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The ACA, Health Care Costs, and Disparities in Employer-Sponsored Health Insurance

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  • Nan L. Maxwell
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    Abstract

    This working paper examines the potential changes in the disparities in employer-sponsored health insurance (ESI) and other benefits between low- and high-wage workers under health reform. The analysis suggests that potential changes firms make in compensation could decrease disparities between low- and high-skilled workers in the quality of ESI and increase the disparities in the offering of benefits other than ESI, if the legislation does not slow rising health care costs.

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    File URL: http://mathematica-mpr.com/publications/pdfs/health/ACA_wp.pdf
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    Bibliographic Info

    Paper provided by Mathematica Policy Research in its series Mathematica Policy Research Reports with number 7683.

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    Length: 36
    Date of creation: 30 Mar 2013
    Date of revision:
    Handle: RePEc:mpr:mprres:7683

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    Postal: Mathematica Policy Research P.O. Box 2393 Princeton, NJ 08543-2393 Attn: Communications
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    Web page: http://www.mathematica-mpr.com/
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    Related research

    Keywords: Affordable Care Act; employer-sponsored health insurance; workforce skills; benefits; disparities; low-wage workers;

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    References

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    1. Lehrer, Steven F. & Pereira, Nuno Sousa, 2007. "Worker sorting, compensating differentials and health insurance: Evidence from displaced workers," Journal of Health Economics, Elsevier, vol. 26(5), pages 1034-1056, September.
    2. Nan L. Maxwell, 2012. "The Health and Wealth of a Nation: Employer-Based Health Insurance and the Affordable Care Act," Books from Upjohn Press, W.E. Upjohn Institute for Employment Research, number hwn, December.
    3. Gruber, Jonathan & Lettau, Michael, 2004. "How elastic is the firm's demand for health insurance?," Journal of Public Economics, Elsevier, vol. 88(7-8), pages 1273-1293, July.
    4. Katherine Baicker & Amitabh Chandra, 2005. "The Labor Market Effects of Rising Health Insurance Premiums," NBER Working Papers 11160, National Bureau of Economic Research, Inc.
    5. Katherine Baicker & Helen Levy, 2008. "Employer Health Insurance Mandates and the Risk of Unemployment," Risk Management and Insurance Review, American Risk and Insurance Association, vol. 11(1), pages 109-132, 03.
    6. Royalty, Anne Beeson, 2000. "Tax preferences for fringe benefits and workers' eligibility for employer health insurance," Journal of Public Economics, Elsevier, vol. 75(2), pages 209-227, February.
    7. Nan L. Maxwell, 2012. "Health and Wealth of a Nation: Employer-Based Health Insurance and the Affordable Care Act," Mathematica Policy Research Reports 7526, Mathematica Policy Research.
    8. Royalty, Anne Beeson & Hagens, John, 2005. "The effect of premiums on the decision to participate in health insurance and other fringe benefits offered by the employer: evidence from a real-world experiment," Journal of Health Economics, Elsevier, vol. 24(1), pages 95-112, January.
    9. Roger Feldman & Bryan Dowd & Scott Leitz & Lynn A. Blewett, 1997. "The Effect of Premiums on the Small Firm's Decision to Offer Health Insurance," Journal of Human Resources, University of Wisconsin Press, vol. 32(4), pages 635-658.
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