@techreport{publications43614, volume = {21-1223}, month = {May}, author = {Helmuth Cremer and Jean-Marie Lozachmeur}, series = {TSE Working Paper}, booktitle = {TSE Working Paper}, type = {Working Paper}, address = {Toulouse, France}, title = {Coinsurance vs. copayments : reimbursement rules for a monopolistic medical product with competitive health insurers}, publisher = {TSE Working Paper}, year = {2021}, institution = {Universit{\'e} Toulouse 1 Capitole}, keywords = {Ex post moral hazard, health insurance competition, copayments, imper-, fect competition}, url = {https://publications.ut-capitole.fr/id/eprint/43614/}, abstract = {This paper studies a market for a medical product in which there is perfect competition among health insurers, while the good is sold by a monopolist. Individuals di?er in their severity of illness and there is ex post moral hazard. We consider two regimes : one in which insurers use coinsurance rates (ad valorem reimbursements) and one in which insurers use copayments (specic reimbursements). We show that the induced equilibrium with copayments involves a lower producer price and a higher level of wel- fare for consumers. This results provides strong support for a reference price based reimbursement policy.} }