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Health insurers increasingly compete on their covered networks of medical providers. Using data from Massachusetts' pioneer insurance exchange, I find substantial adverse selection against plans covering the most prestigious and expensive "star" hospitals. I highlight a theoretically distinct...
Persistent link: https://www.econbiz.de/10012456079
Increasingly in U.S. public insurance programs, the state finances and regulates competing, capitated private health plans but does not itself directly insure beneficiaries through a public fee-for-service (FFS) plan. We develop a simple model of risk-selection in such settings. Capitation...
Persistent link: https://www.econbiz.de/10012459465
We construct a fully specified extensive form game that captures competitive markets with adverse selection. In particular, it allows firms to offer any finite set of contracts, so that cross-subsidization is not ruled out. Moreover, firms can withdraw from the market after initial contract...
Persistent link: https://www.econbiz.de/10012460190
This paper uses data on health insurance choices by employees of Harvard University to examine the effect of alternative pricing rules on market equilibrium. In the mid-1990s, Harvard moved from a system of subsidizing more expensive insurance to a system of contributing an equal amount to each...
Persistent link: https://www.econbiz.de/10012473037
This paper quantifies the unequal welfare effects of tax competition. I derive the optimal tax and transfer schedules … optimal level of redistribution is always lower in the tax competition equilibrium. Numerical calibrations show that being in … a competition union rather than in a federal union decreases poorer individuals' welfare by up to -20 percent. In …
Persistent link: https://www.econbiz.de/10014437051
competition. There are many instruments in this policy arsenal, since the tax base associated with a particular tax instrument may …-federal governments have adopted in an effort to limit tax competition. It classifies them into three groups: those that can be pursued …
Persistent link: https://www.econbiz.de/10014468289
enforce collection of sales taxes on a destination basis. This has reduced state tax competition with an essentially … to which they have fostered sales tax competition in recent decades. We then explore the extent to which greater …
Persistent link: https://www.econbiz.de/10014247994
This article explores subjects in optimal income taxation characterized by recent research interest, practical importance in light of concerns about inequality, potential for misunderstanding, and prospects for advancement. Throughout, the analysis highlights paths for further investigation....
Persistent link: https://www.econbiz.de/10013334417
This paper applies principles of adverse selection to overcome obstacles that prevent the implementation of Pigouvian policies to internalize externalities. Focusing on negative externalities from production (such as pollution), we consider settings in which aggregate emissions are known, but...
Persistent link: https://www.econbiz.de/10013334500
Existing research on selection in insurance markets focuses on how adverse selection distorts prices and misallocates products across people. This ignores the distributional consequences of who pays the higher prices. In this paper, we show that the distributional incidence depends on the...
Persistent link: https://www.econbiz.de/10014322822