HSA 4321 Lecture Notes - Lecture 15: Vehicle Insurance, Health Maintenance Organization, Risk Premium
Document Summary
16 offer a single ffs plan, most offer three hmos. Model: plan choice is a function of: Employee characteristics: age, sex, chronic health conditions. Coverage characteristics: preventive care coverage, inpatient and ambulatory: deductible, days to routine appointment, wait for illness appointment, wait in coinsurance, and stoploss. Findings: workers are less likely to choose health plans with higher out-of-pocket premiums, workers prefer plans with coverage for preventive services. Stronger preference among women: ffs preferred over ipa or hmo. But preference declines with years offered (ffs + ipa) versus hmo is a more predictive model that ffs versus (ipa + hmo) Hmo with 50 percent of hmo enrollment would see an 8. 6 percent loss of market share in response to a 1 percent increase in total premium. Type of coverage: single, single + one, family. Paul firms: seven plans (three network hmos, two ffs, one pos, one ipa, six years (1988 1993)
