Unobserved Heterogeneity, State Dependence, and Health Plan Choices

Working Paper: NBER ID: w29025

Authors: Ariel Pakes; Jack R. Porter; Mark Shepard; Sophie Calderwang

Abstract: We provide a new method to analyze discrete choice models with state dependence and individual-by-product fixed effects and use it to analyze consumer choices in a policy-relevant environment (a subsidized health insurance exchange). Moment inequalities are used to infer state dependence from consumers’ switching choices in response to changes in product attributes. We infer much smaller switching costs on the health insurance exchange than is inferred from standard logit and/or random effects methods. A counterfactual policy evaluation illustrates that the policy implications of this difference can be substantive.

Keywords: health insurance; discrete choice models; state dependence; unobserved heterogeneity; consumer behavior

JEL Codes: C13; D12; I11; L60; M31


Causal Claims Network Graph

Edges that are evidenced by causal inference methods are in orange, and the rest are in light blue.


Causal Claims

CauseEffect
switching costs in the health insurance exchange (G52)estimated switching costs (L15)
price changes (P22)switching behavior (D91)
switching behavior (D91)switching costs (D23)

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