Selection in employer sponsored health insurance

Journal of Health Economics
Elena Capatina

Abstract

This paper examines the extensive margin of selection into employer-sponsored health insurance (ESHI) using data from the Medical Expenditures Panel Survey 2001-2010 and 2014-2016 and the National Longitudinal Survey of Youth'97 in 2010. Controlling for a large set of firm and job characteristics, I find that before the implementation of the Affordable Care Act (ACA) in 2014, workers aged 25-40 who declined ESHI and remained privately uninsured had significantly higher health risk than those who enrolled. No correlation between health and insurance take-up is found in the 41-64 age group. These results are partly explained by differences in income and Medicaid crowding out ESHI for high risk workers. The paper sheds light on the characteristics of uninsured workers, their incentives for declining insurance and the interaction between private and public health insurance. The allocation of ESHI remained unchanged after the ACA was introduced due to the provisions' counteracting effects.

References

Jan 5, 2002·Inquiry : a Journal of Medical Care Organization, Provision and Financing·S H Long, M S Marquis
Jan 31, 2002·Health Affairs·L J Blumberg, L M Nichols
Mar 7, 2002·Medical Care Research and Review : MCRR·Peter J Cunningham
Apr 21, 2006·Medical Care·Didem M Bernard, Thomas M Selden
Feb 24, 2007·International Journal of Health Care Finance and Economics·Richard A HirthEmily C Shelton
Sep 5, 2008·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Alan C Monheit, Jessica Primoff Vistnes
Dec 17, 2008·The American Economic Review·David CardNicole Maestas
Jan 11, 2011·The Quarterly Journal of Economics·Liran EinavMark R Cullen
Sep 1, 2006·The American Economic Review·Amy Finkelstein, Kathleen McGarry
May 1, 2008·The American Economic Review·David M CutlerKathleen McGarry
May 21, 2011·The Journal of Economic Perspectives : a Journal of the American Economic Association·Liran Einav, Amy Finkelstein
Jun 19, 2013·Journal of Health Economics·Thomas C BuchmuellerElizabeth Savage
Oct 1, 2012·The American Economic Review·Liran EinavMark R Cullen
Feb 1, 2013·The American Economic Review·Liran EinavMark R Cullen
Dec 1, 2011·The American Economic Review·Hanming Fang, Alessandro Gavazza
Dec 1, 2012·The American Economic Review·M Kate BundorfNeale Mahoney
Dec 1, 2013·The American Economic Review·Benjamin R Handel

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