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The Welfare Effects of Long-Term Health Insurance Contracts
Benjamin R. Handel
Igal Hendel
Michael Dennis Whinston
出版
National Bureau of Economic Research
, 2017
URL
http://books.google.com.hk/books?id=IdIjtAEACAAJ&hl=&source=gbs_api
註釋
Reclassification risk is a major concern in health insurance. We use a rich dataset with individual-level information on health risk to empirically study one possible solution: dynamic contracts. Empirically, dynamic contracts with one-sided commitment substantially reduce the reclassification risk present with spot contracting, achieving close to the first-best for consumers with flat net income paths. Gains are smaller for consumers with net income growth, and these consumers prefer ACA-like community rating over dynamic contracts. However, lower risk aversion, sufficient switching costs, or government insurance of pre-age-25 health risks can raise welfare with dynamic contracts above the level in ACA-like markets.