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U.S. health insurance marketplace taxonomy and the influence of labeling on consumer perception of plan suitability
Author(s) -
Hickey Christopher,
Tharp Derek T.
Publication year - 2021
Publication title -
journal of consumer affairs
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.582
H-Index - 62
eISSN - 1745-6606
pISSN - 0022-0078
DOI - 10.1111/joca.12340
Subject(s) - actuarial science , terminology , selection (genetic algorithm) , plan (archaeology) , business , health care , financial plan , normative , consumption (sociology) , health insurance , marketing , perception , psychology , economics , finance , computer science , sociology , economic growth , political science , archaeology , neuroscience , history , social science , linguistics , philosophy , artificial intelligence , law
Abstract This study investigates whether metal categories used in the health insurance marketplace established by the Affordable Care Act influence consumer choice in plan selection. Participants ( N = 598) were randomly assigned to a marketplace environment containing either neutral terminology, metal categories, or descriptive labels. Respondents were asked to choose the most appropriate plan for low‐, average‐, and high‐use cases of health care consumption. Despite the bronze plan possessing the lowest estimated cost across each use case, the use of precious metal categories (compared to a neutral control) resulted in lower frequency selection of the gold plan in a low‐use case, higher frequency selection of the silver plan in an average‐use case, and higher frequency selection of the gold plan in a high‐use case. Furthermore, this study finds that beliefs equating more insurance with better health care and normative beliefs regarding the relationship between income and insurance are important predictors of plan selection.