Arbeitspapier

How Do Consumers Choose Health Insurance? – An Experiment on Heterogeneity in Attribute Tastes and Risk Preferences

Recent health policy reforms try to increase consumer choice. We use a laboratory experiment to analyze consumers' tastes in typical contract attributes of health insurances and to investigate their relationship with individual risk preferences. First, subjects make consecutive insurance choices varying in the number and types of contracts offered. Then, we elicit individual risk preferences according to Cumulative Prospect Theory. Applying a latent class model to the choice data, reveals five classes of consumers with considerable heterogeneity in tastes for contract attributes. From this, we infer distinct behavioral strategies for each class. The majority of subjects use minimax strategies focusing on contract attributes rather than evaluating probabilities in order to maximize expected payoffs. Moreover, we show that using these strategies helps consumers to choose contracts, which are in line with their individual risk preferences. Our results reveal valuable insights for policy makers of how to achieve efficient consumer choice.

ISBN
978-3-86788-614-7
Language
Englisch

Bibliographic citation
Series: Ruhr Economic Papers ; No. 537

Classification
Wirtschaft
Design of Experiments: Laboratory, Individual
Health Insurance, Public and Private
Criteria for Decision-Making under Risk and Uncertainty
Subject
health insurance
risk preferences
heterogeneity
heuristics
laboratory experiment
cumulative prospect theory

Event
Geistige Schöpfung
(who)
Kairies-Schwarz, Nadja
Kokot, Johanna
Vomhof, Markus
Wessling, Jens
Event
Veröffentlichung
(who)
Rheinisch-Westfälisches Institut für Wirtschaftsforschung (RWI)
(where)
Essen
(when)
2014

DOI
doi:10.4419/86788614
Handle
Last update
10.03.2025, 11:43 AM CET

Data provider

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Object type

  • Arbeitspapier

Associated

  • Kairies-Schwarz, Nadja
  • Kokot, Johanna
  • Vomhof, Markus
  • Wessling, Jens
  • Rheinisch-Westfälisches Institut für Wirtschaftsforschung (RWI)

Time of origin

  • 2014

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