Information and Choice

The goal for today’s class is to understand the effects of information disclosure on insurance and provider choice. On the insurance side, prices (as in premiums, deductibles, etc.) are typically readily available, so the literature on that area tends to focus on quality disclosure. On the provider side, there is a literature focusing on both quality and price transparency, which we’ll discuss separately. Focus areas and selected papers for this class are listed below.

Information and Insurance Choice

We’ll start our discussion with Chernew, Gowrisankaran, and Scanlon (2008), who presents a nice model of patient learning in the context of quality disclosure. We’ll also discuss Dafny and Dranove (2008), which is one of the seminal papers in this area. The authors compare plan choices before and after the release of plan quality information, and they essentially ask whether the disclosure of such information is really “new” or if the market had already learned about plan quality through other means.

Quality Information and Provider Choice

Since healthcare is an experience good, we simply don’t know the quality of our care until after we’ve received it. But we might still be able to better predict quality based on providers’ past outcomes. Such information has historically been difficult or impossible to observe, but this is changing. We’ll discuss two studies on the effects of quality disclosure on provider choice: Dranove et al. (2003) and Brown et al. (2023).

Price Information and Provider Choice

In the U.S., prices for healthcare services are notoriously difficult to observe, but there have been recent efforts to change this. We’ll discuss two studies on the effects of price disclosure on provider choice: Christensen, Floyd, and Maffett (2020) and Brown (2019).

References

Brown, Zach Y. 2019. “Equilibrium Effects of Health Care Price Information.” The Review of Economics and Statistics 101 (4): 699–712. https://doi.org/10.1162/rest_a_00765.
Brown, Zach Y., Christopher Hansman, Jordan Keener, and Andre F. Veiga. 2023. “Information and Disparities in Health Care Quality: Evidence from GP Choice in England.” Working {Paper}. Working Paper Series. National Bureau of Economic Research. https://doi.org/10.3386/w31033.
Chernew, M., G. Gowrisankaran, and D. P. Scanlon. 2008. “Learning and the Value of Information: Evidence from Health Plan Report Cards.” Journal of Econometrics 144 (1): 156–74.
Christensen, Hans B., Eric Floyd, and Mark Maffett. 2020. “The Only Prescription Is Transparency: The Effect of Charge-Price-Transparency Regulation on Healthcare Prices.” Management Science 66 (7): 2861–82. https://doi.org/10.1287/mnsc.2019.3330.
Dafny, L., and D. Dranove. 2008. “Do Report Cards Tell Consumers Anything They Don’t Already Know? The Case of Medicare HMOs.” RAND Journal of Economics 39 (3): 790–821.
Dranove, David, Daniel Kessler, Mark McClellan, and Mark Satterthwaite. 2003. “Is More Information Better? The Effects of Report Cards on Health Care Providers.” Journal of Political Economy 111 (3): 555–88.