Chronic Illness and Health Insurance-Related Job Lock
We examine job duration patterns for evidence of health insurance-related job lock among chronically ill workers or workers with a chronically ill family member. Using Cox proportional hazard models, we allow for more general insurance effects than in the existing literature to indicate the impact of health insurance and health status on workers' job durations. We use data for workers in Indiana predating the Health Insurance Portability and Accountability Act (HIPAA) to examine the potential impact of HIPAA on job mobility. Chronic illness reduced job mobility by about 40 percent among the workers in our sample who relied on their employers for coverage as compared to otherwise similar workers who did not rely on their employers for coverage. Our results identify previously underappreciated job lock among chronically ill workers and workers with a chronically ill family member, clarify how one best researches job lock, and indicate the potential impact of policies aimed at alleviating job lock and promoting inter-employer worker mobility. This paper was revised August 2000.
|Date of creation:||Mar 2000|
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- Brigitte C. Madrian, 1994.
"Employment-Based Health Insurance and Job Mobility: Is there Evidence of Job-Lock?,"
The Quarterly Journal of Economics,
Oxford University Press, vol. 109(1), pages 27-54.
- Brigitte C. Madrian, 1993. "Employment-Based Health Insurance and Job Mobility: Is There Evidence of Job-Lock?," NBER Working Papers 4476, National Bureau of Economic Research, Inc.
- Currie, Janet & Madrian, Brigitte C., 1999.
"Health, health insurance and the labor market,"
Handbook of Labor Economics,
in: O. Ashenfelter & D. Card (ed.), Handbook of Labor Economics, edition 1, volume 3, chapter 50, pages 3309-3416
- Ann P. Bartel & George J. Borjas, 1981.
"Wage Growth and Job Turnover: An Empirical Analysis,"
in: Studies in Labor Markets, pages 65-90
National Bureau of Economic Research, Inc.
- Ann P. Bartel & George J. Borjas, 1978. "Wage Growth and Job Turnover: An Empirical Analysis," NBER Working Papers 0285, National Bureau of Economic Research, Inc.
- Thomas C. Buchmueller & Robert G. Valletta, 1996. "The Effects of Employer-Provided Health Insurance on Worker Mobility," ILR Review, Cornell University, ILR School, vol. 49(3), pages 439-455, April.
- Jacob Mincer & Boyan Jovanovic, 1979.
"Labor Mobility and Wages,"
NBER Working Papers
0357, National Bureau of Economic Research, Inc.
- Light, Audrey & Ureta, Manuelita, 1992. "Panel Estimates of Male and Female Job Turnover Behavior: Can Female Nonquitters Be Identified?," Journal of Labor Economics, University of Chicago Press, vol. 10(2), pages 156-181, April.
- Kanika Kapur, 1998. "The Impact of Health on Job Mobility: A Measure of Job Lock," ILR Review, Cornell University, ILR School, vol. 51(2), pages 282-298, January.
- Douglas Holtz-Eakin, 1994. "Health Insurance Provision and Labor Market Efficiency in the United States and Germany," NBER Chapters, in: Social Protection versus Economic Flexibility: Is There a Trade-Off?, pages 157-188 National Bureau of Economic Research, Inc.
- Shaw, Kathryn L, 1987. "The Quit Propensity of Married Men," Journal of Labor Economics, University of Chicago Press, vol. 5(4), pages 533-560, October.
- Kevin T. Stroupe & Eleanor D. Kinney & Thomas J. Kniesner, 2000. "Does Chronic Illness Affect the Adequacy of Health Insurance Coverage?," Center for Policy Research Working Papers 20, Center for Policy Research, Maxwell School, Syracuse University.
- Thomas R. Oliver, 1999. "The dilemmas of incrementalism: Logical and political constraints in the design of health insurance reforms," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 18(4), pages 652-683.
- Alan C. Monheit & Philip F. Cooper, 1994. "Health Insurance and Job Mobility: Theoryand Evidence," ILR Review, Cornell University, ILR School, vol. 48(1), pages 68-85, October.
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