Do Firms Avoid Health Insurance Mandates? Evidence from the Self-Funding of Employer Plans PDF Download
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Author: Sarah Robinson
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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Book Description
Fifty percent of the U.S. population gets health insurance through an employer, and roughly half of employers only offer one health plan. There- fore, the choices made by firms about what plan(s) to offer are critical to understanding the health insurance available to workers. This paper focuses on one dimension of the firm's decision: whether to self-fund plans (meaning the firm bears the financial risk of claims itself). I study whether firms use self-funding to avoid complying with mandates to cover specific procedures or providers. Using administrative data on the health plans offered by firms and a difference-in-differences design, I find that new mandates increase rates of self-funding among smaller firms (100-249 employees) by 3.2 percentage points, an increase of 14.5%. The mandates do not appear to affect larger firms (250+ employees), who are more likely to already be self-funded in the pre-period. These results imply that new mandates can lead to long-lasting reductions in the proportion of firms that are bound by any state health insurance regulations, including all previously mandated benefits as well as premium taxes.
Author: Sarah Robinson
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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Book Description
Fifty percent of the U.S. population gets health insurance through an employer, and roughly half of employers only offer one health plan. There- fore, the choices made by firms about what plan(s) to offer are critical to understanding the health insurance available to workers. This paper focuses on one dimension of the firm's decision: whether to self-fund plans (meaning the firm bears the financial risk of claims itself). I study whether firms use self-funding to avoid complying with mandates to cover specific procedures or providers. Using administrative data on the health plans offered by firms and a difference-in-differences design, I find that new mandates increase rates of self-funding among smaller firms (100-249 employees) by 3.2 percentage points, an increase of 14.5%. The mandates do not appear to affect larger firms (250+ employees), who are more likely to already be self-funded in the pre-period. These results imply that new mandates can lead to long-lasting reductions in the proportion of firms that are bound by any state health insurance regulations, including all previously mandated benefits as well as premium taxes.
Author: United States. Congress. House. Committee on Small Business. Subcommittee on Health and Technology
Publisher:
ISBN:
Category : Employer-sponsored health insurance
Languages : en
Pages : 96
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Book Description
Author: United States. Congress. House. Committee on Education and the Workforce. Subcommittee on Employer-Employee Relations
Publisher:
ISBN:
Category : Law
Languages : en
Pages : 72
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Book Description
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309076099
Category : Medical
Languages : en
Pages : 204
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Book Description
Roughly 40 million Americans have no health insurance, private or public, and the number has grown steadily over the past 25 years. Who are these children, women, and men, and why do they lack coverage for essential health care services? How does the system of insurance coverage in the U.S. operate, and where does it fail? The first of six Institute of Medicine reports that will examine in detail the consequences of having a large uninsured population, Coverage Matters: Insurance and Health Care, explores the myths and realities of who is uninsured, identifies social, economic, and policy factors that contribute to the situation, and describes the likelihood faced by members of various population groups of being uninsured. It serves as a guide to a broad range of issues related to the lack of insurance coverage in America and provides background data of use to policy makers and health services researchers.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309048273
Category : Medical
Languages : en
Pages : 381
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Book Description
The United States is unique among economically advanced nations in its reliance on employers to provide health benefits voluntarily for workers and their families. Although it is well known that this system fails to reach millions of these individuals as well as others who have no connection to the work place, the system has other weaknesses. It also has many advantages. Because most proposals for health care reform assume some continued role for employers, this book makes an important contribution by describing the strength and limitations of the current system of employment-based health benefits. It provides the data and analysis needed to understand the historical, social, and economic dynamics that have shaped present-day arrangements and outlines what might be done to overcome some of the access, value, and equity problems associated with current employer, insurer, and government policies and practices. Health insurance terminology is often perplexing, and this volume defines essential concepts clearly and carefully. Using an array of primary sources, it provides a store of information on who is covered for what services at what costs, on how programs vary by employer size and industry, and on what governments doâ€"and do not doâ€"to oversee employment-based health programs. A case study adapted from real organizations' experiences illustrates some of the practical challenges in designing, managing, and revising benefit programs. The sometimes unintended and unwanted consequences of employer practices for workers and health care providers are explored. Understanding the concepts of risk, biased risk selection, and risk segmentation is fundamental to sound health care reform. This volume thoroughly examines these key concepts and how they complicate efforts to achieve efficiency and equity in health coverage and health care. With health care reform at the forefront of public attention, this volume will be important to policymakers and regulators, employee benefit managers and other executives, trade associations, and decisionmakers in the health insurance industry, as well as analysts, researchers, and students of health policy.
Author:
Publisher:
ISBN:
Category : Employer-sponsored health insurance
Languages : en
Pages : 108
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Book Description
Author: Georges Dionne
Publisher: Springer Science & Business Media
ISBN: 1461401550
Category : Business & Economics
Languages : en
Pages : 1133
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Book Description
This new edition of the Handbook of Insurance reviews the last forty years of research developments in insurance and its related fields. A single reference source for professors, researchers, graduate students, regulators, consultants and practitioners, the book starts with the history and foundations of risk and insurance theory, followed by a review of prevention and precaution, asymmetric information, risk management, insurance pricing, new financial innovations, reinsurance, corporate governance, capital allocation, securitization, systemic risk, insurance regulation, the industrial organization of insurance markets and other insurance market applications. It ends with health insurance, longevity risk, long-term care insurance, life insurance financial products and social insurance. This second version of the Handbook contains 15 new chapters. Each of the 37 chapters has been written by leading authorities in risk and insurance research, all contributions have been peer reviewed, and each chapter can be read independently of the others.
Author:
Publisher:
ISBN:
Category : Electronic government information
Languages : en
Pages : 80
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Book Description
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309083435
Category : Medical
Languages : en
Pages : 213
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Book Description
Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309133181
Category : Medical
Languages : en
Pages : 536
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Book Description
The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.
