Interaction of the Labor Market and the Health Insurance System: Employer-Sponsored, Individual, and Public Insurance

• 成果类型: Article; Early Access
• 署名作者: Aizawa, Naoki; Fu, Chao
• 署名单位: University of Wisconsin System; University of Wisconsin Madison
• 刊物名称: JOURNAL OF LABOR ECONOMICS
• ISSN/ISSBN: 0734-306X
• DOI: 10.1086/730164
• 发表日期: 2025
• 关键词: affordable care act; adverse selection; Medicaid expansion; MODEL; coverage; mandate; IMPACT

摘要

We develop and estimate an equilibrium model with heterogeneous local markets, households, and firms, highlighting the interrelationship between various components of the health insurance system-employer-sponsored health insurance (ESHI), individual health insurance (HIX), and Medicaid-and their relationship with the labor market. We estimate the model exploiting variation across states and before and after the Affordable Care Act. We consider counterfactual policies that cross subsidize between ESHI and HIX, including pure ESHI-HIX risk pooling as a special case. We find that such policies would increase household welfare and output and decrease government expenditure and would be more effective with Medicaid expansion.