Employee Choice of Health Insurance
开发了一种非参数损失函数模型来分析员工健康保险计划选择,基于一家公司三种保险选项的数据,发现医疗支出差异超过500%,表明存在极强的偏向性选择,且消费者对高损失低概率事件权重不足。
A new specification of health-insurance-plan choice is developed that uses a nonparametric functional form for the loss function used to evaluate insurance premiums and uncertain out-of-pocket expenditure. The approach is implemented on data resulting from one firm's implementation of a new health plan with three distinct health insurance options. Health expenditure differences greater than 500 percent are observed, indicating extremely strong biased selection. Plan choices are consistent with a convex loss function for small losses, which suggests that consumers underweight high-loss/low-probability outcomes relative to low-loss/high-probability ones. Copyright 1989 by MIT Press.