Incumbent regulation and adverse selection: You can keep your health plan, but at what cost?

A-Tier
Journal: Journal of Public Economics
Year: 2022
Volume: 205
Issue: C

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

The 2010 Affordable Care Act (ACA) instituted incumbent regulation policies in the small group market, where existing health plans could choose to defer compliance with ACA regulations. This created incentives for employers with lower expected healthcare costs and greater uncertainty to not immediately become ACA compliant. We use unique national data with over 300,000 employer-years from 2013 to 2017. Consistent with these incentives, we find that employers with healthier enrollees and those with more turnover were more likely to not immediately comply. This created adverse selection in the ACA-compliant market, increasing its annual healthcare costs by $365 per individual in 2014.

Technical Details

RePEc Handle
repec:eee:pubeco:v:205:y:2022:i:c:s0047272721001924
Journal Field
Public
Author Count
3
Added to Database
2026-01-25