Optimal Long-Term Health Insurance Contracts: Characterization, Computation, and Welfare Effects.

Reclassification risk is a major concern in health insurance where contracts are typically 1 year in length but health shocks often persist for much longer. While most health systems with private insurers pair short-run contracts with substantial pricing regulations to reduce reclassification risk,...

Descripción completa

Detalles Bibliográficos
Publicado en:Review of Economic Studies Vol. 91; no. 2; pp. 1085 - 1122
Autores principales: Ghili, Soheil, Handel, Ben, Hendel, Igal, Whinston, Michael D
Formato: Artículo
Publicado: Oxford University Press / USA Mar2024
Materias:
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=175875941&site=ehost-live
header:
  @attributes:
    shortDbName: ssf
    uiTerm: 175875941
    longDbName: Social Sciences Full Text (H.W. Wilson)
    uiTag: AN
  controlInfo:
    bkinfo:
    jinfo:
      jid:
        00346527
        REM
      jtl: Review of Economic Studies
      issn: 00346527
      maglogo: N
    pubinfo:
      dt: Mar2024
      vid: 91
      iid: 2
      pid: 622
      pub: Oxford University Press / USA
    artinfo:
      ui:
        175875941
        10.1093/restud/rdad054
      ppf: 1085
      ppct: 37
      formats:
      tig:
        atl: Optimal Long-Term Health Insurance Contracts: Characterization, Computation, and Welfare Effects.
      aug:
        au:
          Ghili, Soheil
          Handel, Ben
          Hendel, Igal
          Whinston, Michael D
        affil:
          Yale School of Management
          Department of Economics, UC Berkeley
          Department of Economics, Northwestern University
          Department of Economics and Sloan School of Management, M.I.T
      su:
        Utah
        Health insurance
        Insurance policies
        National health insurance
        Insurance companies
        Health insurance exchanges
        Price regulation
      sug:
        subj:
          Health insurance
          Utah
          Direct Health and Medical Insurance Carriers
          Insurance Agencies and Brokerages
          Other Direct Insurance (except Life, Health, and Medical) Carriers
          Direct group life, health and medical insurance carriers
          Direct individual life, health and medical insurance carriers
          Regulation, Licensing, and Inspection of Miscellaneous Commercial Sectors
          Insurance policies
          National health insurance
          Insurance companies
          Health insurance exchanges
          Price regulation
      ab: Reclassification risk is a major concern in health insurance where contracts are typically 1 year in length but health shocks often persist for much longer. While most health systems with private insurers pair short-run contracts with substantial pricing regulations to reduce reclassification risk, long-term contracts with one-sided insurer commitment have significant potential to reduce reclassification risk without the negative side effects of price regulation, such as adverse selection. We theoretically characterize optimal long-term insurance contracts with one-sided commitment, extending the literature in directions necessary for studying health insurance markets. We leverage this characterization to provide a simple algorithm for computing optimal contracts from primitives. We estimate key market fundamentals using data on all under-65 privately insured consumers in Utah. We find that dynamic contracts are very effective at reducing reclassification risk for consumers who arrive at the market in good health, but they are ineffective for consumers who come to the market in bad health, demonstrating that there is a role for the government insurance of pre-market health risks. Individuals with steeply rising income profiles find front-loading costly, and thus relatively prefer ACA-type exchanges. Switching costs enhance, while myopia moderately compromises, the performance of dynamic contracts.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
    refInfo:
    copyright:
      @attributes:
        flag: N
    holdings:
      @attributes:
        islocal: N