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Plan choice, health insurance cost and premium sharing

  • University of Akron

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

We develop a model of premium sharing for firms that offer multiple insurance plans. We assume that firms offer one low quality plan and one high quality plan. Under the assumption of wage rigidities we found that the employee's contribution to each plan is an increasing function of that plan's premium. The effect of the other plan's premium is ambiguous. We test our hypothesis using data from the Employer Health Benefit Survey. Restricting the analysis to firms that offer both HMO and PPO plans, we measure the amount of the premium passed on to employees in response to a change in both premiums. We find evidence of large and positive effects of the increase in the plan's premium on the amount of the premium passed on to employees. The effect of the alternative plan's premium is negative but statistically significant only for the PPO plans. © 2014 Elsevier B.V.
Original languageEnglish
Pages (from-to)179-188
Number of pages10
JournalJournal of Health Economics
Volume35
Issue number1
DOIs
StatePublished - Jan 1 2014

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Employer sponsored health insurance
  • Multiple plans
  • Plan quality
  • Premium growth
  • Premium sharing

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