|
on Insurance Economics |
|
Issue of 2021‒11‒22
eight papers chosen by Soumitra K. Mallick Indian Institute of Social Welfare and Business Management |
| By: | Christina D. Romer; David H. Romer |
| Abstract: | This paper considers fiscal policy during the pandemic through the lens of optimal social insurance. We develop a simple framework to analyze how government taxes and transfers could mimic the insurance against pandemic income losses that people would like to have had. Permutations of the framework provide insight into how unemployment insurance should be structured, when and how much hazard pay is called for, and whether fiscal policy should aim just to redistribute income or also to stimulate aggregate demand during a pandemic. When we use the insights from the model to evaluate unemployment insurance measures taken during the pandemic, we find that some, but far from all, of the implications of the social insurance framework were followed. In the case of hazard pay, we find that the proposal for a national program (the never-implemented HEROES Act) was both broader and more generous than a social insurance perspective would call for. We suggest that the social insurance perspective on fiscal policy is likely to become increasingly relevant as pandemics and climate-related natural disasters become more common causes of unemployment and recessions. |
| JEL: | E62 E65 H21 H31 I18 |
| Date: | 2021–10 |
| URL: | http://d.repec.org/n?u=RePEc:nbr:nberwo:29419&r= |
| By: | Donkor, Kwabena B. (Stanford Institute of Economic Policy Research); Perloff, Jeffrey M. (University of California, Berkeley); Gabbard, Susan (JBS International, INC) |
| Abstract: | The Affordable Care Act substantially increased the share of farmworkers with medical insurance, but it had little effect on employer-provided benefits, including health care insurance. Eligible workers with pre-existing health conditions consumed substantially more medical services, unlike those without these conditions. Contrary to expectations, the ACA did not have a significant effect on emergency room usage. |
| JEL: | I13 J32 J43 |
| Date: | 2021–03 |
| URL: | http://d.repec.org/n?u=RePEc:ecl:stabus:3961&r= |
| By: | Denisa BANULESCU-RADU; Meryem YANKOL-SCHALCK |
| Keywords: | , Fraud detection, Household insurance, Machine learning, Logistic LASSO, XGBoost,, Imbalanced data, SHAP |
| Date: | 2021 |
| URL: | http://d.repec.org/n?u=RePEc:leo:wpaper:2904&r= |
| By: | Louis-Philippe Beland (Department of Economics, Carleton University); Jason Huh (Department of Economics, Rensselaer Polytechnic Institute); Dongwoo Kim (Department of Economics, Texas Christian University) |
| Abstract: | Recent papers have documented positive externalities of Medicaid expansions on several nonhealth related variables, such as crime, financial stress, child support, and child abuse. |
| Keywords: | Affordable Care Act, Health Insurance, Foster Care, Child Abuse |
| JEL: | I13 I18 J13 K36 |
| Date: | 2021–08–12 |
| URL: | http://d.repec.org/n?u=RePEc:car:carecp:21-07&r= |
| By: | Moritz, Laura; Kuhn, Lena; Bobojonov, Ihtiyor; Glauben, Thomas |
| Keywords: | Risk and Uncertainty |
| Date: | 2021–08 |
| URL: | http://d.repec.org/n?u=RePEc:ags:iaae21:315266&r= |
| By: | De Meza, David; Reito, Francesco; Reyniers, Diane J. |
| Abstract: | Adverse selection famously leads to the crowding out of socially benecial trades. We show that even more trades may be simultaneously crowded in. The reason is that, in the absence of complete unravelling, \lemons" fetch more under adverse selection. It is demonstrated how these \bad" trades occur in insurance, credit and used-car markets, and some policy implications are discussed. |
| Keywords: | adverse selection; insurance; credit; used cars |
| JEL: | C13 D14 D82 |
| Date: | 2021–10–29 |
| URL: | http://d.repec.org/n?u=RePEc:ehl:lserod:112574&r= |
| By: | Bhalotra, Sonia (University of Warwick); Fernandez, Manuel (Universidad de los Andes) |
| Abstract: | We investigate supply-side barriers to medical care in Colombia, where citizens have a constitutional right to health, but insurance companies impose restrictions. We use administrative data on judicial claims for health as a proxy for unmet demand. We validate this using the health services utilization register, showing that judicial claims map into large, pervasive decreases in medical consultations, procedures, hospitalizations and emergency care. This manifests in population health outcomes. We identify increases in mortality pervasive across cause, age and sex, with larger increases for cancer, individuals over the age of fty, women and the poor. |
| Date: | 2021 |
| URL: | http://d.repec.org/n?u=RePEc:wrk:warwec:1376&r= |
| By: | Avdic, Daniel; Blankart, Katharina |
| Abstract: | Cost‐control interventions that target physicians’ clinical discretion are common in healthcare, but evidence on their efficacy is scarce; in particular for “soft” policies when liability is unlikely to be enforced by the regulator. We study the effectiveness of preferred drug policies (minimum prescription quotas of specific “preferred” drugs) in altering physicians practice styles within the high volume drug class of HMG‐CoA‐reductase inhibitors (statins) in the German statutory health insurance system. Using a nationally representative panel of ambulatory care physicians between 2011 and 2014, we exploit the decentralized institutional setting to estimate physician responses to variation in preferred drug policies across regional physician associations over time in a generalized difference‐in‐differences design. Results show that although the cost‐control mechanism increases average policy adherence, this effect is mainly driven by physicians with initially high use rates of preferred drugs. We argue that such misdirection may limit the policy’s usefulness in reducing inappropriate practice variation among healthcare providers. |
| Keywords: | Cost-control, Healthcare, Practice Style, Difference-in-differences |
| Date: | 2021–11–10 |
| URL: | http://d.repec.org/n?u=RePEc:ajt:wcinch:74978&r= |