Joshua R. Schwartzstein
Cahners-Rabb Professor of Business Administration
Cahners-Rabb Professor of Business Administration
It is well recognized that people overuse low-value medical care due to moral hazard—because copays are lower than costs. Now Professor Schwartzstein has introduced the concept of “behavioral hazard” to explain the opposite: people underuse high-value care because they underweight the benefits of, for example, taking medications for chronic diseases like diabetes or hypertension. He has derived optimal copay formulas that incorporate both moral and behavioral hazard. When both are taken into account, health insurance can do more than provide financial protection: it can also improve health care efficiency. Professor Schwartzstein’s findings and methods can be applied to other forms of social insurance and public policy problems.
Fixed differences appear smaller when compared to large differences. Professor Schwartzstein has proposed a model of relative thinking, in which a person weighs a given change by less when he compares it to a larger range. Relative thinking implies that a person is less likely to exert effort in a money-earning activity if he had expected to earn higher returns or if there is greater income uncertainty. Relative thinking also induces a tendency to overspend, and for a person to spend more freely if she is infrequently allotted large amounts to consume rather than frequently allotted small amounts. The model clarifies issues ranging from why insurance can encourage investment to the optimal scheduling of entitlements distributions.
What do we notice, and how does this affect what we learn? Standard economic models of learning ignore memory by assuming that we remember everything. But there is growing recognition that memory is imperfect. Further, memory imperfections do not stem from limited recall alone; rather, not all information will be encoded into memory. Professor Schwartzstein has developed a model of belief formation that recognizes that attention is selective, and that we narrow our attention to what we currently believe is worthwhile. This model makes predictions about when people will attend to the right variables, when they will not, and what biased ideas may result. The key insight is that such inattention may compound itself—a person may persistently fail to learn what is worth attending to. In experimental research, Professor Schwartzstein has shown that seaweed farmers in Indonesia consistently failed to recognize a key variable in optimizing production—and that they did respond based on seeing summaries of the researchers’ data.
Joshua Schwartzstein is a Professor of Business Administration in the Negotiation, Organizations & Markets Unit.
Professor Schwartzstein is a behavioral economist who focuses on incorporating psychologically realistic assumptions about (in)attention, memory, mental models, and perception into rigorous formal economic frameworks, with the aim of generating novel and practical insights with broad managerial relevance. His research has appeared in the Quarterly Journal of Economics, the American Economic Review, the Review of Economic Studies, the Journal of Economic Perspectives, the Journal of the European Economic Association, the Annual Review of Economics, and the Journal of Law and Economics. It has also been referenced in The New York Times, Science, and Health Affairs.
Professor Schwartzstein holds a PhD in economics from Harvard University and a BA in behavioral economics, economics, and mathematics from Cornell University.
- Featured Work
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American Economic Review 111, no.1 (January 2021): 276-323.We present a framework where "model persuaders" influence receivers’ beliefs by proposing models that organize past data to make predictions. Receivers are assumed to find models more compelling when they better explain the data, fixing receivers’ prior beliefs. Model persuaders face a tradeoff: better-fitting models induce less movement in receivers’ beliefs. Consequently, a receiver exposed to the true model can be most misled by persuasion when that model fits poorly, competition between persuaders tends to neutralize the data by pushing towards better-fitting models, and a persuader facing multiple receivers is more effective when he can send tailored, private messages.Quarterly Journal of Economics 129, no.3 (August 2014): 1311-1315.We consider a model of technological learning under which people "learn through noticing": they choose which input dimensions to attend to and subsequently learn about from available data. Using this model, we show how people with a great deal of experience may persistently be off the production frontier because they fail to notice important features of the data they possess. We also develop predictions on when these learning failures are likely to occur, as well as on the types of interventions that can help people learn. We test the model's predictions in a field experiment with seaweed farmers. The survey data reveal that these farmers do not attend to pod size, a particular input dimension. Experimental trials suggest that farmers are particularly far from optimizing this dimension. Furthermore, consistent with the model, we find that simply having access to the experimental data does not induce learning. Instead, behavioral changes occur only after the farmers are presented with summaries that highlight previously unattended-to relationships in the data.Quarterly Journal of Economics 130, no.4 (November 2015): 1623-1667.A fundamental implication of standard moral hazard models is overuse of low-value medical care because copays are lower than costs. In these models, the demand curve alone can be used to make welfare statements, a fact relied on by much empirical work. There is ample evidence, though, that people misuse care for a different reason: mistakes or "behavioral hazard." Much high-value care is underused even when patient costs are low, and some useless care is bought even when patients face the full cost. In the presence of behavioral hazard, welfare calculations using only the demand curve can be off by orders of magnitude or even be the wrong sign. We derive optimal copay formulas that incorporate both moral and behavioral hazard, providing a theoretical foundation for value-based insurance design and a way to interpret behavioral "nudges." Once behavioral hazard is taken into account, health insurance can do more than just provide financial protection—it can also improve health care efficiency.Journal of the European Economic Association 12, no. 6 (December 2014): 1423-1452)What do we notice and how does this affect what we learn and come to believe? I present a model of an agent who learns to make forecasts on the basis of readily available information, but is selective as to which information he attends to: he chooses whether to attend as a function of current beliefs about whether such information is predictive. If the agent does not attend to some piece of information, it cannot be recalled at a later date. He uses Bayes’ rule to update his beliefs given attended-to information, but does not attempt to fill in missing information. The model demonstrates how selective attention may lead the agent to persistently fail to recognize important empirical regularities, make systematically biased forecasts, and hold incorrect beliefs about the statistical relationship between variables. In addition, it identifies factors that make such errors more likely or persistent. The model is applied to shed light on stereotyping and discrimination, persistent learning failures and disagreement, and the process of discovery.
- Journal Articles
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- Alsan, Marcella, Maya Durvasula, Harsh Gupta, Joshua Schwartzstein, and Heidi L. Williams. "Representation and Extrapolation: Evidence from Clinical Trials." Quarterly Journal of Economics 139, no. 1 (February 2024): 575–635. View Details
- Schwartzstein, Joshua, and Adi Sunderam. "Using Models to Persuade." American Economic Review 111, no. 1 (January 2021): 276–323. View Details
- Bushong, Benjamin, Matthew Rabin, and Joshua Schwartzstein. "A Model of Relative Thinking." Review of Economic Studies 88, no. 1 (January 2021): 162–191. View Details
- Handel, Benjamin, and Joshua Schwartzstein. "Frictions or Mental Gaps: What's Behind the Information We (Don't) Use and When Do We Care?" Journal of Economic Perspectives 32, no. 1 (Winter 2018): 155–178. View Details
- Beshears, John, Katherine L. Milkman, and Joshua Schwartzstein. "Beyond Beta-Delta: The Emerging Economics of Personal Plans." American Economic Review: Papers and Proceedings 106, no. 5 (May 2016): 430–434. View Details
- Baicker, Katherine, Sendhil Mullainathan, and Joshua Schwartzstein. "Behavioral Hazard in Health Insurance." Quarterly Journal of Economics 130, no. 4 (November 2015): 1623–1667. (Online Appendix.) View Details
- Schwartzstein, Joshua. "Selective Attention and Learning." Journal of the European Economic Association 12, no. 6 (December 2014): 1423–1452. (Online Appendix.) View Details
- Hanna, Rema, Sendhil Mullainathan, and Joshua Schwartzstein. "Learning Through Noticing: Theory and Evidence from a Field Experiment." Quarterly Journal of Economics 129, no. 3 (August 2014): 1311–1353. (Online Appendix.) View Details
- Schwartzstein, Joshua, and Andrei Shleifer. "An Activity-Generating Theory of Regulation." Journal of Law & Economics 56, no. 1 (February 2013): 1–38. (Lead Article.) View Details
- Mullainathan, Sendhil, Joshua Schwartzstein, and William Congdon. "A Reduced-Form Approach to Behavioral Public Finance." Annual Review of Economics 4 (2012): 511–540. View Details
- Mullainathan, Sendhil, Joshua Schwartzstein, and Andrei Shleifer. "Coarse Thinking and Persuasion." Quarterly Journal of Economics 123, no. 2 (May 2008): 577–619. View Details
- Book Chapters
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- Chandra, Amitabh, Benjamin Handel, and Joshua Schwartzstein. "Behavioral Economics and Health-Care Markets." Chap. 6 in Handbook of Behavioral Economics: Foundations and Applications 2, edited by B. Douglas Bernheim, Stefano DellaVigna, and David Laibson, 459–502. Amsterdam: Elsevier/North-Holland, 2019. View Details
- Working Papers
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- Gagnon-Bartsch, Tristan, Matthew Rabin, and Joshua Schwartzstein. "Channeled Attention and Stable Errors." Working Paper, August 2023. (Revise and Resubmit, Quarterly Journal of Economics.) View Details
- Schwartzstein, Joshua, and Adi Sunderam. "Sharing Models to Interpret Data." Harvard Business School Working Paper, No. 25-011, August 2024. (Revised August 2024.) View Details
- Gagnon-Bartsch, Tristan, Matthew Rabin, and Joshua Schwartzstein. "Channeled Attention and Stable Errors -- Previous Working Version." Harvard Business School Working Paper, No. 18-108, June 2018. View Details
- Cases and Teaching Materials
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- Graeber, Thomas, Joshua Schwartzstein, and Amram Migdal. "Deepa Bachu (B): Insights and Experiments at Pensaar Design." Harvard Business School Supplement 923-034, March 2023. View Details
- Graeber, Thomas, Joshua Schwartzstein, and Amram Migdal. "Deepa Bachu (A): Design Thinking at Pensaar Design." Harvard Business School Case 923-026, March 2023. (Revised January 2024.) View Details
- Schwartzstein, Joshua. "Behavioral Economics Profile." Harvard Business School Teaching Note 923-042, February 2023. View Details
- Schwartzstein, Joshua. "Behavioral Economics Profile: Understanding the Student Packet." Harvard Business School Teaching Note 923-043, February 2023. View Details
- Schwartzstein, Joshua. "Managing Mistakes." Harvard Business School Module Note 923-035, February 2023. View Details
- Schwartzstein, Joshua. "Juno (A), (B), and (C): Leveraging Student Power." Harvard Business School Teaching Note 923-028, November 2022. View Details
- Schwartzstein, Joshua. "Managing Science Communication at Bayer." Harvard Business School Teaching Note 923-027, October 2022. (Revised February 2023.) View Details
- Schwartzstein, Joshua, and Deepak Malhotra. "Rocket Science." Harvard Business School Teaching Note 923-008, August 2022. View Details
- Schwartzstein, Joshua, Amitabh Chandra, and Amram Migdal. "Value-Based Insurance Design at Onex." Harvard Business School Teaching Note 922-030, December 2021. (Revised February 2023.) View Details
- Schwartzstein, Joshua, Amitabh Chandra, and Amram Migdal. "Value-Based Insurance Design at Onex." Harvard Business School Case 921-023, January 2021. View Details
- Schwartzstein, Joshua, and Adi Sunderam. "Managing Science Communication at Bayer." Harvard Business School Case 921-045, March 2021. (Revised May 2021.) View Details
- Schwartzstein, Joshua, and Deepak Malhotra. "Rocket Science." Harvard Business School Case 921-043, January 2021. (Revised October 2021.) View Details
- Schwartzstein, Joshua, Kathleen L. McGinn, and Amy Klopfenstein. "Juno (C): Leveraging Student Power." Harvard Business School Supplement 921-034, January 2021. (Revised March 2021.) View Details
- Schwartzstein, Joshua, Kathleen L. McGinn, and Amy Klopfenstein. "Juno (B): Leveraging Student Power." Harvard Business School Supplement 921-033, January 2021. (Revised March 2021.) View Details
- Schwartzstein, Joshua, Kathleen L. McGinn, and Amy Klopfenstein. "Juno (A): Leveraging Student Power." Harvard Business School Case 921-032, January 2021. (Revised March 2021.) View Details
- Schwartzstein, Joshua, Brian J. Hall, Tiffany Y. Chang, Karim Sameh, and Alpana Thapar. "Happy UAE." Harvard Business School Case 918-041, April 2018. View Details
- Beshears, John, Joshua Schwartzstein, Tiffany Y. Chang, and Brian J. Hall. "GiveDirectly." Harvard Business School Case 918-036, March 2018. View Details
- Exley, Christine L., Katherine B. Coffman, and Joshua Schwartzstein. "Legal Time Case – Video Short 2." Harvard Business School Multimedia/Video Supplement 920-704, September 2019. View Details
- Exley, Christine L., Katherine B. Coffman, and Joshua Schwartzstein. "Legal Time Case – Video Short 1." Harvard Business School Multimedia/Video Supplement 920-703, September 2019. View Details
- Exley, Christine L., Katherine B. Coffman, and Joshua Schwartzstein. "Legal Time - Confidential Information for the Prosecution (AUSA Prescott)." Harvard Business School Supplement 920-012, August 2019. View Details
- Exley, Christine L., Katherine B. Coffman, and Joshua Schwartzstein. "Legal Time - Confidential Information for the Defense Attorney (Drew Davis)." Harvard Business School Supplement 920-011, August 2019. View Details
- Exley, Christine L., Katherine B. Coffman, and Joshua Schwartzstein. "Legal Time Case." Harvard Business School Teaching Note 920-013, August 2019. (Revised September 2019.) View Details
- Exley, Christine L., Katherine B. Coffman, and Joshua Schwartzstein. "Legal Time Case." Harvard Business School Case 920-010, August 2019. View Details
- Schwartzstein, Joshua. "Happy UAE." Harvard Business School Teaching Note 918-042, April 2018. View Details
- Beshears, John, and Joshua Schwartzstein. "GiveDirectly." Harvard Business School Teaching Note 918-040, March 2018. (Revised March 2022.) View Details
- Luca, Michael, Joshua Schwartzstein, and Gauri Subramani. "Managing Diversity and Inclusion at Yelp." Harvard Business School Teaching Note 918-039, March 2018. (Revised February 2023.) View Details
- Luca, Michael, Joshua Schwartzstein, and Gauri Subramani. "Managing Diversity and Inclusion at Yelp (B)." Harvard Business School Supplement 918-012, September 2017. (Revised February 2023.) View Details
- Luca, Michael, Joshua Schwartzstein, and Gauri Subramani. "Managing Diversity and Inclusion at Yelp." Harvard Business School Case 918-009, August 2017. (Revised February 2023.) View Details
- Research Summary
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Professor Schwartzstein uses the lens of behavioral economics to build more psychologically accurate assumptions into economic models, and he applies these models to create a more realistic understanding of market outcomes and optimal public policy.
It is well recognized that people overuse low-value medical care due to moral hazard—because copays are lower than costs. Now Professor Schwartzstein has introduced the concept of “behavioral hazard” to explain the opposite: people underuse high-value care because they underweight the benefits of, for example, taking medications for chronic diseases like diabetes or hypertension. He has derived optimal copay formulas that incorporate both moral and behavioral hazard. When both are taken into account, health insurance can do more than provide financial protection: it can also improve health care efficiency. Professor Schwartzstein’s findings and methods can be applied to other forms of social insurance and public policy problems.
Fixed differences appear smaller when compared to large differences. Professor Schwartzstein has proposed a model of relative thinking, in which a person weighs a given change by less when he compares it to a larger range. Relative thinking implies that a person is less likely to exert effort in a money-earning activity if he had expected to earn higher returns or if there is greater income uncertainty. Relative thinking also induces a tendency to overspend, and for a person to spend more freely if she is infrequently allotted large amounts to consume rather than frequently allotted small amounts. The model clarifies issues ranging from why insurance can encourage investment to the optimal scheduling of entitlements distributions.
What do we notice, and how does this affect what we learn? Standard economic models of learning ignore memory by assuming that we remember everything. But there is growing recognition that memory is imperfect. Further, memory imperfections do not stem from limited recall alone; rather, not all information will be encoded into memory. Professor Schwartzstein has developed a model of belief formation that recognizes that attention is selective, and that we narrow our attention to what we currently believe is worthwhile. This model makes predictions about when people will attend to the right variables, when they will not, and what biased ideas may result. The key insight is that such inattention may compound itself—a person may persistently fail to learn what is worth attending to. In experimental research, Professor Schwartzstein has shown that seaweed farmers in Indonesia consistently failed to recognize a key variable in optimizing production—and that they did respond based on seeing summaries of the researchers’ data.
- Awards & Honors
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Received Honorable Mention in 2016 for the Arrow Award for Best Paper in Health Economics from the International Health Economics Association for “Behavioral Hazard in Health Insurance” (Quarterly Journal of Economics, November 2015) with K. Baicker and S. Mullainathan.
- Additional Information