Selection Stories: Understanding Movement Across Health Plans

Richard Zeckhauser, David M. Cutler and Bryan Lincoln

Scholarly Articles from Harvard Kennedy School of Government

Abstract: This study assesses the factors influencing the movement of people across health plans. We distinguish three types of cost-related transitions: adverse selection, the movement of the less healthy to more generous plans; adverse retention, the tendency for people to stay where they are when they get sick; and aging in place, where lack of all movement makes plans with initially older enrollees increase in cost over time. Using data from the Group Insurance Commission in Massachusetts, we show that aging in place and adverse selection are both quantitatively important. Each can materially impact equilibrium enrollments, especially when premiums to enrollees reflect these costs.

Date: 2009
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (4)

Published in HKS Faculty Research Working Paper Series

Downloads: (external link)
http://dash.harvard.edu/bitstream/handle/1/4449102 ... ection%20Stories.pdf (application/pdf)

Related works:
Journal Article: Selection stories: Understanding movement across health plans (2010)
Working Paper: Selection Stories: Understanding Movement across Health Plans (2009)
Working Paper: Selection Stories: Understanding Movement Across Health Plans (2009)
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:hrv:hksfac:4449102

Access Statistics for this paper

More papers in Scholarly Articles from Harvard Kennedy School of Government Contact information at EDIRC.
Bibliographic data for series maintained by Office for Scholarly Communication ().