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Ben Handel

πŸ‘€ Speaker
188 total appearances
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Freakonomics Radio
The World Is (Still) Drowning in Sludge

It's kind of in the middle.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

The way I would describe it is that the premium, which is how much you're being charged for the whole year, for example, just to be in this health plan, that's something people understand well.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

Because it's a fixed price.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

You can figure it out.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

Yeah, exactly.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

The more complicated part that consumers often struggle with is all the stuff that happens after that.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

So what's the deductible?

Freakonomics Radio
The World Is (Still) Drowning in Sludge

What's the cost sharing?

Freakonomics Radio
The World Is (Still) Drowning in Sludge

What's the co-insurance rate?

Freakonomics Radio
The World Is (Still) Drowning in Sludge

In fact, my co-authors and I, we've run surveys and tied it to the choices people make.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

And I mean, just to be honest, people basically like don't understand these terms.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

One nice example, we're studying a firm that offers two health plans.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

So it's simple, just two options.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

One of the options is labeled as more generous and one is labeled as less generous.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

And that's true for these options financially.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

However, both options give access to exactly the same doctors.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

OK, so we ask consumers, hey, do you think that the more generous option gives you access to more doctors?

Freakonomics Radio
The World Is (Still) Drowning in Sludge

About 40 percent of people say yes, but

Freakonomics Radio
The World Is (Still) Drowning in Sludge

And what we find using the actual purchase data is that conditional on health risks or how healthy they are, those people who think that the more generous plan gives them access to more doctors are willing to pay $2,000 more per year for that plan.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

That gives you a sense of this uncertainty, right?