| Arrangement |
Effect upon
the incentive to reduce health care consumption |
| Threshold |
|
- A higher threshold strengthens the incentive to restrain use.
|
Positive |
- Threshold as an increasing function of account balance
diminishes the incentives to abate health care use as it penalizes individuals
who consume less.
|
Negative |
| Balance |
|
- The longer one has to wait before withdrawing unspent funds,
the weaker will be the incentive to restrain use.
|
Negative |
- More restrictions on the use of unspent funds result in weaker
incentives to restrain use.
|
Negative |
- Setting a maximum permitted balance diminishes the incentive
to abate use and, once the maximum is reached, eliminates it. A larger
permitted balance provides stronger incentive.
|
Negative |
| Taxes |
|
- Taxing the contribution weakens the incentive to contribute to
MSAs.
|
Negative |
- Taxing interest income weakens the incentive to accumulate
balances and, in turn, weakens the incentive to abate use.
|
Negative |
| Savings |
|
- If individuals contribute to MSAs as a substitute for other
savings, then the incentive to restrain use will be strong.
|
Positive |
- Compulsory savings weakens the incentive to reduce use.
|
Negative |