Medical savings accounts: Microsimulation results from a model with adverse selection

Journal of Health Economics

Volumn 18, Issue 2, 1999, Pages 195-218

  Zabinski, Daniel ^a   Selden, Thomas M ^a   Moeller, John F ^a   Banthin, Jessica S ^a  

^a Suite 500   (United States)

Author keywords

Adverse selection; Insurance; Medical savings accounts

Indexed keywords

ARTICLE; COST CONTROL; EMPLOYMENT; HEALTH CARE COST; HEALTH INSURANCE; RISK MANAGEMENT; TAX;

DEMOGRAPHY; FEES AND CHARGES; HEALTH EXPENDITURES; INCOME; INSURANCE COVERAGE; INSURANCE SELECTION BIAS; MEDICAL SAVINGS ACCOUNTS; MODELS, ECONOMETRIC; TAXES; UNITED STATES;

EID: 0032953825     PISSN: 01676296     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0167-6296(98)00038-1     Document Type: Article

References (30)

1. Akerlof G.A. The market for 'lemons': quality uncertainty and the market mechanism. Quarterly Journal of Economics. 84:1970;488-500.
2. American Academy of Actuaries, 1995. Medical savings accounts: cost implications and design issues. Unpublished manuscript.
3. Arrow K. Uncertainty and the welfare economics of medical care. American Economic Review. 53:1963;941-973.
4. Ballard, C.L., Fullerton, D., Shoven, J.B., Whalley, J., 1985. A general equilibrium model for tax policy evaluation. Univ. of Chicago Press, Chicago.
5. Cutler, D.M., Reber, S., 1996. Paying for health insurance: the trade-off between competition and adverse selection. NBER Working Paper 5796.
6. Eichner, M.J., McClellan, M.B., Wise, D.A., 1995. Insurance or self-insurance?: Variation, persistence, and individual health accounts, mimeo. National Bureau of Economic Research.
7. Ellis R.P., McGuire T.G. Provider behavior under prospective reimbursement: cost sharing and supply. Journal of Health Economics. 5:1986;129-151.
8. Feldman R., Dowd B. A new estimate of the welfare loss of excess health insurance. American Economic Review. 81:1991;297-301.
9. Goldstein, G.S., Pauly, M.V., 1976. Group health insurance as a local public good. In: Rosett, R. (Ed.), The Role of Health Insurance in the Health Services Sector. National Bureau of Economic Research, New York, pp. 73-114.
10. Gruber, J., Poterba, J.M., 1996. Tax subsidies to employer-provided health insurance. In: Feldstein, M., Poterba, J.M. (Eds.), Empirical Foundations of Household Taxation. Univ. of Chicago Press, Chicago, pp. 135-164.
11. Keeler, E.B., Buchanan, J.L., Rolph, J.E., 1988. The demand for episodes of medical treatment in the health insurance experiment. RAND, R-3454-NHS, March.
12. Keeler E.B., Malkin J.D., Goldman D.P., Buchanan J.L. Can medical savings accounts for the nonelderly reduce health care costs? Journal of the American Medical Association. 21:1996;1666-1671.
13. Levit K.R.et al. National health expenditures, 1993. Health Care Financing Review. 16:1994;247-294.
14. Manning W.G.et al. Health insurance and the demand for medical care: evidence from a randomized experiment. American Economic Review. 77:1987;251-277.
15. Marquis M.S. Adverse selection with a multiple choice among health insurance plans: a simulation analysis. Journal of Health Economics. 11:1992;129-151.
16. Marquis, M.S., Holmer, M.R., 1986. Choice under uncertainty and the demand for health insurance. RAND, N-2516-HHS, September.
17. Miyazaki H. The rat race and internal labor markets. Bell Journal of Economics. 8:1977;394-418.
18. Moeller, J.F., Banthin, J.S., Beauregard, K.M., Cohen, S.B., Selden, T.M., Zabinski, D., 1996. Medical Expenditure Microsimulation Model (MEDSIM): a brief overview of the model and database. Agency for Health Care Policy and Research, 97-R019.
19. Newhouse J.P., Buntin M.B., Chapman J.D. Risk adjustment and Medicare: taking a closer look. Health Affairs. 6:1997;26-43.
20. Nichols, L.M., Moon, M., Wall, S., 1996. Tax-preferred medical savings accounts and catastrophic health insurance plans: a numerical analysis of winners and losers. Urban Institute, 6990.
21. O'Grady, M., 1996. Medical savings accounts and the dynamics of adverse selection. CRS Report for Congress, 96-406 EPW.
22. Ozanne L. How will medical savings accounts affect medical spending? Inquiry. 33:1996;225-236.
23. Price, J.R., Mays, J.W., 1985. Selection and the competitive standing of health plans in a multiple-choice, multiple-insurer market. In: Scheffler, R., Rossiter, L. (Eds.), Advances in Health Economics and Health Services Research, Vol. 6. JAI Press, Greenwich, CT, pp. 127-149.
24. Rodgers, J., Mays, J.W., 1995. Medical savings accounts for Medicare beneficiaries, unpublished manuscript.
25. Rothschild M., Stiglitz J. Equilibrium in competitive insurance markets: an essay on the economics of imperfect information. Quarterly Journal of Economics. 80:1976;629-649.
26. Selden T.M. A model of capitation. Journal of Health Economics. 9:1990;397-409.
27. Spence M. Product differentiation and performance in insurance markets. Journal of Public Economics. 10:1978;427-447.
28. Thorpe K.E. Medical savings accounts: design and policy issues. Health Affairs. 14:1995;254-259.
29. Wilson C. A model of insurance markets with incomplete information. Journal of Economic Theory. 16:1977;167-207.
30. Yakoboski, P., 1995. IRA eligibility and usage. EBRI Notes, 16.