Labor Market Consequences of State Mental Health Parity Mandates

2008 ◽  
Vol 11 (2) ◽  
Author(s):  
Attila Cseh
Keyword(s):  
Mental Health ◽  
Labor Market ◽  
Health Insurance ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
State Mental Health ◽  
Mental Health Parity ◽  
Insurance Premiums ◽  
Health Insurance Premiums ◽  
State Mental

This paper analyzes the effects of state mental health parity mandates on the labor and insurance markets. In particular, I investigate the effect of parity regulations along five margins: having employer provided health insurance coverage, employer contributions to health insurance premiums, the probability of full-time employment, working hours, and wages for a sample of private workers in firms with less than 100 employees using the Annual Demographic Surveys (March CPS) for the years 1999-2004 (and also in an extended sample of CPS 1992-2004). It is hypothesized that if parity mandates are costly they will have an impact on at least one of the above margins. I find no evidence for any of the most feared impact: a reduction in the probability of having employer-provided health insurance coverage or that state mental health parity mandates have decreased the generosity of employers' contributions to health insurance premiums. The results also lack any evidence of an impact on labor market composition or of costs having been passed onto workers in terms of lower wages.

scholarly journals The Effects of Employer-Sponsored Health Insurance Premiums on Employment and Wages: Evidence from US Longitudinal Data.

2020 ◽  
Vol 12 (1) ◽  
pp. 89-127
Author(s):  
Nicola Ciccarelli
Keyword(s):  
Labor Market ◽  
Health Insurance ◽  
Medical Malpractice ◽  
Private Health Insurance ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Market Outcomes ◽  
Insurance Premiums ◽  
The Us ◽  
Health Insurance Premiums

We analyze the effect of employer-sponsored health insurance premiums on employment and annual wages in the US using a county-level panel dataset for the period 2005-2010. Using variation in medical malpractice payments and variation in medical malpractice legislation over time and within states as the source of identifying variation in the health insurance premiums, we estimate the causal effects of rising health insurance premiums on employment and annual wages. We find that a 10% increase in premiums reduces employment by 1.1 percentage points, and leads to a statistically insignificant reduction of annual wages. Since US counties are characterized by a varying degree of private health insurance coverage, we also test whether the private health insurance coverage is a moderating variable for the relationship between the health insurance premiums and the labor market outcomes analyzed in this study. We find that rising premiums negatively affect the labor market conditions faced by US workers, especially in areas that are characterized by high private health insurance coverage.

Labor Market Concentration and Worker Contributions to Health Insurance Premiums

2021 ◽  
pp. 107755872110129
Author(s):  
Mark K. Meiselbach ◽  
Matthew D. Eisenberg ◽  
Ge Bai ◽  
Aditi Sen ◽  
Gerard F. Anderson
Keyword(s):  
Labor Market ◽  
Health Insurance ◽  
Labor Markets ◽  
Health Plan ◽  
Fixed Effects ◽  
Health Benefits ◽  
Market Concentration ◽  
Medical Expenditure ◽  
Insurance Premiums ◽  
Health Insurance Premiums

In concentrated labor markets, where workers have fewer employers to choose from, employers may exploit their monopsony power by contributing less to workers’ health benefits. This study examined if labor market concentration was associated with higher worker contributions to health plan premiums. We combined publicly available data from the Census to calculate labor market concentration and the Medical Expenditure Panel Survey Insurance/Employer Component to determine premium contributions from 2010 to 2016 for metropolitan areas. After controlling for year fixed-effects and market characteristics, we found that higher labor market concentration was associated with higher worker contributions to health plan premiums, lower take-home income, and no change in employer contributions to premiums, consistent with the hypothesis that greater labor market concentration is associated with less generous health benefits. When evaluating the effects of mergers and acquisitions on labor markets, regulatory agencies should critically assess worker contributions to health insurance premiums.

State Mental Health Parity Laws: Cause Or Consequence Of Differences In Use?

1999 ◽  
Vol 18 (5) ◽  
pp. 182-192 ◽  
Author(s):  
Roland Sturm ◽  
Rosalie Liccardo Pacula
Keyword(s):  
Mental Health ◽  
State Mental Health ◽  
Mental Health Parity ◽  
State Mental

Aligning Policy to the Mental Health Needs of Asian Americans and Pacific Islanders

2010 ◽  
Vol 8 (2) ◽  
pp. 1-20 ◽  
Author(s):  
Marguerite Ro ◽  
Wendy Ho
Keyword(s):  
Mental Health ◽  
Asian Americans ◽  
Insurance Coverage ◽  
Mental Health Policy ◽  
State Mental Health ◽  
Pacific Islanders ◽  
Culturally Competent ◽  
Mental Health Needs ◽  
Mental Health Workforce ◽  
State Mental

This paper examines federal and California state mental health policy as related to Asian Americans and Pacific Islanders. A brief review of several pertinent issues is presented: the mental health status of Asian Americans and Pacific Islanders, culture and stigma, insurance coverage and utilization, and the mental health workforce. Recommendations are suggested to address issues of data and research, culturally competent services, and accountability of existing policies.

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