Household Labor Search, Spousal Insurance, and Health Care Reform

时间:2019-10-21浏览:16设置


ShanghaiTech SEM Working Paper No. 2019-004


Hanming Fang 

University of Pennsylvania, ShanghaiTech University

Andrew Shephard

University of Pennsylvania

  


Health insurance in the United States for the working age population has traditionally been provided in the form of employer-sponsored health insurance (ESHI). If employers offered ESHI to their employees, they also typically extended coverage to their spouse and dependents. Provisions in the Affordable Care Act (ACA) significantly alter the incentive for firms to offer insurance to the spouses of employees. We evaluate the long-run impact of the ACA on firms’ insurance offerings and on household outcomes by developing and estimating an equilibrium job search model in which multiple household members are searching for jobs. The distribution of job offers is determined endogenously, with compensation packages consisting of a wage and menu of insurance offerings (premiums and coverage) that workers select from. Using our estimated model we find that households’ valuation of employersponsored spousal health insurance is significantly reduced under the ACA, and with an“employee-only”health insurance contract emerging among low productivity firms. We relate these outcomes to the specific provisions in the ACA.hanghaiTech University


Keywords: Health, Health Insurance, Labor Market Equilibrium, Household Search


Date Written: October, 2019


Available at SSRN: https://ssrn.com/abstract=3470001


Download this paper:  【No. 2019-004】Household Labor Search, Spousal Insurance, and Health Care Reform.pdf









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