Enrollment in Medicare Advantage Plans in Miami-Dade County: Evidence of Status Quo Bias?

Anna D. Sinaiko, Christopher C. Afendulis, Richard G. Frank

NBER Working Paper No. 19639
Issued in November 2013
NBER Program(s):Aging, Health Care

Evidence from behavioral economics reveals that decision-making in health care settings can be affected by circumstances and choice architecture. This paper conducts an analysis of choice of private Medicare plans (Medicare Advantage plans) in Miami-Dade County. We provide a detailed description of the choice of MA plans available in Miami over much of the program's history and the composition of Medicare beneficiaries in Miami over the 2000s. Our analysis suggests that first becoming eligible for Medicare is the key transition point for MA, and that there is significant status quo bias in the MA market. This consumer behavior has important implications for policy that regulates the MA market.

download in pdf format
   (204 K)

email paper

The NBER Bulletin on Aging and Health provides summaries of publications like this.  You can sign up to receive the NBER Bulletin on Aging and Health by email.

Machine-readable bibliographic record - MARC, RIS, BibTeX

Document Object Identifier (DOI): 10.3386/w19639

Published: Anna D. Sinaiko & Christopher C. Afendulis & Richard G. Frank, 2013. "Enrollment in Medicare Advantage Plans in Miami-Dade County," INQUIRY: The Journal of Health Care Organization, Provision, and Financing, vol 50(3), pages 202-215.

Users who downloaded this paper also downloaded* these:
Afendulis, Sinaiko, and Frank w20181 Dominated Choices and Medicare Advantage Enrollment
Baicker, Chernew, and Robbins w19070 The Spillover Effects of Medicare Managed Care: Medicare Advantage and Hospital Utilization
Sfekas and Lillard w19310 Do Firms Use Coupons and In-store Discounts to Strategically Market Experience Goods Over the Consumption Life-Cycle? The Case of Cigarettes
Brown, Duggan, Kuziemko, and Woolston w16977 How does Risk Selection Respond to Risk Adjustment? Evidence from the Medicare Advantage Program
Holland, Hughes, Knittel, and Parker w19636 Unintended Consequences of Transportation Carbon Policies: Land-Use, Emissions, and Innovation
NBER Videos

National Bureau of Economic Research, 1050 Massachusetts Ave., Cambridge, MA 02138; 617-868-3900; email:

Contact Us