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You are here: Home / Anderson On Health Insurance / Cross checking vs nudges

Cross checking vs nudges

by David Anderson|  July 27, 20229:53 am| 6 Comments

This post is in: Anderson On Health Insurance

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The concept of an economic nudge is a small change to default information presentation or defaults will lead to big changes in pro-social behavior.  One of the keystone policies that relies on a nudge is automatic enrollment with an opt-out for 401K/403B retirement plans.  The logic was that people typically don’t save enough for retirement and the wonders of compound interest means that small amounts invested early is worth a lot by the time people retirement.  People had to make an active choice to sign up for a 401K and select the salary diversion to the 401K.  Doing nothing meant no money was put aside.

The nudge was to flip the cost of action.  Doing nothing now meant money was put aside, often with an employer match.

The political project behind nudging is that there could be an activist government that was barely noticed as the choice architecture could be technocratically tweaked.  It seemed like it was effective.  Peer reviewed studies routinely showed large changes. Some of my research is at least nudge adjacent as I’m working on choice architecture and administrative burden of zero premium plans.  I have a new manuscript that just went under review this week that looks at how people make choices under different information vectors.

However, there is a new systemic review of the impact of nudging across multiple policy domains.  Maier et al does something very nifty.  They attempted to estimate the effects of publication bias — studies that show no results are far less likely to get published — on the overall estimates of the effects of nudging:

compares the unadjusted results to the publication bias–adjusted results.* Since publication bias–corrected three-level selection models are computationally intractable, we analyzed the data in two ways: 1) ignoring the three-level structure (column 2) and 2) using only the most precise estimate from studies with multiple results (column 3). Strikingly, there is an absence of evidence for an overall effect and evidence against an effect in the “information” and “assistance” intervention categories, whereas the evidence is undecided for “structure” interventions. When using only the most precise estimates, we further find evidence against an effect in most of the domains, apart from “other,” “food,” and “prosocial” (the evidence is indecisive) and weak evidence for the overall effect.† However, all intervention categories and domains apart from “finance” show evidence for heterogeneity, which implies that some nudges might be effective, [MY EMPHASIS]

There is some evidence that there might be something here in the right situation, right intervention but nudging is neither a policy nor policy panacea.

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Reader Interactions

6Comments

  1. 1.

    catclub

    July 27, 2022 at 10:02 am

    often with an employee match.  … employer

  2. 2.

    Cervantes

    July 27, 2022 at 10:03 am

    Well, while the claims for “nudging” in general are likely overblown, it’s a broad category, and not even clearly defined. I think there is no question but that opt in vs. opt out makes a substantial difference in many situations.  For example, enrolling in a health information exchange. If you just put up a notice at the check in desk that says “you’re enrolled in the HIE unless you opt out,” very few people will opt out. But if you require people to sign a document to opt in many of them will not do it. Also the clerk has to hand it to them and explain it and they might not even bother. I am pretty sure it works for the 401K as well.

  3. 3.

    Omnes Omnibus

    July 27, 2022 at 10:20 am

    Even if it is something that only provides benefits at the margin, it is probably worth doing with things like 401ks, etc.  It’s not like there is a huge cost involved.

  4. 4.

    the pollyanna from hell

    July 27, 2022 at 11:57 am

    I want to have meta-fun with all this meta-funny, but Zuckb has the trademark so I can’t.

  5. 5.

    Fair Economist

    July 27, 2022 at 1:06 pm

    I find it hard to believe there are so many nudge studies that 90% + of them never got published.

  6. 6.

    Victor Matheson

    July 27, 2022 at 2:43 pm

    Sure, I mean nudging people into 401K programs is only effective if 401K programs have been designed by policy-makers in the first place. But I don’t think any actual policy person suggests that nudges be used in place of actual programs.

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