Let Them Have Choice: Gains from Shifting Away from Employer-Sponsored Health Insurance and toward an Individual Exchange

A-Tier
Journal: American Economic Journal: Economic Policy
Year: 2013
Volume: 5
Issue: 1
Pages: 32-58

Authors (3)

Leemore Dafny (not in RePEc) Kate Ho Mauricio Varela (not in RePEc)

Score contribution per author:

1.341 = (α=2.01 / 3 authors) × 2.0x A-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

Most nonelderly Americans purchase health insurance through their employers, which sponsor a limited number of plans. Using a panel dataset representing over ten million insured lives, we estimate employees' preferences for different health plans and use the estimates to predict their choices if more plans were made available to them on the same terms, i.e., with equivalent subsidies and at large-group prices. Using conservative assumptions, we estimate a median welfare gain of 13 percent of premiums. A proper accounting of the costs and benefits of a transition from employer-sponsored to individually-purchased insurance should include this nontrivial gain. (JEL G22, I13, J32)

Technical Details

RePEc Handle
repec:aea:aejpol:v:5:y:2013:i:1:p:32-58
Journal Field
General
Author Count
3
Added to Database
2026-02-02