Switching benefits and costs in the Irish health insurance market: an analysis of consumer surveys

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dc.contributor.author Keegan, Conor
dc.contributor.author Teljeur, Conor
dc.contributor.author Turner, Brian
dc.contributor.author Thomas, Steve
dc.date.accessioned 2018-07-24T08:21:30Z
dc.date.available 2018-07-24T08:21:30Z
dc.date.issued 2018-05-10
dc.identifier.citation Keegan, C., Teljeur, C., Turner, B. and Thomas, Steve (2018) 'Switching benefits and costs in the Irish health insurance market: an analysis of consumer surveys', International Journal of Health Economics and Management. doi:10.1007/s10754-018-9244-1 en
dc.identifier.issn 2199-9023
dc.identifier.issn 2199-9031
dc.identifier.uri http://hdl.handle.net/10468/6493
dc.identifier.doi 10.1007/s10754-018-9244-1
dc.description.abstract Relatively little analysis has taken place internationally on the consumer-reported benefits and costs to switching insurer in multi-payer health insurance markets. Ideally, consumers should be willing to switch out of consideration for price and quality and switching should be able to take place without incurring significant switching costs. Costs to switching come in many forms and understanding the nature of these costs is necessary if policy interventions to improve market competition are to be successful. This study utilises data from consumer surveys of the Irish health insurance market collected between 2009 and 2013 (N = 1703) to examine consumer-reported benefits and costs to switching insurer. Probit regression models are specified to examine the relationship between consumer characteristics and reported switching costs, and switching behaviour, respectively. Overall evidence suggests that switchers in the Irish market mainly did so out of consideration for price. Transaction cost was the most common switching cost identified, reported by just under 1 in 7 non-switchers. Psychological switching costs may also be impacting behaviour. Moreover, high-risk individuals were more likely to experience switching costs and this was reflected in actual switching behaviour. A recent information campaign launched by the market regulator may prove beneficial in reducing perceived transaction costs in the market, however, a more focused campaign aimed at high-risk consumers may be necessary to reduce inequalities. Policy-makers should also consider the impact insurer behaviour may have on decision-making. en
dc.description.sponsorship Health Research Board (PHD/2007/16) en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Springer Nature Switzerland AG en
dc.rights © 2018, Springer Science+Business Media, LLC, part of Springer Nature. All rights reserved. This is a post-peer-review, pre-copyedit version of an article published in International Journal of Health Economics and Management. The final authenticated version is available online at: https://doi.org/10.1007/s10754-018-9244-1 en
dc.subject Health insurance markets en
dc.subject Switching benefits en
dc.subject Switching costs en
dc.subject Irish health system en
dc.title Switching benefits and costs in the Irish health insurance market: an analysis of consumer surveys en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Brian Turner, Economics, University College Cork, Cork, Ireland. +353-21-490-3000 Email: b.turner@ucc.ie en
dc.internal.availability Full text available en
dc.check.info Access to this article is restricted until 12 months after publication by request of the publisher. en
dc.check.date 2019-05-10
dc.date.updated 2018-07-24T08:09:58Z
dc.description.version Accepted Version en
dc.internal.rssid 438880840
dc.contributor.funder Health Research Board en
dc.description.status Peer reviewed en
dc.identifier.journaltitle International Journal of Health Economics and Management en
dc.internal.copyrightchecked Yes en
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress B.Turner@ucc.ie en
dc.internal.bibliocheck In press. Check for vol. / issue / page numbers. Amend citation as necessary.


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