explaining the decision to purchase insurance. In these models, higher risk people buy full or near-full insurance, while lower … insurance markets, in many others, it is the lower risk individuals who have more insurance coverage. If the standard model is … relationship between insurance coverage and risk occurrence can be of any sign, even if the standard asymmetric information effects …

Increasingly in U.S. public insurance programs, the state finances and regulates competing, capitated private health … model of risk-selection in such settings. Capitation incentivizes insurers to retain low-cost clients and thus improve their …

the low observed take-up of long-term care insurance in Canada despite substantial residual out-of-pocket financial risk …We conduct a stated-choice experiment where respondents are asked to rate various insurance products aimed to protect … equilibrium for long-term care insurance using the framework developed by Einav et al. (2010). We investigate in turn causes for …

Risk adjustment of payments to health plans is fundamental to regulated competition among private insurers, which … serves as the basis of national health policy in many countries. To date, estimation and evaluation of a risk adjustment … model has been a two-step process. In a first step, the risk-adjustment payment weights are estimated using statistical …

Health insurance markets face two forms of adverse selection problems. On the demand side, adverse selection leads to … addressed by features of health plan payment systems such as reinsurance, risk adjustment, and premium categories. In this paper … and prospective risk adjustment out-performs the planned payment system which includes only concurrent risk adjustment …

calibrated model of employer-sponsored health insurance, we show that the risk adjustment commonly used by employers to offset …

This paper studies regulated health insurance markets known as exchanges, motivated by their inclusion in the … risk and risk preferences. We combine the estimated joint distribution of risk and risk preferences with a model of … competitive insurance markets to predict outcomes under different regulations that govern insurers' ability to use health status …

model. We compare health insurance coverage, premiums, and insurer average health claim expenditures between Massachusetts … health insurance, we find that premiums and average costs decreased significantly in response to the individual mandate …; consistent with an initially adversely selected insurance market. We are also able to recover an estimated willingness-to-pay for …

The steady state general equilibrium and welfare consequences of health insurance reform are evaluated in a calibrated … their future health status, medical expenditures, labor productivity, access to employer provided group health insurance … insurance contracts available in equilibrium, creates a potential role for health insurance reform. In particular, we consider a …

prices are held fixed. However, when insurance prices change endogenously to reflect updated enrollee risk pools, the same …This paper investigates consumer switching costs in the context of health insurance markets, where adverse selection is … at a large firm where we also observe individual-level panel data on health insurance choices and medical claims. We …