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来源类型Working Paper
规范类型报告
DOI10.3386/w18529
来源IDWorking Paper 18529
Health Insurance Reform: The Impact of a Medicare Buy-In
Gary D. Hansen; Minchung Hsu; Junsang Lee
发表日期2012-11-09
出版年2012
语种英语
摘要The steady state general equilibrium and welfare consequences of health insurance reform are evaluated in a calibrated life-cycle economy with incomplete markets and endogenous labor supply. Individuals face uncertainty each period about their future health status, medical expenditures, labor productivity, access to employer provided group health insurance, and the length of their life. In this environment, incomplete markets and adverse selection, which restricts the type of insurance contracts available in equilibrium, creates a potential role for health insurance reform. In particular, we consider a policy reform that would allow older workers (aged 55-64) to purchase insurance similar to Medicare coverage. We find that adverse selection eliminates any market for a Medicare buy-in if it is offered as an unsubsidized option to individual private health insurance. Hence, we compare the equilibrium properties of the current insurance system with those that obtain with an optional buy-in subsidized by the government, as well as with several types of health insurance mandates.
主题Macroeconomics ; Fiscal Policy ; Public Economics ; National Fiscal Issues ; Health, Education, and Welfare ; Health
URLhttps://www.nber.org/papers/w18529
来源智库National Bureau of Economic Research (United States)
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条目标识符http://119.78.100.153/handle/2XGU8XDN/576204
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Gary D. Hansen,Minchung Hsu,Junsang Lee. Health Insurance Reform: The Impact of a Medicare Buy-In. 2012.
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