| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w24663 |
| 来源ID | Working Paper 24663 |
| Reclassification Risk in the Small Group Health Insurance Market | |
| Sebastián Fleitas; Gautam Gowrisankaran; Anthony Lo Sasso | |
| 发表日期 | 2018-06-04 |
| 出版年 | 2018 |
| 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 | Microeconomics ; Households and Firms ; Health, Education, and Welfare ; Health ; Industrial Organization ; Market Structure and Firm Performance |
| URL | https://www.nber.org/papers/w24663 |
| 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/582336 |
| 推荐引用方式 GB/T 7714 | Sebastián Fleitas,Gautam Gowrisankaran,Anthony Lo Sasso. Reclassification Risk in the Small Group Health Insurance Market. 2018. |
| 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 | ||
| w24663.pdf（952KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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