What are consumers willing to pay for a broad network health plan?: Evidence from covered California
Coleman Drake
Journal of Health Economics, 2019, vol. 65, issue C, 63-77
Abstract:
Health Insurance Marketplaces have received considerable attention for their narrow network health plans. Yet, little is known about consumer tastes for network breadth and how they affect plan selection. I estimate demand for health plans in California’s Marketplace, Covered California. Using 2017 individual enrollment data and provider network directories, I develop a geospatial measure of network breadth that reflects the physical locations of households and network providers. I find that households are sensitive to network breath in their plan choices. Mean willingness to pay for a broad network plan relative to a narrow network plan, defined as a two standard deviation, 17.44 percentage point increase in network breadth, is $45.83 in post-subsidy monthly premiums. Variation in WTP indicates a selection mechanism exists whereby older households sort into broader network plans. I also find that households are highly premium sensitive, which may be a result of plan standardization in Covered California.
Keywords: ACA; Health insurance marketplace; Covered California; Discrete choice; Health insurance; Provider network (search for similar items in EconPapers)
JEL-codes: C21 C25 I11 I13 I18 (search for similar items in EconPapers)
Date: 2019
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Citations: View citations in EconPapers (6)
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Persistent link: https://EconPapers.repec.org/RePEc:eee:jhecon:v:65:y:2019:i:c:p:63-77
DOI: 10.1016/j.jhealeco.2018.12.003
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