Skip to main content
. 2010 Jun;45(3):806–824. doi: 10.1111/j.1475-6773.2010.01084.x

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.