Table 2.
How Moral Hazard Matters: An Example
| Plan Type | Total Expenditures | Out-of-Pocket Expenditures | Income | Ratio of OOP to Income (C)/(G) | Threshold (10%) Underinsurance Measure | ||||
|---|---|---|---|---|---|---|---|---|---|
| Panel A | (A) | (B) | (C) | (G) | (H) | (I) | |||
| Household X | Generous | 5,000 | 1,500 | 15,000 | 0.10 | Yes | |||
| Household Y | Stingy | 3,500 | 1,400 | 15,000 | 0.093 | No | |||
| Plan Type | Total Expenditures | Out-of-Pocket Expenditures | Cost-Sharing (C)/(B) | Expected Total Expenditures if Had a Generous Plan | Expected OOP Expenditures: Spending from Generous Plan but Cost-Sharing from Own Plan (D)*(E) | Income | Ratio of Expected OOP to Income (F)/(G) | Adjusted Threshold (10%) Underinsurance Measure | |
| Panel B | (A) | (B) | (C) | (D) | (E) | (F) | (G) | (H)=(F)/(G) | (I) |
| Household X | Generous | 5,000 | 1,500 | 0.3 | 5,000 | 1,500 | 15,000 | 0.100 | Yes |
| Household Y | Stingy | 3,500 | 1,400 | 0.4 | 5,000 | 2,000 | 15,000 | 0.133 | Yes |
Note: Household X and household Y are identical except for their plan type (generous; stingy). Underinsurance is defined here as having out-of-pocket expenditures that exceed 10% of household income.