Title
Market Segmentation and Competition in Health Insurance
Author(s)
Michael J. Dickstein Michael Dickstein (New York University)
Kate Ho Kate Ho (Princeton University)
Nathaniel Mark Nathaniel Mark (U.S. Department of Justice)
Abstract
In the United States, households obtain health insurance through distinct market segments. We explore the economics of this segmentation by comparing coverage provided through small employers versus the individual marketplace. Using data from Oregon, we find households with group coverage spend 26% less on covered health care than households with individual coverage yet face higher markups. We develop a model of plan choice and health spending to estimate preferences in both markets and evaluate integration policies. In our setting, pooling can both mitigate adverse selection in the individual market and benefit small group households without raising taxpayer costs.
Creation Date
2021-10
Section URL ID
Paper Number
2021-93
URL
https://scholar.princeton.edu/sites/default/files/kateho/files/market_segmentation_and_competition_in_health_insurance.pdf
File Function
Jel
I11, I13, I18, L00
Keyword(s)
health insurance, market segmentation
Suppress
false
Series
13