Consumer channeling by health insurers: natural experiments with preferred providers in the Dutch pharmacy market
- 24 July 2007
- journal article
- research article
- Published by Wiley in Health Economics
- Vol. 17 (3), 299-316
- https://doi.org/10.1002/hec.1265
Abstract
Consumer channeling is an important element in the insurer–provider bargaining process. Health insurers can influence provider choice by offering insurance contracts with restricted provider networks. Alternatively, they can offer contracts with unrestricted access and use incentives to motivate consumers to visit preferred providers. Little is known, however, about the effectiveness of this alternative strategy of consumer channeling. Using data from two natural experiments in the Dutch pharmacy market, we examine how consumers respond to incentives used by health insurers to influence their choice of provider. We find that consumers are sensitive to rather small incentives and that temporary incentives may sort a long‐term effect on provider choice. In addition, we find that both consumer and provider characteristics determine whether consumers are willing to switch to preferred pharmacies. Copyright © 2007 John Wiley & Sons, Ltd.Keywords
This publication has 34 references indexed in Scilit:
- Rationing and competition in the Dutch health-care systemHealth Economics, 2005
- The Pharmacy-based Cost Group model: validating and adjusting the classification of medications for chronic conditions to the Dutch situationHealth Policy, 2004
- Measuring Preferences for Health Care Interventions Using Conjoint Analysis: An Application to HIV TestingHealth Services Research, 2002
- Hospital selective contracting without consumer choice: What can we learn from Medi‐Cal?Journal of Policy Analysis and Management, 2002
- Health Plan Choice: Price Elasticities in a Managed Competition SettingThe Journal of Human Resources, 1999
- Does Dissatisfaction With Health Plans Stem From Having No Choices?Health Affairs, 1998
- The effect of price on switching among health plansJournal of Health Economics, 1997
- The impact of physician characteristics in conditional choice models for hospital careJournal of Health Economics, 1992
- The Demand for Employment-Based Health Insurance PlansThe Journal of Human Resources, 1989
- Bootstrap Methods for Standard Errors, Confidence Intervals, and Other Measures of Statistical AccuracyStatistical Science, 1986