| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w19787 |
| 来源ID | Working Paper 19787 |
| Externalities and Taxation of Supplemental Insurance: A Study of Medicare and Medigap | |
| Marika Cabral; Neale Mahoney | |
| 发表日期 | 2014-01-03 |
| 出版年 | 2014 |
| 语种 | 英语 |
| 摘要 | Most health insurance uses cost-sharing to reduce excess utilization. Supplemental insurance can blunt the impact of this cost-sharing, increasing utilization and exerting a negative externality on the primary insurer. This paper estimates the effect of private Medigap supplemental insurance on public Medicare spending using Medigap premium discontinuities in local medical markets that span state boundaries. Using administrative data on the universe of Medicare beneficiaries, we estimate that Medigap increases an individual’s Medicare spending by 22.2%. We calculate that a 15% tax on Medigap premiums generates savings of $12.9 billion annually, with a standard error of $4.9 billion. |
| 主题 | Public Economics ; Taxation ; Health, Education, and Welfare ; Health |
| URL | https://www.nber.org/papers/w19787 |
| 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/577460 |
| 推荐引用方式 GB/T 7714 | Marika Cabral,Neale Mahoney. Externalities and Taxation of Supplemental Insurance: A Study of Medicare and Medigap. 2014. |
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