ArticleJournal of the European Economic Association2018
Moral Hazard in Health Insurance: What We Know and How We Know It.
Article in Journal of the European Economic Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
64 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A systematic review of strategies used for controlling consumer moral hazard in health systems.BMC health services research · 2022Pooled it
- The Effects of Private Health Insurance on Universal Health Coverage Objectives in China: A Systematic Literature Review.International journal of environmental research and public health · 2020Pooled it
- Does more generous health insurance reimbursement lead to moral hazard? Evidence from large-scale administrative data in China.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Does health insurance increase health care utilization? Evidence of ex-post moral hazard from the Social Security Scheme in Thailand.Health policy and planning · 2026Article
- Do subsidies reach the sick? Implementation challenges and equity implications of pharmaceutical subsidy reform in Iran: a qualitative study.International journal for equity in health · 2026Article
- Interregional reimbursement reform in China lowers administrative barriers to healthcare utilization.Communications medicine · 2026Article
- Delay, Doubt and Dollars: Exploring Delay and Probability Discounting of Free and Paid HIV Vaccines among Sexual and Gender Minorities.AIDS and behavior · 2026Article
- Dynamic and heterogeneous impacts of granting and revoking elective c-section rights in São Paulo.Health policy and planning · 2026Article
- Analyzing governance of a sub-national health insurance scheme for providing universal health care and better social health protection performance through the lenses of the principal-agent theory in Anambra state.BMC health services research · 2026Article
- Comparison of health care utilisation and spending among National Health Insurance and Medical Aid beneficiaries in Korea.BMC health services research · 2026Article
- The cost-effectiveness of value-based insurance design initiatives in managing cardiometabolic diseases: a systematic review.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- What happens to population health when the doctors leave? Evidence from the exit of Cuban doctors in Brazil.Journal of health economics · 2026Article
- Enrollment or dropout: dynamics of social health insurance participation among Chinese children and their impact on health service utilization and medical expenses.Health policy and planning · 2026Article
- Household financial management behavior and catastrophic health expenditure risk in rural China: the moderating role of health insurance coverage.Frontiers in public health · 2026Article
- Medical care or clean energy? The impact of medical insurance on rural households' use of clean cooking energy.Frontiers in public health · 2026Article
- Article
- The impact of health insurance on rural energy transition: evidence from rural China.Frontiers in public health · 2026Article
- What goals does China's medical insurance fund supervision aim to achieve? A quantitative analysis based on national-level policies.BMC health services research · 2025Article
- Patient Perspectives on Health Insurance Design: A Mixed-Methods Analysis.Journal of market access & health policy · 2025Article
- Episode of Care Characteristics Following Implementation of a No Copay Physical Therapy Program for Musculoskeletal Conditions.Physical therapy · 2025Article
4 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
Abstract
We describe research on the impact of health insurance on healthcare spending ("moral hazard"), and use this context to illustrate the value of and important complementarities between different empirical approaches. One common approach is to emphasize a credible research design; we review results from two randomized experiments, as well as some quasi-experimental studies. This work has produced compelling evidence that moral hazard in health insurance exists-that is, individuals, on average, consume less healthcare when they are required to pay more for it out of pocket-as well as qualitative evidence about its nature. These studies alone, however, provide little guidance for forecasting healthcare spending under contracts not directly observed in the data. Therefore, a second and complementary approach is to develop an economic model that can be used out of sample. We note that modeling choices can be consequential: different economic models may fit the reduced form but deliver different counterfactual predictions. An additional role of the more descriptive analyses is therefore to provide guidance regarding model choice.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.