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Anthony Lo Sasso
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Publisher: Journals Gateway
The Review of Economics and Statistics 1–45.
Published: 05 March 2025
Abstract
View articletitled, Reclassification Risk in the Small Group Health Insurance Market
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for article titled, Reclassification Risk in the Small Group Health Insurance Market
We evaluate health insurance reclassification risk in the Small Group Market before ACA community rating regulations. We use detailed claims and premiums data from a large insurance company, controlling non parametrically for selection. We find a pass-through of 11% from changes in health risk to changes in premiums, with a stronger equilibrium relationship between the two. The pricing patterns are consistent with the insurer offering “guaranteed renewability” contracts with one-sided pricing commitment. The observed pricing policy adds 55% of the consumer welfare gain from community rating relative to experience rating, with welfare gains limited because of switching across insurance companies.
Includes: Supplementary data