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来源类型Working Paper
规范类型报告
DOI10.3386/w26350
来源IDWorking Paper 26350
Household Labor Search, Spousal Insurance, and Health Care Reform
Hanming Fang; Andrew J. Shephard
发表日期2019-10-07
出版年2019
语种英语
摘要Health insurance in the United States for the working age population has traditionally been provided in the form of employer-sponsored health insurance (ESHI). If employers offered ESHI to their employees, they also typically extended coverage to their spouse and dependents. Provisions in the Affordable Care Act (ACA) significantly alter the incentive for firms to offer insurance to the spouses of employees. We evaluate the long-run impact of ACA on firms’ insurance offerings and on household outcomes by developing and estimating an equilibrium job search model in which multiple household members are searching for jobs. The distribution of job offers is determined endogenously, with compensation packages consisting of a wage and menu of insurance offerings (premiums and coverage) that workers select from. Using our estimated model we find that households’ valuation of employer-sponsored spousal health insurance is significantly reduced under ACA, and with an “employee-only” health insurance contract emerging among low productivity firms. We relate these outcomes to the specific provisions in the ACA.
主题Financial Economics ; Financial Institutions ; Health, Education, and Welfare ; Health ; Labor Economics ; Labor Compensation
URLhttps://www.nber.org/papers/w26350
来源智库National Bureau of Economic Research (United States)
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资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/584021
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Hanming Fang,Andrew J. Shephard. Household Labor Search, Spousal Insurance, and Health Care Reform. 2019.
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