均衡劳动力市场搜寻与医疗保险改革

Equilibrium Labor Market Search and Health Insurance Reform

Journal of Political Economy · 2020
被引 37
人大 A+FT50ABS 4*

中文导读

构建并实证估计了一个均衡劳动力市场搜寻模型,评估了包括2010年《平价医疗法案》在内的多项医疗改革提案的均衡影响,发现基于收入的保费补贴对法案可持续性至关重要。

Abstract

We present and empirically implement an equilibrium labor market search model where risk-averse workers facing medical expenditure shocks are matched with firms making health insurance coverage decisions. We use our estimated model to evaluate the equilibrium impact of many health care reform proposals, including the 2010 Affordable Care Act (ACA). We use the estimates of the early impact of the ACA as a model validation. We find that income-based subsidies for health insurance premiums are crucial for the sustainability of the ACA, while the ACA can still substantially reduce the uninsured rate without the individual or the employer mandate.

劳动力市场搜索健康保险改革均衡模型可负担医疗法案