Price-Linked Subsidies and Imperfect Competition in Health Insurance /

Policymakers subsidizing health insurance often face uncertainty about future market prices. We study the implications of one policy response: linking subsidies to prices, to target a given post-subsidy premium. We show that these price-linked subsidies weaken competition, raising prices for the gov...

Ausführliche Beschreibung

Gespeichert in:
1. Verfasser:
Jaffe, Sonia P.
Körperschaft:
National Bureau of Economic Research
Weitere Verfasser:
Shepard, Mark
Format:
Elektronisch E-Book
Sprache:
Englisch
Veröffentlicht:
Cambridge, Mass. National Bureau of Economic Research 2017.
Zusammenfassung:
Policymakers subsidizing health insurance often face uncertainty about future market prices. We study the implications of one policy response: linking subsidies to prices, to target a given post-subsidy premium. We show that these price-linked subsidies weaken competition, raising prices for the government and/or consumers. However, price-linking also ties subsidies to health care cost shocks, which may be desirable. Evaluating this tradeoffs empirically using a model estimated with Massachusetts insurance exchange data, we find that price-linking increases prices 1-6%, and much more in less competitive markets. For cost uncertainty reasonable in a mature market, these losses outweigh the benefits of price-linking.
Umfang:
1 online resource: illustrations (black and white);
Anmerkungen:
January 2017.
Schlagworte: