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Workers' preferences among company-provided health insurance plans

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  • Melissa W. Barringer
  • Olivia S. Mitchell

Abstract

Data from four plants of a single company are used to examine differences in health plan selection in 1989 among employees offered a choice of plans. A 10% increase in the traditional fee-for-service (FFS) plan premium reduced the fraction choosing that plan by 4-9 percentage points, and a doubling of the deductible reduced the plan's market share by 3-4 percentage points. Most workers rejecting such a plan chose the high-premium prepaid plans, which offer the lowest cost-sharing provisions. On the other hand, attaching a modest deductible to prepaid plans reduced their market share by 3-4 percentage points and increased participation in the traditional FFS plan, which requires a relatively high premium but low cost-sharing. The authors also find that increases in real salaries and in the age of the work force boosted employee choice of the traditional FFS plan. (Abstract courtesy JSTOR.)

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Bibliographic Info

Article provided by ILR Review, Cornell University, ILR School in its journal ILR Review.

Volume (Year): 48 (1994)
Issue (Month): 1 (October)
Pages: 141-152

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Handle: RePEc:ilr:articl:v:48:y:1994:i:1:p:141-152

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Cited by:
  1. Abramson, Charles & Buchmueller, Thomas & Currim, Imran, 1998. "Models of health plan choice," European Journal of Operational Research, Elsevier, Elsevier, vol. 111(2), pages 228-247, December.
  2. Beaulieu, Nancy Dean, 2002. "Quality information and consumer health plan choices," Journal of Health Economics, Elsevier, Elsevier, vol. 21(1), pages 43-63, January.
  3. Kate Bundorf, M., 2002. "Employee demand for health insurance and employer health plan choices," Journal of Health Economics, Elsevier, Elsevier, vol. 21(1), pages 65-88, January.
  4. Jeonghoon Ahn, 2004. "Panel Data Sample Selection Model: an Application to Employee Choice of Health Plan Type and Medical Cost Estimation," Econometric Society 2004 Far Eastern Meetings, Econometric Society 560, Econometric Society.
  5. Jean Marie Abraham & William B. Vogt & Martin Gaynor, 2002. "Household Demand for Employer-Based Health Insurance," NBER Working Papers 9144, National Bureau of Economic Research, Inc.
  6. M. Bundorf & Jonathan Levin & Neale Mahoney, 2008. "Pricing and Welfare in Health Plan Choice," Discussion Papers, Stanford Institute for Economic Policy Research 07-047, Stanford Institute for Economic Policy Research.
  7. Wedig, Gerard J. & Tai-Seale, Ming, 2002. "The effect of report cards on consumer choice in the health insurance market," Journal of Health Economics, Elsevier, Elsevier, vol. 21(6), pages 1031-1048, November.
  8. Buchmueller, Thomas C. & Feldstein, Paul J., 1997. "The effect of price on switching among health plans," Journal of Health Economics, Elsevier, Elsevier, vol. 16(2), pages 231-247, April.
  9. Thomas C. Buchmueller, 2005. "Price and the Health Plan Choices of Retirees," NBER Working Papers 11395, National Bureau of Economic Research, Inc.
  10. Strombom, Bruce A. & Buchmueller, Thomas C. & Feldstein, Paul J., 2002. "Switching costs, price sensitivity and health plan choice," Journal of Health Economics, Elsevier, Elsevier, vol. 21(1), pages 89-116, January.
  11. Mark V. Pauly & Olivia Mitchell & Yuhui Zeng, 2004. "Death Spiral or Euthanasia? The Demise of Generous Group Health Insurance Coverage," NBER Working Papers 10464, National Bureau of Economic Research, Inc.
  12. Schram, Arthur & Sonnemans, Joep, 2011. "How individuals choose health insurance: An experimental analysis," European Economic Review, Elsevier, Elsevier, vol. 55(6), pages 799-819, August.

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