Vincenzo Carrieri

The Effects Of Cost-Sharing In Health Care: What Do We Know From Empirical Evidence?

  • Abstract

Informations and abstract


Political and academic debate about cost-sharing in health care is becoming very popular because of the massive health care expenditure growth. In this paper, we aim to validate the use of cost-sharing in health care by assessing the effects that different policies of cost-sharing have produced around the world. We review, then, several empirical papers dealing with cost-sharing effects with respect to three main issues: moral hazard-contrast, redistributive effects and health care cost-containment. The findings of empirical literature indicate that the use of cost-sharing in health care gives rise to the classical political economy trade-off between equity and efficiency. However, while distributive effects are demonstrated, gains in terms of efficiency and cost containment are not clearly verified by empirical literature; thus, cost sharing policies seem to be desirable only when combined with mechanisms that promote access to the most vulnerable categories.

Trova nel catalogo di Worldcat

Article first page

Article first page