Seminar in Economics | with Matilde Cappelletti
Welcome to this seminar in economics organized by the Department of Economics, SSE. The seminar speaker is Matilde Cappelletti, University of Mannheim.
Abstract
I investigate whether a decrease in a prescription drug's out-of-pocket cost increases risky behaviors due to ex-ante moral hazard. Understanding the role of ex-ante moral hazard is crucial, given its implications for preventable health issues and healthcare expenditures. In a difference-in-difference setting, I leverage the staggered implementation of U.S. state-level policies lowering insulin out-of-pocket costs. Focusing on privately insured households with diabetes and using household-level scanner data on grocery purchases, I find that the out-of-pocket cost reduction results in an increase in risky behaviors due to ex-ante moral hazard. In particular, the findings show a temporary increase in carbohydrate purchases (4.8%) and a sustained increase in sugar purchases (9.3%), which can lead to adverse health effects. I rule out alternative explanations, such as an income effect, for the observed ex-ante moral hazard. In addition, I find evidence of a sustained increase in healthcare utilization, highlighted by higher sales of diabetes supplies.
More about the speaker
The seminar takes place at the Stockholm School of Economics, Bertil Ohlins gata 4.
Please contact Malin Skanelid if you have any questions.