This research examines the regulatory fit effect on perceived value and buying intentions in the context of private health insurance decisions. The so-called value-from-fit effect is assessed in conjunction with the effect of risk perceptions. Value-from-fit results from the interaction effect between regulatory focus concerns (discount vs. cost-sharing policies) and message framing (gain vs. loss). The results show that the fit effect on buying intentions is fully mediated by the perceived value of a health insurance policy and that perceived value functions as partial mediator of the effect of risk perceptions. The relative strength of the regulatory fit effect in explaining customer perceived value is small compared with the impact of perceived risk. The findings suggest that if health insurance providers wish to offer a premium discount, communicating the policy by emphasizing the benefits consumers attain from purchasing a deductible policy (i.e., getting the discount) may enhance the value of the policy. On the other hand, positioning a premium copayment policy can be more effectively done by emphasizing the costs associated with not choosing this policy.
Ajzen, Icek ( 1991), "The Theory of Planned Behavior," Organizational Behavior & Human Decisions Processes, 50 (2), 179-211.
2.
Ajzen, Icek and Martin Fishbein ( 1980). Understanding Attitudes and Predicting Behavior. Englewood Cliffs, NJ: Prentice Hall.
3.
Avnet, Tamar and E. Tory Higgins ( 2006), "How regulatory Fit Affects Value in Consumer Choices and Opinions," Journal of Marketing Research, 43 (February), 1-10.
4.
Bagozzi, Richard P., Youjae Yi, and Surrendra Singh (1991), "On the Use of Structural Equation Models in Experimental Designs," International Journal of Research in Marketing, 8 (2), 125-140.
5.
Bagozzi, Richard P. and Youjae Yi ( 1989), "On the Use of Structural Equation Models in Experimental Designs," Journal of Marketing Research, 26 (3), 271-284.
6.
Bakker, Frank M., Rene C. J. .A van Vliet, and Wynand P. M. M van de Ven (2000), "Deductibles in Health Insurance: Can the Actuarially Fair Premium Reduction Exceed the Deductible?" Health Policy, 53 (2), 125-143.
7.
Barros, PedroPita, MatildeP. Machado, and Anna Sanz-de-Galdeano (2008), "Moral Hazard and the Demand for Health Services: A Matching Estimator Approach," Journal of Health Economics, 27 (4), 1006-1025.
8.
Berry, Leonard L. ( 2008), "Confronting America’s Healthcare Crisis," Business Horizons, 51 (4), 273-280.
9.
Buchmueller, Thomas C. and Paul J. Feldstein ( 1997), "The Effect of Price on Switching among Health Plans ," Journal of Health Economics, 16 (2), 129-260.
10.
Cardon, James H. and Igal Hendel ( 2001), "Asymmetric Information in Health Insurance: Evidence From the National Medical Expenditure Survey," RAND Journal of Economics, 32 (3), 408-427.
11.
Cesario, Joseph, Heidi Grant, and E. Tory Higgins (2004), "Regulatory Fit and Persuasion: Transfer From ‘Feeling Right,’" Journal of Personality and Social Psychology, 86 (3), 388-404.
12.
Chakraborty, Goutam, Richard Ettenson, and Gary Gaeth ( 1994), "How Consumers Choose Health Insurance," Journal of Health Care Marketing, 14 (1), 21-33.
13.
Chin, Wynne W. ( 1998). "The Partial Least Squares for Structural Equation Modeling ," in Modern Methods for Business Research, G. A. Marcoulides, ed. Mahwah, NJ: Erlbaum, 295-333.
14.
Chin, Wynne W. ( 2001), PLS-Graph User’s Guide Version 3.0. Houston, TX: C. T. Bauer College of Business, University of Houston.
15.
Cohen, Alma and Liran Einav ( 2007), "Estimating Risk Preferences From Deductible Choice," American Economic Review, 97 (3), 745-788.
16.
Cohen, Jacob ( 1988). Statistical Power Analysis for the Behavioral Sciences . Hillsdale, NJ: Lawrence Erlbaum .
17.
Crowe, Ellen and E. Tory Higgins ( 1997), "Regulatory Focus and Strategic Inclinations: Promotion and Prevention in Decision-Making," Organizational Behavior & Human Decision Processes, 69 (2), 117-132.
18.
Eagly, Alice. H. and Shelly Chaiken ( 1993). The Psychology of Attitudes. Forth Worth, TX: Harcourt Brace.
19.
Falk, R. Frank and Nancy B. Miller ( 1992). A Primer for Soft Modeling. Akron, OH: University of Akron Press.
20.
Fornell, Claes and David F. Larcker ( 1981), "Evaluating Structural Equation Models With Unobservable Variables and Measurement Error," Journal of Marketing Research , 18 (1), 39-50.
21.
Fornell, Claes and Fred L. Bookstein ( 1982), "A Comparative Analysis of Two Structural Equation Models: LISREL and PLS Applied to Consumer Exit-Voice Theory," Journal of Marketing Research, 19 (4), 440-452.
22.
Guariglia, Alessandra and Mariacristina Rossi ( 2004), "Private Medical Insurance and Saving: Evidence From the British Household Panel Survey," Journal of Health Economics , 23 (4), 761-783.
23.
Higgins, E. Tory ( 1997), "Beyond Pleasure and Pain," American Psychologist, 52 (12), 1280-1300.
24.
Higgins, E. Tory ( 2002), "How Self-Regulation Creates Distinct Values: The Case of Promotion and Prevention Decision Making," Journal of Consumer Psychology, 12 (March), 177-191.
25.
Higgins, E. Tory ( 2006), "Value From Hedonic Experience and Engagement," Psychological Review, 113 (3), 439-460.
26.
Higgins, E. Tory, Lorraine C. Idson, Antonio L. Freitas, Scott Spiegel, and Daniel C. Molden (2003), "Transfer of Value From Fit," Journal of Personality and Social Psychology, 84( 6), 1140-1153.
27.
Huang, Chung L. ( 1993), "Simultaneous-Equation Model for Estimating Consumer Risk Perceptions, Attitudes, and Willingness-to-Pay for Residue-Free Produce " Journal of Consumer Affairs, 27 (2), 377-396.
28.
Hulland, John ( 1999), "Use of Partial Least Squares (PLS) in Strategic Management Research: A Review of Four Recent Studies," Strategic Management Journal, 20 (February), 195-204.
29.
Iacobucci, Dawn, Neela Saldanha, and Xiaoyan Deng ( 2007), "A Meditation on Mediation," Journal of Consumer Psychology, 17 (2), 140-154.
30.
Jacobs, Paul D. ( 2009), "Health Insurance Demand and the Generosity of Benefits: Fixed Effects Estimates of the Price Elasticity,"Forum for Health Economics & Policy, 12 (2), 1-25.
31.
Johnson, Eric J., John Hershey, Jacqueline Meszaros, and Howard Kunreuther (1993), "Framing, Probability Distortions, and Insurance Decisions," Journal of Risk and Uncertainty , 7 (1), 35-51.
32.
Katz, Michael L. and Harvey S. Rosen ( 2005). Microeconomics, 3rd ed. Irwin, IL: McGraw-Hill Education.
33.
Keppel, Geoffrey and Thomas D. Wickens ( 2004). Design and Analysis: A Researcher’s Handbook, 4th ed. Englewood Cliffs, NJ: Prentice Hall.
34.
Laroche, Michel, Jasmin Bergeron, and Christine Goutaland (2001), "A Three-Dimensional Scale of Intangibility," Journal of Service Research, 4 (1), 26-38.
35.
Lee, Angela Y and Jennifer L. Aaker ( 2004), "Bringing the Frame into Focus: The Influence of Regulatory Fit on Processing Fluency and Persuasion," Journal of Personality and Social Psychology, 86 (2), 205-218.
36.
Lee, Angela Y and E. Tory Higgins ( 2009), "The Persuasive Power of Regulatory Fit," in Social Psychology of Consumer Behavior, Michaela Wanke, ed. New York: Psychology Press, Taylor & Francis Group, 318-334.
37.
Leu, Robert E., Frans F. H. Rutten, Werner Brouwer, Pius Matter, and Christian Rütschi (2009), "The Swiss and Dutch Health Insurance Systems: Universal Coverage and Regulated Competitive Insurance Markets" Retrieved August 5, 2009, from http://www.commonwealthfund.org.
38.
Liljander, Veronica, Pia Polsa, and Allard van Riel (2009), "Modelling Consumer Responses to an Apparel Store Brand: Store Image as a Risk Reducer," Journal of Retailing & Consumer Services, 16 (4), 281-290.
39.
Maarse, Hans and Yvette Bartholomée ( 2007), "A Public-Private Analysis of the New Dutch Health Insurance System," European Journal of Health Economics, 8 (1), 77-82.
40.
Mackenzie, Scott B ( 2001), "Opportunities for Improving Consumer Research Through Latent Variable Structural Equation Modeling," Journal of Consumer Research, 28 (January), 159-166.
41.
Marquis, M. Susan, Melinda B. Buntin, Jose J. Escarce, Kanika Kapur, Thomas A. Louis, and Jill M. Yegian (2006), "Consumer Decision Making in the Individual Health Insurance Market," Health Affairs Web Exclusives, 25 (3), W226-W234.
42.
Nunnally, Jum and Ira Bernstein ( 1994). Psychometric Theory, 3d ed. New York: McGraw-Hill.
43.
O’Grady, Kevin E. and Deborah R. Medoff ( 1988), "Categorical Variables in Multiple Regression: Some Cautions ," Multivariate Behavioral Research, 23 (2), 243-260.
44.
Pauly, Mark V. ( 2007), "Risks and Benefits in Health Care: The View From Economics ," Health Affairs, 26 (3), 653-662.
45.
Pauly, Mark V. and Bradley Herring ( 2007), "Risk Pooling and Regulation: Policy and Reality in Today’s Individual Health Insurance Market," Health Affairs, 26 (3), 770-779.
46.
Pedhazur, Elazar J. ( 1997). Multiple Regression in Behavioral Research: Explanation and Prediction, 3rd ed. Fort Worth, TX: Harcourt Brace College.
47.
Pennings, Joost M. E. and Ale Smidts ( 2000), "Assessing the Construct Validity of Risk Attitude," Management Science, 46 (10), 1337-1348.
48.
Perugini, Marco and Richard P. Bagozzi. (2001). "The Role of Desires and Anticipated Emotions in Goal-Directed Behaviors: Broadening and Deepening the Theory of Planned Behavior," British Journal of Social Psychology,40 (1), 79-98.
49.
Perugini, Marco and Richard P. Bagozzi. (2004). "The Distinction Between Desires and Intentions," European Journal of Social Psychology, 34 (1), 69-84.
50.
Petty, Richard E., Russell H. Fazio, and Pablo Brinol ( 2009), "The New Implicit Measures: An Overview," in Attitudes: Insights from the New Implicit Measures. Richard E. Petty, Russell H. Fazio, and Pablo Brinol, eds. New York : Psychology Press, Taylor & Francis Group, 3-18.
51.
Podsakoff, Philip M., Scott B. MacKenzie, Jeong-Yeon Lee, and Nathan P. Podsakoff (2003). "Common Method Biases in Behavioral Research: A Critical Review of the Literature and Recommended Remedies ," Journal of Applied Psychology, 88 (5), 879-903.
52.
Rejda, George E. ( 1998). Principles of Risk Management and Insurance, 6th ed. Boston: Addison-Wesley .
53.
Royalty, Anne B. and Neil Solomon ( 1999), "Health Plan Choice: Price Elasticities in a Managed Competition Setting," Journal of Human Resources, 34, 1-41.
54.
Schoemaker, Paul J. H. and Howard C. Kunreuther ( 1979), "An Experimental Study of Insurance Decisions," Journal of Risk & Insurance, 46 (4), 603-618.
55.
Schwarz, Norbert and Gerard L. Clore ( 1983), "Mood, Misattribution, and Judgments of Well-Being: Informative and Directive Functions of Affective States," Journal of Personality and Social Psychology, 45 (3), 513-523.
56.
Seddon, Nicholas ( 2008), "Is the Future Dutch," The Lancet, 372(9733), 103-104. DOI:10.1016/S0140-6736(08)61016-8.
57.
Shrout, Peter E. and Niall Bolger ( 2002), "Mediation in Experimental and Nonexperimental Studies: New Procedures and Recommendations," Psychological Methods , 7 (4), 422-445.
58.
Simonson, Itamar ( 2005), "In Defense of Consciousness: The Role of Conscious and Unconscious Inputs in Consumer Choice," Journal of Consumer Psychology, 15 (3), 211-217.
59.
Teas, R. Kenneth and Thomas E. DeCarlo ( 2004), "An Examination and Extension of the Zone-of-Tolerance Model: A Comparison to Performance-Based Models of Perceived Quality," Journal of Service Research, 6 (3), 272-86.
60.
Tenenhaus, Michel, Vincenzo E.Vinzi, Yves-Marie, and Carlo Lauro ( 2005), "PLS Path Modeling," Computational Statistics & Data Analysis, 48 (1), 159-205.
61.
Thompson, Marilyn S. and Samuel Green ( 2006), "Evaluating Between Group Differences in Latent Variable Means," in Structural Equation Modeling: A Second Course, G. R. Hancock and R. O. Mueller , eds. Greenwich, CT: Information Age, 119-162.
62.
Townsend, Ellen and Scott Campbell ( 2004), "Psychological Determinants of Willingness to Taste and Purchase Genetically Modified Food," Risk Analysis: An International Journal, 24 (5), 1385-1393.
63.
Van de Ven, Wynand P. M. M. , and Bernard M. S. van Praag (1981), "The Demand for Deductibles in Private Health Insurance,"Journal of Econometrics, 17 (2), 229-252.
64.
van Kleef, R.C., K. Beck, W. P. M. M. van de Ven , and R.C.J.A. van Vliet (2008), "Risk Equalization and Voluntary Deductibles: A Complex Interaction,"Journal of Health Economics, 27 (2), 427-443.
65.
Wakker, Peter P., Danielle R. M. Timmermans, and Irma Machielse ( 2007), "The Effects of Statistical Information on Risk and Ambiguity Attitudes, and on Rational Insurance Decisions" Management Science, 53 (11), 1770-1784.
66.
Yi, Youjae and Hoseong Jeon ( 2003), "Effects of Loyalty Programs on Value Perception, Program Loyalty, and Brand Loyalty," Journal of the Academy of Marketing Science, 31 (March), 229-240.
