大型雇主健康保险菜单设计

Health insurance menu design for large employers

RAND Journal of Economics · 2023
被引 7
人大 AFT50ABS 4

中文导读

为大型雇主设计健康保险计划菜单提供框架,利用哈佛大学数据估计计划选择和利用模型,评估成本分摊和计划多样性的收益。

Abstract

Abstract We provide a framework for large employers designing a menu of health plan offerings that differ on both financial and nonfinancial dimensions. Using administrative data from Harvard University, we estimate a model of plan choice and utilization, and evaluate the benefits of cost sharing and plan variety. For this population of consumers, and a single plan with a generous out‐of‐pocket maximum and zero deductible, modest cost sharing of approximately 30% maximizes average employee surplus. Gains from offering choice are meaningful only if financial differentiation is paired with differentiation along other dimensions where consumer preferences are correlated with efficient coverage levels.

健康保险菜单设计大雇主成本分摊计划选择