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Workers' preferences among company-provided health insurance plans

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Author Info
Melissa W. Barringer
Olivia S. Mitchell

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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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Publisher Info
Article provided by ILR Review, ILR School, Cornell University 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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  1. 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 560, Econometric Society. [Downloadable!]
  2. Thomas C. Buchmueller, 2005. "Price and the Health Plan Choices of Retirees," NBER Working Papers 11395, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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  3. 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. [Downloadable!] (restricted)
  4. 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. [Downloadable!] (restricted)
  5. M. Kate Bundorf & Jonathan D. Levin & Neale Mahoney, 2008. "Pricing and Welfare in Health Plan Choice," NBER Working Papers 14153, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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