Information and consumer choice: The value of publicized health plan ratings

We use data on the enrollment decisions of federal annuitants to estimate the influence of publicized ratings on health plan choice. We focus on the impact of ratings disseminated by the National Committee for Quality Assurance (NCQA), and use our estimates to calculate the value of the information....

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Bibliographic Details
Published inJournal of health economics Vol. 25; no. 2; pp. 248 - 275
Main Authors Jin, Ginger Zhe, Sorensen, Alan T.
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier B.V 01.03.2006
Elsevier
Elsevier Sequoia S.A
SeriesJournal of Health Economics
Subjects
Choice Behavior
Choice of products
Community Participation
Consumer behavior
Consumers
Decision making
Decision theory
Economic theory
Estimation
Health administration
Health economics
Health insurance
Health plan choice
Health plan ratings
Health policy
Information
Information Dissemination
Insurance, Health - classification
Medical sociology
Planning methods
Public health
Quality of service
Quality ratings
Quality standards
Ratings & rankings
Studies
Value of information
United States > US
L15
Quality ratings
D12
I11
Health plan choice
Value of information
D83
Health plan ratings
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Abstract We use data on the enrollment decisions of federal annuitants to estimate the influence of publicized ratings on health plan choice. We focus on the impact of ratings disseminated by the National Committee for Quality Assurance (NCQA), and use our estimates to calculate the value of the information. Our approach exploits a novel feature of the data—the availability of nonpublic plan ratings—to correct for a source of bias that is inherent in studies of consumer responsiveness to information on product quality: since publicized ratings are correlated with other quality signals known to consumers (but unobserved by researchers), the estimated influence of ratings is likely to be overstated. We control for this bias by comparing the estimated impact of publicized ratings to the estimated impact of ratings that were never disclosed. The results indicate that NCQA's plan ratings had a meaningful influence on individuals’ choices, particularly for individuals choosing a plan for the first time. Although we estimate that a very small fraction of individual decisions were materially affected by the information, for those that were affected the implied utility gains are substantial.
AbstractList We use data on the enrollment decisions of federal annuitants to estimate the influence of publicized ratings on health plan choice. We focus on the impact of ratings disseminated by the National Committee for Quality Assurance (NCQA), and use our estimates to calculate the value of the information. Our approach exploits a novel feature of the data-the availability of non-public plan ratings-to correct for a source of bias that is inherent in studies of consumer responsiveness to information on product quality: since publicized ratings are correlated with other quality signals known to consumers (but unobserved by researchers), the estimated influence of ratings is likely to be overstated. We control for this bias by comparing the estimated impact of publicized ratings to the estimated impact of ratings that were never disclosed. The results indicate that NCQA's plan ratings had a meaningful influence on individuals' choices, particularly for individuals choosing a plan for the first time. Although we estimate that a very small fraction of individual decisions were materially affected by the information, for those that were affected the implied utility gains are substantial.
We use data on the enrollment decisions of federal annuitants to estimate the influence of publicized ratings on health plan choice. We focus on the impact of ratings disseminated by the National Committee for Quality Assurance (NCQA), and use our estimates to calculate the value of the information. Our approach exploits a novel feature of the data - the availability of nonpublic plan ratings - to correct for a source of bias that is inherent in studies of consumer responsiveness to information on product quality: since publicized ratings are correlated with other quality signals known to consumers (but unobserved by researchers), the estimated influence of ratings is likely to be overstated. We control for this bias by comparing the estimated impact of publicized ratings to the estimated impact of ratings that were never disclosed. The results indicate that NCQA's plan ratings had a meaningful influence on individuals' choices, particularly for individuals choosing a plan for the first time. Although we estimate that a very small fraction of individual decisions were materially affected by the information, for those that were affected the implied utility gains are substantial. [PUBLICATION ABSTRACT]
We use data on the enrollment decisions of federal annuitants to estimate the influence of publicized ratings on health plan choice. We focus on the impact of ratings disseminated by the National Committee for Quality Assurance (NCQA), and use our estimates to calculate the value of the information. Our approach exploits a novel feature of the data—the availability of nonpublic plan ratings—to correct for a source of bias that is inherent in studies of consumer responsiveness to information on product quality: since publicized ratings are correlated with other quality signals known to consumers (but unobserved by researchers), the estimated influence of ratings is likely to be overstated. We control for this bias by comparing the estimated impact of publicized ratings to the estimated impact of ratings that were never disclosed. The results indicate that NCQA's plan ratings had a meaningful influence on individuals’ choices, particularly for individuals choosing a plan for the first time. Although we estimate that a very small fraction of individual decisions were materially affected by the information, for those that were affected the implied utility gains are substantial.
Author Jin, Ginger Zhe
Sorensen, Alan T.
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10.1016/S0167-6296(01)00126-6
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10.2139/ssrn.709381
10.1086/466995
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Keywords L15
Quality ratings
D12
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Health plan choice
Value of information
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Health plan ratings
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– ident: 10.1016/j.jhealeco.2005.06.002_bib2
  doi: 10.2139/ssrn.709381
– volume: 24
  start-page: 461
  year: 1981
  ident: 10.1016/j.jhealeco.2005.06.002_bib3
  article-title: The informational role of warranties and private disclosure about product quality
  publication-title: Journal of Law and Economics
  doi: 10.1086/466995
  contributor:
    fullname: Grossman
– volume: 36
  start-page: 93
  issue: 1
  year: 2005
  ident: 10.1016/j.jhealeco.2005.06.002_bib4
  article-title: Competition and disclosure incentives: an empirical study of HMOs
  publication-title: RAND Journal of Economics
  contributor:
    fullname: Jin
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Snippet We use data on the enrollment decisions of federal annuitants to estimate the influence of publicized ratings on health plan choice. We focus on the impact of...
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SubjectTerms Choice Behavior
Choice of products
Community Participation
Consumer behavior
Consumers
Decision making
Decision theory
Economic theory
Estimation
Health administration
Health economics
Health insurance
Health plan choice
Health plan ratings
Health policy
Information
Information Dissemination
Insurance, Health - classification
Medical sociology
Planning methods
Public health
Quality of service
Quality ratings
Quality standards
Ratings & rankings
Studies
Value of information
Title Information and consumer choice: The value of publicized health plan ratings
URI https://dx.doi.org/10.1016/j.jhealeco.2005.06.002
https://www.ncbi.nlm.nih.gov/pubmed/16107284
http://econpapers.repec.org/article/eeejhecon/v_3a25_3ay_3a2006_3ai_3a2_3ap_3a248-275.htm
https://www.proquest.com/docview/205750397
https://search.proquest.com/docview/36527096
https://search.proquest.com/docview/67695799
Volume 25
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