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儿童健康保险计划(SCHIP)扩展对雇主健康保险决策的影响。

The effect of SCHIP expansions on health insurance decisions by employers.

作者信息

Buchmueller Thomas, Cooper Philip, Simon Kosali, Vistnes Jessica

机构信息

Paul Merage School of Business, University of California, Irvine, USA.

出版信息

Inquiry. 2005 Fall;42(3):218-31. doi: 10.5034/inquiryjrnl_42.3.218.

Abstract

This study uses repeated cross-sectional data from the Medical Expenditure Panel Survey-Insurance Component (MEPS-IC), a large nationally representative survey of establishments, to investigate the effect of the State Children's Health Insurance Program (SCHIP) on health insurance decisions by employers. The data span the years 1997 to 2001, the period when states were implementing SCHIP. We exploit cross-state variation in the timing of SCHIP implementation and the extent to which the program increased eligibility for public insurance. We find evidence suggesting that employers whose workers were likely to have been affected by these expansions reacted by raising employee contributions for family coverage options, and that take-up of any coverage, generally, and family coverage, specifically, dropped in these establishments. We find no evidence that employers stopped offering single or family coverage outright.

摘要

本研究使用了医疗支出小组调查保险部分(MEPS-IC)的重复横截面数据,这是一项对机构进行的具有全国代表性的大型调查,以调查儿童健康保险计划(SCHIP)对雇主健康保险决策的影响。数据涵盖1997年至2001年,即各州实施SCHIP的时期。我们利用SCHIP实施时间的州际差异以及该计划提高公共保险资格的程度。我们发现有证据表明,其员工可能受到这些扩张影响的雇主,通过提高家庭保险选项的员工缴费来做出反应,并且在这些机构中,总体上任何保险的参保率,特别是家庭保险的参保率下降了。我们没有发现雇主完全停止提供单人或家庭保险的证据。

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