%0 Report
        %A Kim, Seonghoon
%A Koh, Kanghyock
%A Lyou, Wonjun
        %T The Effects of Patient Cost-Sharing on Adolescents' Healthcare Utilization and Financial Risk Protection: Evidence from South Korea
        %D 2024
        %8 2024 Mar
        %I Institute of Labor Economics (IZA)
        %C Bonn
        %7 IZA Discussion Paper
        %N 16897
        %U https://www.iza.org/index.php/publications/dp16897
        %X We examine the effects of patient cost-sharing on adolescents' healthcare utilization and out-of-pocket medical expenditures by exploiting the healthcare reform in South Korea that lowered the coinsurance rate for inpatient care from 20% to 5% for children under 16. We apply a difference-in-regression-discontinuities design using administrative claims data. We find that the reform increased adolescents' inpatient care utilization. It also reduced 
out-of-pocket healthcare expenditures. This effect was larger among low-income households, facilitating income redistribution. However, the lack of evidence on health improvements and household consumption spending responses suggests that generous patient cost-sharing for adolescent healthcare may cause efficiency losses.
        %K consumption spending
%K income redistribution
%K out-of-pocket expenditure
%K healthcare utilization
%K patient cost-sharing
%K difference in regression discontinuities design