American Economic Review
ISSN 0002-8282 (Print) | ISSN 1944-7981 (Online)
Pricing and Welfare in Health Plan Choice
American Economic Review
vol. 102,
no. 7, December 2012
(pp. 3214–48)
Abstract
Premiums in health insurance markets frequently do not reflect individual differences in costs, either because consumers have private information or because prices are not risk rated. This creates inefficiencies when consumers self-select into plans. We develop a simple econometric model to study this problem and estimate it using data on small employers. We find a welfare loss of 2-11 percent of coverage costs compared to what is feasible with risk rating. Only about one-quarter of this is due to inefficiently chosen uniform contribution levels. We also investigate the reclassification risk created by risk rating individual incremental premiums, finding only a modest welfare cost. (JEL G22, I13, I18)Citation
Bundorf, M. Kate, Jonathan Levin, and Neale Mahoney. 2012. "Pricing and Welfare in Health Plan Choice." American Economic Review 102 (7): 3214–48. DOI: 10.1257/aer.102.7.3214Additional Materials
JEL Classification
- G22 Insurance; Insurance Companies
- I13 Health Insurance, Public and Private
- I18 Health: Government Policy; Regulation; Public Health