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- F M Bakker, R C van Vliet, and W P van de Ven.
- Department of Health Policy and Management, Erasmus University, Rotterdam, The Netherlands.
- Health Policy. 2000 Sep 1; 53 (2): 123-41.
AbstractThe actuarially fair premium reduction in case of a deductible relative to full insurance is affected by: (1) out-of-pocket payments, (2) moral hazard, (3) administrative costs, and, in case of a voluntary deductible, (4) adverse selection. Both the partial effects and the total effect of these factors are analyzed. Moral hazard and adverse selection appear to have a substantial effect on the expected health care costs above a deductible but a small effect on the expected out-of-pocket expenditure. A premium model indicates that for a broad range of deductible amounts the actuarially fair premium reduction exceeds the deductible.
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