nep-ias New Economics Papers
on Insurance Economics
Issue of 2019‒02‒11
29 papers chosen by
Soumitra K. Mallick
Indian Institute of Social Welfare and Business Management

  1. Health Care When Workers Need It Most: Before and After Entry into the Social Security Disability Insurance Program By Gina A. Livermore; David C. Stapleton; Henry Claypool
  2. The Effects of Social Health Insurance Expansion and Increased Choice on Perinatal Health and Health Care Use: Lessons from the Uruguayan Health Care Reform By Ana Inés Balsa; Patricia Triunfo
  3. Summary of Literature Review: Challenges and Strategies Used to Operate Unemployment Insurance Programs During the Great Recession By Joanne Lee; Karen Needels
  4. Options to Reduce the Budgetary Costs of the Federal Crop Insurance Program By Congressional Budget Office
  5. CBO’s Record of Projecting Subsidies for Health Insurance Under the Affordable Care Act: 2014 to 2016 By Congressional Budget Office
  6. Insured participation in health prevention programmes: what are the explanatory factors ? By Jean-Yves Lesueur
  7. Detroit Motor City to Medical Mecca By Jon Christianson; Grace Anglin; Amelia Bond; Peter Cunningham; Gretchen Kishbauch; Hoangmai H. Pham
  8. Is There Too Much History in Historical Yield Data By Yong Liu; Alan P. Ker
  9. Impact of private health insurance on a public healthcare system: the case of cesarean deliveries By Carine Milcent; Saad Zbiri
  10. Differences in Prevalence, Treatment, and Outcomes of Asthma Among a Diverse Population of Children with Equal Access to Care: Findings from a Study in the Military Health System By Kate A. Stewart; Patricia C. Higgins; Catherine G. McLaughlin; Thomas V. Williams; Elder Granger; Thomas W. Croghan
  11. Fourth Report to Congress on the Evaluation of the Medicare Coordinated Care Demonstration By Jennifer Schore; Deborah Peikes; Greg Peterson; Angela Gerolamo; Randall Brown
  12. Optimal nuclear liability insurance By Alexis Louaas; Pierre Picard
  13. Non-linear Incentives and Worker Productivity and Earnings: Evidence from a Quasi-experiment By Richard B. Freeman; Wei Huang; Teng Li
  14. The National Flood Insurance Program: Financial Soundness and Affordability By Congressional Budget Office
  15. Federal Subsidies for Health Insurance Coverage for People Under Age 65: 2017 to 2027 By Congressional Budget Office
  16. Do remotely-sensed vegetation health indices explain credit risk in agricultural microfinance? By Möllmann, Johannes; Mußhoff, Oliver; Buchholz, Matthias; Kölle, Wienand
  17. Electronic Health Records Demonstration Evaluation: Implementation Report 2010 By Suzanne Felt-Lisk; Rachel Shapiro; Christopher Fleming; Brenda Natzke; Allison Barrett; Grace Anglin
  18. Financial Protection Against Medical Expense By Owen (O.A.) O'Donnell
  19. Medicaid Beneficiaries Using Mental Health or Substance Abuse Services in Fee-for-Service Plans in 13 States, 2003 By Henry T. Ireys; Allison L. Barrett; Jeffrey A. Buck; Thomas W. Croghan; Melanie Au; Judith L. Teich
  20. A Premium Support System for Medicare: Updated Analysis of Illustrative Options By Congressional Budget Office
  21. Labor-Market Concentration and Labor Compensation By Qiu, Yue; Sojourner, Aaron J.
  22. DI Applicants' Characteristics and the Implications for Efforts to Help Them Remain in the Labor Force By Yonatan Ben-Shalom; Steve Bruns
  23. Prevention efforts, insurance demand and price incentives under coherent risk measures By Sarah Bensalem; Nicolás Hernández Santibáñez; Nabil Kazi-Tani
  24. What Have we Learned about SSA and VR Program Interactions? By David R. Mann
  25. Active Labor Market Policies: Lessons from Other Countries for the United States By Chad P. Bown; Caroline Freund
  26. Development of the Medicaid Analytic Extract Provider Characteristics (MAXPC) File: Final Implementation Report, 2006 By Deo S. Bencio; Julie Sykes; Mei-ling Mason
  27. Development of the Medicaid Analytic Extract Enrollee Master (MAXEM) File, 2005 and 2006 By John L. Czajka; Audra Wenzlow; Julie Sykes
  28. Covering Low-Income Childless Adults in Medicaid: Experiences from Selected States By Stephen A. Somers; Allison Hamblin; James M. Verdier; Vivian L.H. Byrd
  29. The Effects of Terminating Payments for Cost-Sharing Reductions By Congressional Budget Office

  1. By: Gina A. Livermore; David C. Stapleton; Henry Claypool
    Abstract: This study analyzed survey data on Social Security Disability Insurance (SSDI) beneficiaries during the six-year window surrounding SSDI entitlement to illustrate changes in characteristics, insurance status, and health care access.
    Keywords: SSI, SSDI , Disability , Social Security , Health Care Access
    JEL: I J
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:a904239b2e864fb2a4423bf4342f70d3&r=all
  2. By: Ana Inés Balsa; Patricia Triunfo
    Abstract: In 2007 the Uruguayan government launched a reform aimed at expanding social health insurance to family-members of formal workers and to retirees. The policy increased insurance generosity -relative to the safety net alternative- and increased competition by allowing new beneficiaries to choose care from a set of private providers. Exploiting the phased-in implementation and the geographic variation in the intensity of the reform, we find that the expansion of social health insurance had a negligible effect on perinatal health and health care among adolescent mothers and their newborns. Our results do not support prior research showing health care quality improvements in settings with increased choice. We hypothesize that health care rationing by private providers due to rising wages, a smaller primary care infrastructure of private providers in low-income neighborhoods, and cultural and financial barriers may have accounted for the lack of positive effects.
    Keywords: social health insurance, provider choice, competition, birthweight, prenatal care, health reform, Latin America
    JEL: D12 H51 I11 I12 I13 I14 I18 J13
    Date: 2018
    URL: http://d.repec.org/n?u=RePEc:mnt:wpaper:1803&r=all
  3. By: Joanne Lee; Karen Needels
    Abstract: This report summarizes key challenges and strategies of states operating unemployment insurance (UI) programs during the Great Recession and its aftermath.
    Keywords: Unemployment Insurance, Programs, Great Recession
    JEL: J
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:e8642ca7563841818a11953992b8d7f4&r=all
  4. By: Congressional Budget Office
    Abstract: The federal crop insurance program helps protect agricultural producers from losses by offering insurance for their crops—principally corn, soybeans, wheat, and cotton. Federal spending on the program has averaged about $9 billion annually over the past five years. That spending has mostly gone toward premium subsidies for agricultural producers; a smaller portion reimburses private insurance companies for the administrative and operating costs of providing crop insurance. The government also shares in those companies’ losses and gains from the policies.
    JEL: Q18
    Date: 2017–12–22
    URL: http://d.repec.org/n?u=RePEc:cbo:report:53375&r=all
  5. By: Congressional Budget Office
    Abstract: CBO and JCT’s March 2010 and May 2013 projections of federal spending for people made newly eligible for Medicaid by the ACA and of subsidies for health insurance received through the marketplaces and the Basic Health Program were close to the actual amounts for 2014 and 2015, but—like estimates by a number of other organizations—were much too high for 2016. To a great extent, the differences arose because actual results deviated from the agencies’ expectations about how the economy would change, how the law would be implemented, and how people and employers would respond to the law
    JEL: I13 I18
    Date: 2017–12–07
    URL: http://d.repec.org/n?u=RePEc:cbo:report:53094&r=all
  6. By: Jean-Yves Lesueur (GATE Lyon Saint-Étienne - Groupe d'analyse et de théorie économique - ENS Lyon - École normale supérieure - Lyon - UL2 - Université Lumière - Lyon 2 - UCBL - Université Claude Bernard Lyon 1 - Université de Lyon - UJM - Université Jean Monnet [Saint-Étienne] - Université de Lyon - CNRS - Centre National de la Recherche Scientifique, Université de Lyon)
    Abstract: Some recent institutional reforms in different countries introduced incentives to develop individual preventive care attitudes and a new health insurance market design where private insurers invests in preventive action for their customers. In that way, the National Inter professional Agreement that was established since 2016 between insurance companies and private firms in France, generated new forms of private health insurance contract's that includes a free offer of preventive care services for their policyholders. The success of this kind of health preventive action depends on the decision of the policyholders to participate. The purpose of the paper is precisely to evaluate the determinants of the individual's participation to this kind of health preventive program. Using individual data's from an original survey realized by an insurance company to its customers, our econometrics results demonstrated that all other things equals, the decision of participation is largely influenced by health behavior and behavioral bias like procrastination, impulsivity and social norms.
    Abstract: Les réformes du système de santé mises en oeuvre ces dernières années dans la plupart des pays, ont eu pour objectif de déplacer le curseur de la médecine curative vers la médecine préventive. Dans un contexte de contraintes budgétaires, ces réformes visent notamment à dynamiser un marché de la prévention afin de réduire les risques et améliorer l'efficacité des dépenses de santé. L'Accord National Interprofessionnel (ANI) mis en place depuis 2016 en France, qui impose aux entreprises du secteur privé de proposer une assurance complémentaire santé à leurs salariés s'inscrit dans ce contexte. Les conditions de cet accord, prévoient en effet qu'une partie des cotisations soit investie par les compagnies d'assurance et les mutuelles dans des programmes de prévention assurant un suivi personnalisé des assurés dans leur hygiène de vie et leur santé. L'adhésion des assurés à ces services, souvent gratuits et joints à l'offre de complémentaire santé, est un des facteurs clefs de la réussite de cette politique de prévention santé. A partir des résultats d'une enquête menée en 2016 auprès d'un échantillon d'assurés d'un groupe mutualiste français, on étudie les déterminants des intentions de participation des assurés interrogés à une telle offre de services. Au-delà des déterminants sociodémographiques régulièrement mis en évidence par les études sur la demande de prévention, nous nous interrogeons plus précisément d'une part sur l'effet des biais comportementaux, et d'autre part sur l'éventuel effet induit du suivi médical sur la participation aux programmes de prévention. Si nos résultats économétriques tendent à modérer l'influence du rôle de la médecine curative sur la participation aux programmes de prévention, ils renforcent en revanche l'influence très significative des biais comportementaux. Abstract : Some recent institutional reforms in different countries introduced incentives to develop individual preventive care attitudes and a new health insurance market design where private insurers invests in preventive action for their customers. In that way, the National Inter professional Agreement that was established since 2016 between insurance companies and private firms in France, generated new forms of private health insurance contract's that includes a free offer of preventive care services for their policyholders. The success of this kind of health preventive action depends on the decision of the policyholders to participate. The purpose of the paper is precisely to evaluate the determinants of the individual's participation to this kind of health preventive program. Using individual data's from an original survey realized by an insurance company to its customers, our econometrics results demonstrated that all other things equals, the decision of participation is largely influenced by health behavior and behavioral bias like procrastination, impulsivity and social norms.
    Keywords: Health preventive demand,health insurance,behavioral bias,Demande de prévention,assurance santé,biais comportementaux
    Date: 2019–01–18
    URL: http://d.repec.org/n?u=RePEc:hal:wpaper:hal-01986235&r=all
  7. By: Jon Christianson; Grace Anglin; Amelia Bond; Peter Cunningham; Gretchen Kishbauch; Hoangmai H. Pham
    Abstract: This issue brief summarizes findings from a study by the Center for Studying Health System Change (HSC), on behalf of the National Institute for Health Care Reform, to evaluate how health care is organized, financed, and delivered in the Detroit metropolitan area.
    Keywords: Detroit Health Care System , Insurance Coverage , Health Care Plans
    JEL: I
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:bc1191df835d427b91de118da56d3c44&r=all
  8. By: Yong Liu; Alan P. Ker
    Abstract: County crop yield data from United States Department of Agriculture - National Agricultural Statistics Service has and continues to be extensively used in the literature as well as practice. The most notable practical example is crop insurance, as the Risk Management Agency uses the data to set guarantees, estimate premium rates, and calculate indemnities for their area programs. In many applications including crop insurance, yield data are detrended and adjusted for possible heteroscedasticity and then assumed to be independent and identically distributed. For most major crop-region combinations, county yield data exist from the 1950s onwards and reflect very significant innovations in both seed and farm management technologies; innovations that have likely moved mass all around the support of the yield distribution. Despite correcting for movements in the first two moments of the yield data generating process (dgp), these innovations raise doubt regarding the identically distributed assumption. This manuscript considers the question of how much historical yield data should be used in empirical analyses. The answer is obviously dependent on the empirical application, crop-region combination, econometric methodology, and chosen loss function. Nonetheless, we hope to provide some guidance by tackling this question in three ways. First, we use distributional tests to assess if and when the adjusted yield data may result from different dgps. Second, we consider the application to crop insurance by using an out-of-sample rating game -- commonly employed in the literature -- to compare rates from the full versus historically restricted data sets. Third, we estimate flexible time-varying dgps and then simulate to quantify the additional error when the identically distributed assumption is erroneously imposed. Our findings suggest that despite accounting for time-varying movements in the first two moments, using yield data more than 30 years past increases estimation error. Given that discarding historical data is unappetizing, particularly so in applications with relatively small T, we investigate three methodologies that re-incorporate the discarded data while explicitly acknowledging: (i) the retained and discarded data are from different dgps; and (ii) the extent and form of those differences is unknown. Our results suggest gains in efficiency may be realized by using these more flexible methodologies. While our results are most applicable to the crop insurance literature, we suggest proceeding with caution when using historical yield data in other applications as well.
    Keywords: Agricultural and Food Policy
    Date: 2019–01–30
    URL: http://d.repec.org/n?u=RePEc:ags:uguiwp:283559&r=all
  9. By: Carine Milcent (CEPREMAP - Centre pour la recherche économique et ses applications, PJSE - Paris Jourdan Sciences Economiques - UP1 - Université Panthéon-Sorbonne - ENS Paris - École normale supérieure - Paris - INRA - Institut National de la Recherche Agronomique - EHESS - École des hautes études en sciences sociales - ENPC - École des Ponts ParisTech - CNRS - Centre National de la Recherche Scientifique, PSE - Paris School of Economics); Saad Zbiri (RISCQ - Risques cliniques et sécurité en santé des femmes et en santé périnatale - UVSQ - Université de Versailles Saint-Quentin-en-Yvelines)
    Keywords: Private health insurance,Public healthcare system,Activity-based payment,Cesarean delivery
    Date: 2018–11
    URL: http://d.repec.org/n?u=RePEc:hal:wpaper:halshs-01945878&r=all
  10. By: Kate A. Stewart; Patricia C. Higgins; Catherine G. McLaughlin; Thomas V. Williams; Elder Granger; Thomas W. Croghan
    Abstract: This article assesses racial and ethnic differences in asthma prevalence, treatment patterns, and outcomes for children enrolled in the Department of Defense’s health insurance program, TRICARE.
    Keywords: Treatment Patterns , Military Health System , Access to Health Care , Children
    JEL: I
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:0761c97c49e24e7bb21cbab32e031e4b&r=all
  11. By: Jennifer Schore; Deborah Peikes; Greg Peterson; Angela Gerolamo; Randall Brown
    Abstract: This report evaluated Mercy Medical Center North Iowa and Health Quality Partners, two providers in the Medicare Coordinated Care Demonstration, a rigorous multiyear evaluation sponsored by the Centers for Medicare & Medicaid Services (CMS) to determine if care coordination improves quality of care and reduces Medicare expenditures.
    Keywords: disease management, care coordination , Medicare, demonstration, costs, hospitalization , Health Quality Partners , Mercy Medical Center
    JEL: I
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:45c8118777984ceba90413e32256bc6b&r=all
  12. By: Alexis Louaas (X-DEP-ECO - Département d'Économie de l'École Polytechnique - X - École polytechnique); Pierre Picard (X - École polytechnique)
    Abstract: We analyze the insurance of nuclear liability risk, from theoretical and applied standpoints. Firstly, we characterize the optimal insurance scheme for a low-probability industrial accident, such as a nuclear catastrophe, in a model of collective risk-sharing. Using catastrophe bond data, we then evaluate the cost of capital sustaining such an insurance mechanism. Finally, we characterize the individual lotteries associated with the risk of a nuclear accident in France, and we estimate the optimal coverage. We conclude that the corporate liability limit currently in force is likely to be inferior to the socially optimal level.
    Date: 2019–01–28
    URL: http://d.repec.org/n?u=RePEc:hal:wpaper:hal-01996648&r=all
  13. By: Richard B. Freeman; Wei Huang; Teng Li
    Abstract: Firms often use non-linear incentive systems to motivate workers to achieve specified goals, such as paying bonuses to reach targets in sales, production, or cost reduction. Using administrative data from a major Chinese insurance firm that raised its sales targets and rewards for insurance agents greatly in 2015, we find that increased incentives induced agents to increase sales of the increasingly incentivized life insurance products, bunched around the new targets, albeit in part with some low quality sales that led to canceled contracts, while reducing sales of products out-side the new incentive system. The greater non-linear incentives raised agent incomes and low-ered turnover and substantially increased firm revenues net of the increase in payments to agents. The stock market reacted to the new system with a jump in the firms’ share price relative to its main competitor by 15-20% in the days surrounding introduction of the new system.
    JEL: J00 J22 J3 M5 M52
    Date: 2019–01
    URL: http://d.repec.org/n?u=RePEc:nbr:nberwo:25507&r=all
  14. By: Congressional Budget Office
    Abstract: The National Flood Insurance Program (NFIP) offers flood insurance and promotes floodplain management. CBO’s analysis of 5 million policies in effect in August 2016 showed that the NFIP’s expected one-year costs exceeded annual premiums (including fees and assessments paid by policyholders) by $1.4 billion. That shortfall stemmed primarily from premiums’ falling short of expected costs in coastal counties, which account for three-quarters of all NFIP policies nationwide.
    JEL: Q54 Q58 H42 G22
    Date: 2017–09–01
    URL: http://d.repec.org/n?u=RePEc:cbo:report:53028&r=all
  15. By: Congressional Budget Office
    Abstract: CBO and the staff of the Joint Committee on Taxation project that the federal subsidies, taxes, and penalties associated with health insurance coverage for the noninstitutionalized population under age 65 will result in a net subsidy from the federal government of $705 billion, or 3.7 percent of GDP, in 2017. For the entire 2017–2027 period, the projected net subsidy is $9.2 trillion. On average, about 28 million people—10 percent of that population—will be uninsured in 2017.
    JEL: H30 I13 I18
    Date: 2017–09–14
    URL: http://d.repec.org/n?u=RePEc:cbo:report:53091&r=all
  16. By: Möllmann, Johannes; Mußhoff, Oliver; Buchholz, Matthias; Kölle, Wienand
    Abstract: Farmers' vulnerability to adverse weather events, which are likely to increase in frequency and magnitude due to climate change, is a major impediment to a sufficient credit supply. Smallholder farmers' access to credit is, among other factors, crucial for productivity and out-put growth. Index insurance could help lenders to compensate for lacking installment payments in years with severe weather conditions and, thus, is considered to accelerate agricultural lending. Using a unique borrower dataset provided by a Microfinance Institution (MFI) in Madagascar, we analyze whether remotely-sensed vegetation health indices can explain the credit risk of the MFI's agricultural loan portfolio. Therefore, we utilize sequential logit models and quantile regressions. More specifically, we consider the remotely-sensed Vegetation Condition Index, Temperature Condition Index and the Vegetation Health Index as independent variables at the individual branch and the aggregated bank level. These indices are available globally and can potentially enhance the effectiveness of index insurance by reducing basis risk, a major drawback of index insurance. Moreover, we consider loan- and socio-demographic variables of the borrowers as additional independent variables. Our results show that the credit risk of the MFI is explained, to a large extent, by the vegetation health indices. Moreover, the results from quantile regressions show that the explanatory power of the vegetation health indices increases with increasing credit risk. Thus, utilizing remotely-sensed vegetation health indices for index insurance designs might be particularly valuable for MFIs to hedge the credit risk of their agricultural loan portfolio. Facing lower default rates, MFIs could reduce interest rates. Remotely-sensed index insurance could therefore enhance access to credit, contributing to sustainable development in the study region.
    Keywords: Remotely-sensed data,Vegetation Health Indices,Credit risk,Microcredit,Index insurance
    Date: 2019
    URL: http://d.repec.org/n?u=RePEc:zbw:daredp:1902&r=all
  17. By: Suzanne Felt-Lisk; Rachel Shapiro; Christopher Fleming; Brenda Natzke; Allison Barrett; Grace Anglin
    Abstract: The Electronic Health Record Demonstration, funded by the Centers for Medicare & Medicaid Services (CMS), is designed to evaluate whether financial incentives can increase the adoption and use of electronic health records (EHRs) by primary care physician practices.
    Keywords: Electronic Health Records , Medicare , accountable care organization , ARRA
    JEL: I
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:33ed102835344736b4932691d97e594e&r=all
  18. By: Owen (O.A.) O'Donnell (Erasmus University Rotterdam, University of Lausanne)
    Abstract: Financial protection is claimed to be an important objective of health policy. Yet there is a lack of clarity about what it is and no consensus on how to measure it. I address the ambiguity of meaning by considering three questions: Protection of what? Protection against what? Protection with what? The proposed answers lead to the suggestion that financial protection is about shielding nonmedical consumption from the cost of healthcare using formal health insurance and public finances, as well as informal and self insurance mechanisms that do not impair earnings potential. Given this definition, I evaluate four approaches to the measurement of financial protection: a) consumption smoothing over health shocks; b) the risk premium; c) catastrophic healthcare payments; and, d) impoverishing healthcare payments. The first of these does not restrict attention to medical expenses, which limits its relevance to health financing policy. The second rests on assumptions about risk preferences. No measure is entirely satisfactory in its treatment of medical expenses that are financed through informal and self insurance instruments. By ignoring these sources of imperfect insurance, the catastrophic payments measure overstates the impact of out-of-pocket medical expenses on living standards, while the impoverishment measure does not credibly identify poverty caused by them. It is better thought of as a correction to the measurement of poverty.
    Keywords: health policy; financial protection; medical expenses; catastrophic payments; poverty
    JEL: D12 D31 D80 I13 I15
    Date: 2019–02–05
    URL: http://d.repec.org/n?u=RePEc:tin:wpaper:20190010&r=all
  19. By: Henry T. Ireys; Allison L. Barrett; Jeffrey A. Buck; Thomas W. Croghan; Melanie Au; Judith L. Teich
    Abstract: This study examined Medicaid beneficiaries using mental health or substance abuse services in fee-for-service plans in 13 states in 2003, concluding that they entered general hospitals and visited emergency rooms far more frequently than other beneficiaries.
    Keywords: Medicaid Beneficiaries , Mental Health , Substance Abuse , Fee for Service Plans
    JEL: I J
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:8be19fa0971b40119a206107d6516a47&r=all
  20. By: Congressional Budget Office
    Abstract: CBO presents new estimates of the budgetary effects of options for a premium support system for Medicare and examines the reasons for the changes in the estimates, including changes in law that have affected the Medicare program.
    JEL: I10 I11 I13 I18 I38
    Date: 2017–10–05
    URL: http://d.repec.org/n?u=RePEc:cbo:report:53077&r=all
  21. By: Qiu, Yue (Temple University); Sojourner, Aaron J. (University of Minnesota)
    Abstract: This paper estimates the effect of labor-market concentration on labor compensation across the U.S. private sector since 2000. We distinguish between concentration in local labor markets versus local product markets, guarding against bias from confounded product-market concentration. Analysis extends beyond wages to rates of employment-based health insurance coverage. Estimates suggest negative effects of labor-market concentration on labor compensation. This comes through both reducing the human-capital level of those in the market and reducing pay conditional on human-capital level. Higher product-market concentration exacerbates and higher unionization rates mitigates these effects.
    Keywords: labor-market concentration, monopsony, wages, health insurance, unions
    JEL: J31 J32 J42 L13 J51
    Date: 2019–01
    URL: http://d.repec.org/n?u=RePEc:iza:izadps:dp12089&r=all
  22. By: Yonatan Ben-Shalom; Steve Bruns
    Abstract: This brief summarizes findings from recent Disability Research Consortium (DRC) studies that examine the characteristics of DI applicants and assess potential approaches for targeting early interventions, and discusses the policy implications of these findings.
    Keywords: disability, insurance, employment, health
    JEL: I J
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:83d2cde903be40fbbe49fb7cb81d2598&r=all
  23. By: Sarah Bensalem (SAF - Laboratoire de Sciences Actuarielle et Financière - UCBL - Université Claude Bernard Lyon 1 - Université de Lyon); Nicolás Hernández Santibáñez (Department of Mathematics - University of Michigan - University of Michigan [Ann Arbor]); Nabil Kazi-Tani (SAF - Laboratoire de Sciences Actuarielle et Financière - UCBL - Université Claude Bernard Lyon 1 - Université de Lyon)
    Abstract: This paper studies an equilibrium model between an insurance buyer and an insurance seller, where both parties' risk preferences are given by convex risk measures. The interaction is modeled through a Stackelberg type game, where the insurance seller plays first by offering prices, in the form of safety loadings. Then the insurance buyer chooses his optimal proportional insurance share and his optimal prevention effort in order to minimize his risk measure. The loss distribution is given by a family of stochastically ordered probability measures, indexed by the prevention effort. We give special attention to the problems of self-insurance and self-protection. We prove that the formulated game admits a unique equilibrium, that we can explicitly solve by further specifying the agents criteria and the loss distribution. In self-insurance, we consider also an adverse selection setting, where the type of the insurance buyers is given by his loss probability, and study the screening and shutdown contracts. Finally, we provide case studies in which we explicitly apply our theoretical results.
    Keywords: Coherent risk measures,Stackelberg game,Prevention,Self-insurance,Self-protection
    Date: 2019–01–16
    URL: http://d.repec.org/n?u=RePEc:hal:wpaper:hal-01983433&r=all
  24. By: David R. Mann
    Abstract: This issue brief highlights lessons from studies funded by SSA’s Disability Resource Consortium on the relationship between the Supplemental Security Income, Social Security Disability Insurance, and Vocational Rehabilitation programs.
    Keywords: disability, social security, vocational rehabilitation
    JEL: I J
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:9b57c084c7b24f3893799be1560fbb6d&r=all
  25. By: Chad P. Bown (Peterson Institute for International Economics); Caroline Freund (World Bank)
    Abstract: US labor force participation has been weak in recent decades, especially during the recovery of the financial crisis of 2007–09. This paper examines several programs that governments in other advanced industrial countries have established to help jobless workers continue to seek employment, not drop out of the labor force, and ultimately find jobs. These programs more actively support out-of-work citizens by facilitating matches between workers and firms, helping workers in their job searches, and sometimes creating jobs when none are available in the private sector. The paper concludes that job placement services, training, wage subsidies, and other labor adjustment policies can be used to successfully help workers find employment and remain tied to the labor market. By contrast, direct job creation through public works projects and other government programs are less effective in helping workers over the long run.
    Keywords: active labor market policies, placement services, training, wage insurance, education
    JEL: J6
    Date: 2019–01
    URL: http://d.repec.org/n?u=RePEc:iie:wpaper:wp19-2&r=all
  26. By: Deo S. Bencio; Julie Sykes; Mei-ling Mason
    Abstract: This report details the criteria and process behind the design and implementation of the Medicaid Analytic eXtract Provider Characteristics file, a uniform provider file for each Medicaid provider in MAX.
    Keywords: MAXPC , Medicaid Analytic Extract Provider Characteristics
    JEL: I
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:b54f4d1bbde84e338b621606bdff4c3d&r=all
  27. By: John L. Czajka; Audra Wenzlow; Julie Sykes
    Abstract: This report describes the design and development of the first MAX Enrollee Master file for 2005 and 2006. This file gives researchers a more effective means of linking Medicaid records over time and across states.
    Keywords: MAXEM , Medicaid Analytic Extract Enrollee Master
    JEL: I
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:9c60b219c77548cc85cc4a7c6cf5a2d4&r=all
  28. By: Stephen A. Somers; Allison Hamblin; James M. Verdier; Vivian L.H. Byrd
    Abstract: This Center for Health Care Strategies policy brief draws insights from 10 states with programs for low-income childless adults to shed light on the likely care needs and costs of the 16 to 20 million new Medicaid beneficiaries who will be brought into the program in 2014.
    Keywords: Medicaid , Low-Income Adults , Mental Illness , Health Costs
    JEL: I
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:69bf97b831cd4cb08983867d540005ae&r=all
  29. By: Congressional Budget Office
    Abstract: Under the Affordable Care Act (ACA), insurers receive federal payments to cover costs incurred when offering plans with reduced deductibles, copayments, and other cost sharing to some people who purchase plans through the ACA marketplaces.
    JEL: I11 I18
    Date: 2017–08–15
    URL: http://d.repec.org/n?u=RePEc:cbo:report:53009&r=all

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