12112 · Cited by 13
van den Broek‐Altenburg, E. M., & Atherly, A. J. (2019) · Health Policy · doi:10.1016/j.healthpol.2019.12.008 · Cited by 12
Marra, G., Radice, R., & Zimmer, D. M. (2020) · Journal of the Royal Statistical Society Series C (Applied Statistics) · doi:10.1111/rssc.12419 · Cited by 12
Mpuuga, D., Yawe, B. L., & Muwanga, J. (2020) · Tanzanian Economic Review · doi:10.56279/ter.v10i1.53 · Cited by 12
The Impact of Global Budgeting on the Efficiency of Healthcare under a Single-Payer System in Taiwan
Yang, S., Chu, K., & Kreng, V. B. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182010983 · Cited by 12
Choice in Insurance Markets: A Pigouvian Approach to Social Insurance Design
Hendren, N., Landais, C., & Johannes Spinnewijn, Y. (2021) · Annual Review of Economics · doi:10.1146/annurev-economics-090820-111716 · Cited by 12
Impact of Private Health Insurance on the Choice of Public versus Private Hospital ServicesPreprint
Srivastava, P. P., & Zhao, X. (2008) · RePEc: Research Papers in Economics · Cited by 12
Vellakkal, S. (2012) · SSRN Electronic Journal · doi:10.2139/ssrn.2049311 · Cited by 12
Bankruptcy as Implicit Health InsurancePreprint
Mahoney, N. (2013) · SSRN Electronic Journal · doi:10.2139/ssrn.2329327 · Cited by 12
Developments in Risk and Insurance Economics: The Past 40 Years
Loubergé, H. (2013) · Springer eBooks · doi:10.1007/978-1-4614-0155-1_1 · Cited by 11
Health Uninsurance in rural America: a partial equilibrium analysis
Nganje, W. E., & Addey, K. A. (2019) · Health Economics Review · doi:10.1186/s13561-019-0234-x · Cited by 11
Health Insurance without Single Crossing: Why Healthy People have High Coverage
Boone, J., & Schottmüller, C. (2015) · The Economic Journal · doi:10.1111/ecoj.12242 · Cited by 11
Huang, R. J., Jeng, V., Wang, C.-W., & Yue, J. C. (2021) · Pacific-Basin Finance Journal · doi:10.1016/j.pacfin.2021.101560 · Cited by 11
Analysis of Adverse Selection and Moral Hazard in the Health Insurance Market of Iran
Haddad, G. K., & Anbaji, M. Z. (2010) · The Geneva Papers on Risk and Insurance Issues and Practice · doi:10.1057/gpp.2010.20 · Cited by 11
Karlan, D., & Zinman, J. (2009) · Cited by 11
Risk Aversion and the Willingness to Pay for Insurance: A Cautionary Discussion of Adverse Selection
Eisenhauer, J. G. (2004) · Risk Management and Insurance Review · doi:10.1111/j.1098-1616.2004.00043.x · Cited by 11
Testing for Moral Hazard on Dynamic Insurance DataPreprint
Abbring, J. H., Chiappori, P., Heckman, J. J., & Pinquet, J. (2002) · RePEc: Research Papers in Economics · Cited by 11
The Truth About Moral Hazard and Adverse SelectionPreprint
Pauly, M. V. (2011) · SSRN Electronic Journal · doi:10.2139/ssrn.1822442 · Cited by 11
The Welfare Effects of Long-Term Health Insurance Contracts
Handel, B., Hendel, I. E., & Whinston, M. D. (2017) · National Bureau of Economic Research · doi:10.3386/w23624 · Cited by 11
Self-citationThe Geneva Risk and Insurance Review 2009: In Quest of Behavioural Insurance
Outreville, J. F. (2010) · The Geneva Papers on Risk and Insurance Issues and Practice · doi:10.1057/gpp.2010.14 · Cited by 10
Loss aversion and health insurance plan switching
Cardon, J. H. (2018) · Journal of Economic Behavior & Organization · doi:10.1016/j.jebo.2018.12.009 · Cited by 10
Self-citationMiddlemen as Information Intermediaries: Evidence from Used Car MarketsPreprint
Biglaiser, G., Li, F., Murry, C., & Zhou, Y. (2017) · SSRN Electronic Journal · doi:10.2139/ssrn.3003562 · Cited by 10
Choice in Insurance Markets: A Pigouvian Approach to Social Insurance Design
Hendren, N., Landais, C., & Johannes Spinnewijn, Y. (2020) · National Bureau of Economic Research · doi:10.3386/w27842 · Cited by 10
Health Insurance for "Humans": Information Frictions, Plan Choice, and Consumer Welfare
Handel, B., & Kolstad, J. (2013) · National Bureau of Economic Research · doi:10.3386/w19373 · Cited by 10
Population Aging and the Demand for Private Health Insurance in China
Zheng, L. (2021) · Asia-Pacific Journal of Risk and Insurance · doi:10.1515/apjri-2019-0042 · Cited by 9
Wang, H., & Gong, X. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1084133 · Cited by 9
How Well Does Agency Theory Explain Executive Compensation?
Gayle, G.-L., Li, C., & Miller, R. A. (2018) · doi:10.20955/r.100.201-36 · Cited by 9
Health insurance menu design for large employers
Ho, K., & Lee, R. S. (2023) · The RAND Journal of Economics · doi:10.1111/1756-2171.12452 · Cited by 9
Estimating price sensitivity of economic agents using discontinuity in nonlinear contracts
Bajari, P., HONG, H. P., Park, M., & Town, R. (2017) · Quantitative Economics · doi:10.3982/qe602 · Cited by 9
Provider networks and primary‐care signups: do they restrict the use of medical services?
Deb, P., & Trivedi, P. K. (2008) · Health Economics · doi:10.1002/hec.1432 · Cited by 9
Testing for Adverse Selection in Life Settlements: The Secondary Market for Life Insurance PoliciesPreprint
Januario, A. V., & Naik, N. Y. (2013) · SSRN Electronic Journal · doi:10.2139/ssrn.2278299 · Cited by 9
A Dynamic Analysis of the Demand for Health Insurance and Health CarePreprint
Bolhaar, J. A., Lindeboom, M., & van der Klaauw, B. (2008) · SSRN Electronic Journal · doi:10.2139/ssrn.1267839 · Cited by 9
Metadata
- Authors
- Cardon, J. H., & Hendel, I.
- Affiliations
- Brigham Young University (US)
- ORCID
- Cardon, James H.
- Venue
- The RAND Journal of Economics
- Publisher
- Wiley
- Published
- 2001
- Volume
- 32
- Issue
- 3
- Pages
- 408
- ISSN
- 0741-6261 (ISSN-L)
- OpenAlex
- W2044293638
- Cited by
- 411
- References
- 19
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 11 · 2023: 8 · 2022: 11 · 2021: 21 · 2020: 17 · 2019: 17 · 2018: 22 · 2017: 23 · 2016: 15 · 2015: 31 · 2014: 17 · 2013: 25 · 2012: 29
- FWCI
- 18.13
- Type
- journal article
- Language
- en
- Open access
- green
- papers.ssrn.com
- Locations
- The RAND Journal of Economics (publishedVersion)
- PubMed (publishedVersion)
- SSRN Electronic Journal (submittedVersion)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Systems and Reforms
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Insurance and Financial Risk Management
- Keywords
- adverse selection, information asymmetry, health insurance, health care utilization, insurance coverage, market failure, National Medical Expenditure Survey
- MeSH terms
- Data Collection, Health Expenditures, Health Status, Humans, Insurance, Health, Models, Theoretical, United States, Medically Uninsured, Information Management, Health Care Surveys
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review