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Do report cards tell consumers anything they don't already know? The case of Medicare HMOs

Do report cards tell consumers anything they don't already know? The case of Medicare HMOs Estimated responses to report cards may reflect learning about quality that would have occurred in their absence (“market‐based learning”). Using panel data on Medicare HMOs, we examine the relationship between enrollment and quality before and after report cards were mailed to 40 million Medicare beneficiaries in 1999 and 2000. We find consumers learn from both public report cards and market‐based sources, with the latter having a larger impact. Consumers are especially sensitive to both sources of information when the variance in HMO quality is greater. The effect of report cards is driven by beneficiaries' responses to consumer satisfaction scores. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png The Rand Journal of Economics Wiley

Do report cards tell consumers anything they don't already know? The case of Medicare HMOs

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References (50)

Publisher
Wiley
Copyright
© 2008, RAND
ISSN
0741-6261
eISSN
1756-2171
DOI
10.1111/j.1756-2171.2008.00039.x
Publisher site
See Article on Publisher Site

Abstract

Estimated responses to report cards may reflect learning about quality that would have occurred in their absence (“market‐based learning”). Using panel data on Medicare HMOs, we examine the relationship between enrollment and quality before and after report cards were mailed to 40 million Medicare beneficiaries in 1999 and 2000. We find consumers learn from both public report cards and market‐based sources, with the latter having a larger impact. Consumers are especially sensitive to both sources of information when the variance in HMO quality is greater. The effect of report cards is driven by beneficiaries' responses to consumer satisfaction scores.

Journal

The Rand Journal of EconomicsWiley

Published: Sep 1, 2008

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