Literature DB >> 10335309

Who gains and who loses with community rating for small business?

J L Buchanan1, M S Marquis.   

Abstract

This paper compares community rating with experience rating for small businesses using a microsimulation model to determine what firms offer and who within these firms purchases insurance. We generate four years of data and find that our results are remarkably stable through time. Both offer and purchase rates are about five percentage points higher under experience rating, but community rating leads to more stable offerings. Under community rating, high-risk firms and families purchase insurance, whereas under experience rating, it is the low-risk firms and families who are the purchasers. Young families and poor families have the lowest purchase rates, with these rates being disproportionately low under community rating.

Mesh:

Year:  1999        PMID: 10335309

Source DB:  PubMed          Journal:  Inquiry        ISSN: 0046-9580            Impact factor:   1.730


  2 in total

1.  Simulating the effects of employer contributions on adverse selection and health plan choice.

Authors:  M S Marquis; J L Buchanan
Journal:  Health Serv Res       Date:  1999-10       Impact factor: 3.402

2.  To offer or not to offer: the role of price in employers' health insurance decisions.

Authors:  M S Marquis; S H Long
Journal:  Health Serv Res       Date:  2001-10       Impact factor: 3.402

  2 in total

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