{"id":"https://openalex.org/W7099599015","doi":null,"title":"Adverse Selection and Switching Costs in Health Insurance Markets: When Nudging Hurts,\u201d, manuscript, Northwestern University","display_name":"Adverse Selection and Switching Costs in Health Insurance Markets: When Nudging Hurts,\u201d, manuscript, Northwestern University","publication_year":2010,"publication_date":"2010-01-01","ids":{"openalex":"https://openalex.org/W7099599015"},"language":"en","primary_location":{"id":"pmh:oai:CiteSeerX.psu:10.1.1.182.7893","doi":null,"is_oa":false,"landing_page_url":"http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.182.7893","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"http://www2.warwick.ac.uk/fac/soc/economics/news/forums/conferences/restudsmay2010/restudsmay2010_handel.pdf","raw_type":"text"},"volume":null,"type":"conference-paper","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5114036435","display_name":"Benjamin Handel","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Benjamin Handel","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5114036435"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.79649729,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":true,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.7470999956130981,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.7470999956130981,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10315","display_name":"Decision-Making and Behavioral Economics","score":0.21610000729560852,"subfield":{"id":"https://openalex.org/subfields/1800","display_name":"General Decision Sciences"},"field":{"id":"https://openalex.org/fields/18","display_name":"Decision Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12394","display_name":"Insurance and Financial Risk Management","score":0.00860000029206276,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/adverse-selection","display_name":"adverse selection","score":0.8899999856948853},{"id":"https://openalex.org/keywords/switching-costs","display_name":"switching costs","score":0.9120000004768372},{"id":"https://openalex.org/keywords/health-insurance-market","display_name":"health insurance market","score":0.9810000061988831},{"id":"https://openalex.org/keywords/nudging","display_name":"nudging","score":0.8240000009536743},{"id":"https://openalex.org/keywords/consumer-welfare","display_name":"consumer welfare","score":0.7310000061988831},{"id":"https://openalex.org/keywords/health-plan-choice","display_name":"health insurance choice","score":0.7260000109672546},{"id":"https://openalex.org/keywords/medical-utilization","display_name":"medical utilization","score":0.7160000205039978},{"id":"https://openalex.org/keywords/risk-preferences","display_name":"risk preferences","score":0.621999979019165},{"id":"https://openalex.org/keywords/health-risks","display_name":"health risks","score":0.5789999961853027},{"id":"https://openalex.org/keywords/risk-pooling","display_name":"risk pooling","score":0.44600000977516174},{"id":"https://openalex.org/keywords/employee-health-insurance","display_name":"employee health insurance","score":0.6380000114440918}],"concepts":[{"id":"https://openalex.org/C32252159","wikidata":"https://www.wikidata.org/wiki/Q380037","display_name":"Adverse selection","level":2,"score":0.8945000171661377},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.6341999769210815},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.59579998254776},{"id":"https://openalex.org/C8858961","wikidata":"https://www.wikidata.org/wiki/Q7068367","display_name":"Nudge theory","level":2,"score":0.5655999779701233},{"id":"https://openalex.org/C100243477","wikidata":"https://www.wikidata.org/wiki/Q12002092","display_name":"Welfare","level":2,"score":0.5392000079154968},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.4896000027656555},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.47609999775886536},{"id":"https://openalex.org/C2776314989","wikidata":"https://www.wikidata.org/wiki/Q833495","display_name":"Consumer choice","level":2,"score":0.4359000027179718},{"id":"https://openalex.org/C100001284","wikidata":"https://www.wikidata.org/wiki/Q2248246","display_name":"Public economics","level":1,"score":0.41029998660087585},{"id":"https://openalex.org/C177264268","wikidata":"https://www.wikidata.org/wiki/Q1514741","display_name":"Set (abstract data type)","level":2,"score":0.40049999952316284},{"id":"https://openalex.org/C81917197","wikidata":"https://www.wikidata.org/wiki/Q628760","display_name":"Selection (genetic algorithm)","level":2,"score":0.392300009727478},{"id":"https://openalex.org/C163839840","wikidata":"https://www.wikidata.org/wiki/Q5104043","display_name":"Choice set","level":2,"score":0.3605000078678131},{"id":"https://openalex.org/C18762648","wikidata":"https://www.wikidata.org/wiki/Q42213","display_name":"Work (physics)","level":2,"score":0.3492000102996826},{"id":"https://openalex.org/C190669063","wikidata":"https://www.wikidata.org/wiki/Q5282043","display_name":"Discrete choice","level":2,"score":0.3391999900341034},{"id":"https://openalex.org/C2992867849","wikidata":"https://www.wikidata.org/wiki/Q851147","display_name":"Consumer welfare","level":3,"score":0.3359000086784363},{"id":"https://openalex.org/C68799949","wikidata":"https://www.wikidata.org/wiki/Q977871","display_name":"Insurance policy","level":2,"score":0.33379998803138733},{"id":"https://openalex.org/C6422946","wikidata":"https://www.wikidata.org/wiki/Q857354","display_name":"Panel data","level":2,"score":0.33079999685287476},{"id":"https://openalex.org/C175444787","wikidata":"https://www.wikidata.org/wiki/Q39072","display_name":"Microeconomics","level":1,"score":0.3287000060081482},{"id":"https://openalex.org/C2983635472","wikidata":"https://www.wikidata.org/wiki/Q334911","display_name":"Health insurance","level":3,"score":0.32280001044273376},{"id":"https://openalex.org/C23213687","wikidata":"https://www.wikidata.org/wiki/Q301468","display_name":"Consumer behaviour","level":2,"score":0.321399986743927},{"id":"https://openalex.org/C62172701","wikidata":"https://www.wikidata.org/wiki/Q4826138","display_name":"Auto insurance risk selection","level":4,"score":0.3116999864578247},{"id":"https://openalex.org/C103382277","wikidata":"https://www.wikidata.org/wiki/Q282640","display_name":"General equilibrium theory","level":2,"score":0.29750001430511475},{"id":"https://openalex.org/C205706631","wikidata":"https://www.wikidata.org/wiki/Q2319304","display_name":"Expected utility hypothesis","level":2,"score":0.2687000036239624},{"id":"https://openalex.org/C32896092","wikidata":"https://www.wikidata.org/wiki/Q189447","display_name":"Risk management","level":2,"score":0.2574999928474426},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.25609999895095825}],"mesh":[],"locations_count":1,"locations":[{"id":"pmh:oai:CiteSeerX.psu:10.1.1.182.7893","doi":null,"is_oa":false,"landing_page_url":"http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.182.7893","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"http://www2.warwick.ac.uk/fac/soc/economics/news/forums/conferences/restudsmay2010/restudsmay2010_handel.pdf","raw_type":"text"}],"best_oa_location":null,"sustainable_development_goals":[],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7098744811","https://openalex.org/W2171744176","https://openalex.org/W1994153666","https://openalex.org/W7096415309","https://openalex.org/W2905838161","https://openalex.org/W2188462438","https://openalex.org/W1986031850","https://openalex.org/W2801849453","https://openalex.org/W7101191163","https://openalex.org/W4403012075"],"abstract_inverted_index":{"This":[0],"paper":[1],"investigates":[2],"consumer":[3,48,176],"switching":[4,90,96,116,151,173],"costs":[5,21,91,97,174],"in":[6,51,56,105,123],"the":[7,27,42,73,100,124,128,135,191,197],"context":[8],"of":[9,44,80,102,130,138,193],"health":[10,74,121],"insurance":[11],"markets,":[12],"where":[13,158,185],"adverse":[14,45,103],"selection":[15,46,104],"is":[16],"a":[17,57,66,83,109,154,168,181],"potential":[18],"concern.":[19],"Switching":[20],"contribute":[22],"to":[23,86,113,133,189],"poor":[24],"choices":[25,76],"when":[26],"market":[28,62],"environment":[29],"changes":[30],"and":[31,47,77,94,120],"consumers":[32,145],"do":[33],"not":[34],"adjust":[35],"appropriately.":[36],"Though":[37],"previous":[38],"work":[39],"has":[40],"studied":[41],"problems":[43],"choice":[49,111],"inadequacy":[50],"isolation,":[52],"these":[53],"phenomena":[54],"interact":[55],"way":[58],"that":[59,88,143,167,170],"directly":[60],"impacts":[61],"outcomes.":[63],"We":[64,107,126],"use":[65,127],"unique":[67],"proprietary":[68],"panel":[69],"data":[70],"set":[71],"with":[72],"plan":[75,160],"medical":[78],"utilization":[79],"employees":[81],"at":[82],"large":[84,93],"firm":[85],"show":[87],"(i)":[89,200],"are":[92,162],"(ii)":[95],"significantly":[98],"impact":[99,137],"degree":[101],"equilibrium.":[106],"estimate":[108],"structural":[110],"model":[112,132],"jointly":[114],"quantify":[115],"costs,":[117],"risk":[118,122,195],"preferences,":[119],"population.":[125],"output":[129],"this":[131],"study":[134],"welfare":[136,177],"an":[139],"information":[140],"provision":[141],"policy":[142,169,199],"nudges":[144],"toward":[146],"better":[147],"decisions":[148],"by":[149,178],"reducing":[150],"costs.":[152],"In":[153,180],"partial":[155],"equilibrium":[156,183],"setting":[157,184],"observed":[159],"prices":[161,188],"held":[163],"fixed,":[164],"we":[165],"find":[166],"completely":[171],"eliminates":[172],"improves":[175],"10%.":[179],"general":[182],"insurers":[186],"change":[187],"reflect":[190],"expenses":[192],"their":[194],"pools,":[196],"same":[198],"exacerbates":[201]},"counts_by_year":[],"updated_date":"2026-10-27T15:51:10.671819","created_date":"2025-10-27T00:00:00"}
