Health Insurance Costs and Early Retirement Decisions

ILR Review ◽  
2003 ◽  
Vol 56 (4) ◽  
pp. 716-729 ◽  
Author(s):  
Richard W. Johnson ◽  
Amy J. Davidoff ◽  
Kevin Perese
Keyword(s):  
Health Insurance ◽  
Early Retirement ◽  
Net Present Value ◽  
Insurance Coverage ◽  
Insurance Premium ◽  
Full Time ◽  
Percentage Points ◽  
Insurance Costs ◽  
The Government ◽  
The Impact

The loss of health insurance may be an important component of the cost of retirement, especially for workers without retiree health insurance coverage. The authors find that insurance costs significantly reduce retirement rates for full-time wage and salary workers ages 51 to 61. Simulations suggest that a $1,000 increase in the net present value of health insurance premium costs reduces the probability of early retirement by 0.17 percentage points for men and by 0.24 percentage points for women, corresponding to elasticities of −0.22 and −0.24, respectively. The authors' models predict that expanding the Medicare program to cover those aged 62–64 would increase retirement rates for workers with employer-sponsored coverage who lack retiree benefits, if the government subsidizes their coverage. However, the impact would be small, increasing overall retirement rates by only 7%.

Does Health Reform Lead to an Increase in Early Retirement? Evidence from Massachusetts

ILR Review ◽  
2016 ◽  
Vol 70 (3) ◽  
pp. 704-732 ◽  
Author(s):  
Bradley T. Heim ◽  
LeeKai Lin
Keyword(s):  
Health Reform ◽  
Early Retirement ◽  
Control Group ◽  
Full Time ◽  
Percentage Points ◽  
Time Work ◽  
Part Time ◽  
Using Data ◽  
The Impact ◽  
Part Time Work

This article estimates the impact of the 2006 Massachusetts health reform on the decision of individuals to retire early. Using data from the American Community Survey that spans 2004 through 2012, the authors estimate difference-in-differences models for retirement using individuals from other northeastern states as the control group. The estimates suggest that the reform led women to increase early retirement from full-time work by 1.1 percentage points (from a base of 4.8%) and to increase part-time work by 1.1 percentage points (from a base of 30%). Though no significant effects were found for men overall, the estimates imply that the reform led to an increase in retirement and part-time work among lower-income men.

scholarly journals The impact of the policy of expanding coverage for 4 major diseases on out-of-pocket payments

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G R Lee ◽  
J H Lee
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Cerebrovascular Diseases ◽  
Short Period ◽  
Out Of Pocket Payments ◽  
The Government ◽  
The Impact

Abstract In South Korea, Cancers, cardiac disease, cerebrovascular diseases and rare incurable disease cause high medical expenses which are putting a heavy burden on the household economy. They are called '4 Major Severe Diseases'. The government has established the plan of Expanding Coverage for Four Major Severe Diseases. The Policy of Expanding Coverage for the 4 Major Severe Diseases is to apply the necessary medical services including coverage for uncovered services to national health insurance payments in stages. This study aims to evaluate the effects of the policy implemented from 2013 to 2015 by comparing the changes in the out-of-pocket payments before and after the policy. Using the data from the Korea Health Panel(2012, 2016), the policy effect was evaluated by the Difference-In-Difference analysis. A total of 4,686 patients (2,343 in 2012 and 2,343 in 2016) were included, who are enrolled in National Health Insurance, and have at least one chronic disease. People who are under 20 years old were excluded. In addition, severity of disease was adjusted by CCI(Charson's comorbidity index). Compared to before the policy was implemented, the Out-of-pocket payments significantly decreased. In addition, there were significant differences in gender, types of health care system, disabled, economic activity, income level, and CCI. According to previous studies, the policy of Expanding health insurance coverage since 2005 has been criticized for its low effectiveness. However, It is revealed that the Policy of Expanding Coverage for 4 Major Severe Diseases has an effect in this study. Given that the policy needs time to work, this study showed the effect of the policy more comprehensively compared to previous studies evaluating the effectiveness for just one year. Key messages Due to the Policy of Expanding Coverage for 4 Major Severe Diseases, the out-of-pocket health expenditure were reduced in the policy group. Given that the policy needs time to work, this study has shown more comprehensive results than previous studies that evaluated the effect of policy carried out over a short period.

The Impact of the Affordable Care Act Medicaid Expansions on the Sources of Health Insurance Coverage of Undergraduate Students in the United States

2021 ◽  
pp. 107755872110158
Author(s):  
Priyanka Anand ◽  
Dora Gicheva
Keyword(s):  
United States ◽  
Health Insurance ◽  
Undergraduate Students ◽  
Affordable Care Act ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
The United States ◽  
Percentage Points ◽  
The Affordable Care Act ◽  
Medicaid Expansions

This article examines how the Affordable Care Act Medicaid expansions affected the sources of health insurance coverage of undergraduate students in the United States. We show that the Affordable Care Act expansions increased the Medicaid coverage of undergraduate students by 5 to 7 percentage points more in expansion states than in nonexpansion states, resulting in 17% of undergraduate students in expansion states being covered by Medicaid postexpansion (up from 9% prior to the expansion). In contrast, the growth in employer and private direct coverage was 1 to 2 percentage points lower postexpansion for students in expansion states compared with nonexpansion states. Our findings demonstrate that policy efforts to expand Medicaid eligibility have been successful in increasing the Medicaid coverage rates for undergraduate students in the United States, but there is evidence of some crowd out after the expansions—that is, some students substituted their private and employer-sponsored coverage for Medicaid.

Immigration Relief and Insurance Coverage: Evidence from Deferred Action for Childhood Arrivals

2020 ◽  
Vol 20 (3) ◽  
Author(s):  
Jung Bae
Keyword(s):  
Health Insurance ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Financial Assistance ◽  
Eligibility Criteria ◽  
Deferred Action ◽  
Percentage Points ◽  
Health Institutions ◽  
Medical Financial Assistance ◽  
The U.S

AbstractI find that the 2012 Deferred Action for Childhood Arrivals (DACA) program, which conferred protection from deportation and work authorization to undocumented immigrants who had been brought to the U.S. as children, increased eligible immigrants’ likelihood of having health insurance coverage. Exploiting a cutoff rule in the eligibility criteria of DACA, I implement a difference-in-regression-discontinuities design. The insured rate increased by up to 4.3 percentage points more for DACA-eligible immigrants than for ineligible immigrants following DACA. Two-thirds of this increase is accounted for by upticks in employer-sponsored and privately purchased insurance. The findings are also consistent with immigrants becoming less averse to approach health institutions, and taking up medical financial assistance at a higher rate.

scholarly journals The impact of welfare reform on the health insurance coverage, utilization and health of low education single mothers

2017 ◽  
Vol 180 ◽  
pp. 28-35 ◽  
Author(s):  
Kimberly Narain ◽  
Marianne Bitler ◽  
Ninez Ponce ◽  
Gerald Kominski ◽  
Susan Ettner
Keyword(s):  
Health Insurance ◽  
Welfare Reform ◽  
Single Mothers ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Low Education ◽  
The Impact

The Impact Of Health Insurance Coverage On Outcomes For U.S. Gastric Cancer Patients

2011 ◽  
Vol 165 (2) ◽  
pp. 338
Author(s):  
J.K. Smith ◽  
S. Ng ◽  
J.S. Hill ◽  
T.P. McDade ◽  
S.A. Shah ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Health Insurance ◽  
Cancer Patients ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Gastric Cancer Patients ◽  
The Impact

Union Threat Effects and the Decline in Employer-Provided Health Insurance

ILR Review ◽  
2019 ◽  
Vol 72 (2) ◽  
pp. 417-445
Author(s):  
Craig A. Olson
Keyword(s):  
Health Insurance ◽  
Private Sector ◽  
Insurance Coverage ◽  
State Level ◽  
Union Density ◽  
Health Insurance Coverage ◽  
Full Time ◽  
Non Union ◽  
Private Sector Union ◽  
Threat Effect

Employer-provided health insurance decreased by an average of almost 0.6 percentage points per year for adults aged 18 to 64 who were working full-time in the private sector between 1983 and 2007. Most of this decline was among non-union workers. This study reports estimates that suggest the decrease was caused by a decline employers faced in the threat of being unionized, as measured by the drop in state-level private-sector union density over the 25 years and across the 50 states. The author hypothesizes the decline in union density caused some non-union employers to decide not to offer health insurance. The study shows the importance of accounting for measurement error in union density when estimating the declining threat effect of unionization on non-union employer-provided health insurance coverage.

The impact of health insurance coverage on pediatric diabetes management

2010 ◽  
Vol 90 (1) ◽  
pp. 40-44 ◽  
Author(s):  
Kupper A. Wintergerst ◽  
Krystal M. Hinkle ◽  
Christopher N. Barnes ◽  
Adetokunbo O. Omoruyi ◽  
Michael B. Foster
Keyword(s):  
Health Insurance ◽  
Diabetes Management ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Pediatric Diabetes ◽  
The Impact

Did the time frame associated with the implementation of the Patient Protection and Affordable Care Act noticeably impact consumer bankruptcy filings?

2017 ◽  
Vol 44 (12) ◽  
pp. 1957-1972
Author(s):  
Donald D. Hackney ◽  
Daniel Friesner ◽  
Erica H. Johnson
Keyword(s):  
Health Insurance ◽  
Affordable Care Act ◽  
Dynamic Change ◽  
Time Frame ◽  
Insurance Premium ◽  
Skewed Distribution ◽  
Structural Dynamic ◽  
Content Type ◽  
Patient Protection ◽  
The Impact

Purpose The purpose of this paper is to examine whether the timing associated with the implementation of the health insurance-related provisions of the Patient Protection and Affordable Care Act (ACA) altered the presence and distribution of medical/non-medical debts accumulated by different types of bankruptcy filers. Design/methodology/approach Data were drawn from the US Bankruptcy Court’s Eastern Washington District over the years 2009, 2011 and 2014 using interval random sampling. Binary probit and Tobit analyses were used to model the existence, and distribution, of medical debts and total debts, respectively, at the time of filing. The impact of the time frame associated with the ACA was operationalized via a Chow test for structural dynamic change. Findings Chapter 13 filers in 2014 (post-ACA-based health exchange implementation) were more likely to report medical debts than Chapter 7 filers in the pre-intervention period, and were also more likely to report a larger proportion of outstanding debts owed to a single creditor. Filers claiming health insurance premium expenses in 2011 were (at the 10 percent significance level) more likely to report a more skewed distribution of medical debts. Originality/value The time frame associated with the implementation of the ACA impacts the distribution of medical debts among filers who have sufficient net disposable income to fund a Chapter 13 plan. The polarization of outstanding medical debts may indicate coverage gaps in existing health insurance policies, whose costs would be disproportionately borne by patients operating on thin financial margins.

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