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来源类型 | Working Paper |
规范类型 | 报告 |
DOI | 10.3386/w15687 |
来源ID | Working Paper 15687 |
Let them Have Choice: Gains from Shifting Away from Employer-Sponsored Health Insurance and Toward an Individual Exchange | |
Leemore Dafny; Katherine Ho; Mauricio Varela | |
发表日期 | 2010-01-28 |
出版年 | 2010 |
语种 | 英语 |
摘要 | Most non-elderly Americans purchase insurance through their employers, which sponsor a limited number of plans. We estimate how much employees would be willing to pay for the right to apply their employer subsidy to the plan of their choosing. We make use of a proprietary dataset containing information on plan offerings and enrollment for 800+ large employers between 1998 and 2006; the dataset represents over 10 million Americans annually. We estimate a model of employee preferences using the set of plans they are offered. Using the estimated parameters from this model, we predict employees' choices in a hypothetical world in which additional plans in a market are available to them on the same terms, i.e. tax-free and subsidized by their employers. Holding employer outlays constant, we estimate that the median welfare gain from expanding choice amounts to roughly 20 percent of premiums. For the vast majority of employee groups and alternative model specifications, the gains from choice are likely to outweigh potential premium increases associated with a transition from large group to individual pricing. |
主题 | Health, Education, and Welfare ; Health ; Industrial Organization ; Market Structure and Firm Performance |
URL | https://www.nber.org/papers/w15687 |
来源智库 | National Bureau of Economic Research (United States) |
引用统计 | |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/573360 |
推荐引用方式 GB/T 7714 | Leemore Dafny,Katherine Ho,Mauricio Varela. Let them Have Choice: Gains from Shifting Away from Employer-Sponsored Health Insurance and Toward an Individual Exchange. 2010. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
w15687.pdf(266KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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