| 来源类型 | Discussion paper |
| 规范类型 | 论文 |
| 来源ID | DP14394 |
| DP14394 Reclassification Risk in the Small Group Health Insurance Market | |
| Sebastian Fleitas; Gautam Gowrisankaran; Anthony Lo Sasso | |
| 发表日期 | 2020-02-07 |
| 出版年 | 2020 |
| 语种 | 英语 |
| 摘要 | We evaluate reclassification risk in the small group health insurance market from a period before ACA community rating regulations. Reclassification risk in this setting is of key policy relevance and also a matter of debate. We use detailed claims and premiums data from a large insurance company and control non-parametrically for selection. We find a pass through of 16% from changes in health risk to changes in premiums, with a stronger equilibrium relationship between premiums and risk. This pattern is consistent with the insurer implicitly offering "guaranteed renewability'' contracts with one-sided pricing commitment. We further find that groups whose health risk decreases have premiums that are more responsive to risk, which the guaranteed renewability model attributes to ex post renegotiation. The observed pricing policy adds 60% of the consumer welfare gain from community rating relative to experience rating. The welfare gains are limited because employers and employees switch coverage frequently. |
| 主题 | Industrial Organization |
| 关键词 | Inertia Pass through Adverse selection Experience rating Guaranteed renewability |
| URL | https://cepr.org/publications/dp14394 |
| 来源智库 | Centre for Economic Policy Research (United Kingdom) |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/543288 |
| 推荐引用方式 GB/T 7714 | Sebastian Fleitas,Gautam Gowrisankaran,Anthony Lo Sasso. DP14394 Reclassification Risk in the Small Group Health Insurance Market. 2020. |
| 条目包含的文件 | 条目无相关文件。 | |||||
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