Abstract:
:Who pays the healthcare costs associated with obesity? Among workers, this is largely a question of the incidence of the costs of employer-sponsored coverage. Using data from the National Longitudinal Survey of Youth and the Medical Expenditure Panel Survey, we find that the incremental healthcare costs associated with obesity are passed on to obese workers with employer-sponsored health insurance in the form of lower cash wages. Obese workers without employer-sponsored insurance do not have a wage offset relative to their non-obese counterparts. A substantial part of the lower wages among obese women attributed to labor market discrimination can be explained by their higher health insurance premiums.
journal_name
J Health Econjournal_title
Journal of health economicsauthors
Bhattacharya J,Bundorf MKdoi
10.1016/j.jhealeco.2009.02.009subject
Has Abstractpub_date
2009-05-01 00:00:00pages
649-58issue
3eissn
0167-6296issn
1879-1646pii
S0167-6296(09)00011-3journal_volume
28pub_type
杂志文章abstract::We examine selection incentives by health plans while refining the selection index of McGuire et al. (2014) to reflect not only service predictability and predictiveness but also variation in cost sharing, risk-adjusted profits, profit margins, and newly-refined demand elasticities across 26 disaggregated types of ser...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2017.09.006
更新日期:2017-12-01 00:00:00
abstract::Each year, many pregnant Muslim women fast during Ramadan. Using Indonesian cross-sectional data and building upon work of Almond and Mazumder (2011), I show that people who were prenatally exposed to Ramadan fasting have a poorer general health than others. As predicted by medical theory, this effect is especially pr...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2011.07.014
更新日期:2011-12-01 00:00:00
abstract::In this paper, we present a simple model of health insurance with asymmetric information, where we compare two alternative ways of organizing the insurance market. Either as a competitive insurance market, where some risks remain uninsured, or as a compulsory scheme, where however, the level of reimbursement of loss i...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/s0167-6296(02)00062-0
更新日期:2002-09-01 00:00:00
abstract::We examine the effects of diverse dimensions of hospital quality - including consumers' perceptions of unobserved attributes - on future hospital choice. We utilize consumers' stated preference weights to obtain hospital-specific estimates of perceptions about unmeasured attributes such as reputation. We report three ...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2011.05.006
更新日期:2011-07-01 00:00:00
abstract::Using variation across geographic regions, a number of studies from the U.S. and other developed countries have found more deaths in economic upturns and less deaths in economic downturns. We use data from regions in Norway for 1977-2008 and find the same pro-cyclical patterns. Using individual-level register data for...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2014.08.005
更新日期:2015-01-01 00:00:00
abstract::This paper presents the first attempt to use a discrete choice experiment to derive distributional weights for quality adjusted life years (QALYs), based on characteristics (age and severity) of the beneficiaries. A novel approach using the Hicksian compensating variation is applied. Advantages include derivation of w...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2011.01.003
更新日期:2011-03-01 00:00:00
abstract::Understanding how physicians respond to incentives from payment schemes is a central concern in health economics research. We introduce a controlled laboratory experiment to analyse the influence of incentives from fee-for-service and capitation payments on physicians' supply of medical services. In our experiment, ph...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2011.05.001
更新日期:2011-07-01 00:00:00
abstract::We examine whether the availability of subsidized health insurance to the non-working population in Taiwan affected the labor force participation of married women. Our empirical identification exploits the fact that such insurance was first made available to wives of government employees, before being made universally...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/s0167-6296(00)00075-8
更新日期:2001-03-01 00:00:00
abstract::In this paper we investigate the causal effect of years of schooling on health and health-related behavior in West Germany. We apply an instrumental variables approach using as natural experiments several changes in compulsory schooling laws between 1949 and 1969. These law changes generate exogenous variation in year...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2011.01.004
更新日期:2011-03-01 00:00:00
abstract::This study uses recent theoretical work about group decision-making to assess the quality of decision-making by expert consensus panels. We specifically examine (1) when individual members of panels will divulge their private judgments about the decision to the panel, and (2) when the group judgment is superior to the...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2003.10.004
更新日期:2004-05-01 00:00:00
abstract::The purpose of this paper is to examine the effects of alcohol regulation on physical child abuse. Given the positive relationship between alcohol consumption and violence, and the negative relationship between consumption and price, the principal hypothesis to be tested is that an increase in the price of alcohol wil...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/s0167-6296(99)00025-9
更新日期:2000-03-01 00:00:00
abstract::Using the theory of multiproduct cost functions, a treatment cost function is derived for diseases which progress through a number of stages. The output classes are conceived as the stages at detection of the disease, with the unit of output within each class being the treated case. The derivation clarifies the assump...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/0167-6296(95)00007-5
更新日期:1995-08-01 00:00:00
abstract::This article analyses the redistributive effect caused by health financing and the distribution of healthcare utilization in Argentina before and during the severe 2001/2002 economic crisis. Both dramatically changed during this period: the redistributive effect became much more positive and utilization shifted from p...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2010.03.008
更新日期:2010-07-01 00:00:00
abstract::Comparative effectiveness research (CER) is thought to identify what works and does not work in health care. We interpret CER as infusing evidence on product quality into markets, shifting the relative demand for products in CER studies. We analyze how shifts in demand affect health and health care spending and demons...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2011.05.012
更新日期:2011-07-01 00:00:00
abstract::This study uses data on 8561 elderly respondents from the 1991 Medicare Current Beneficiary Survey to examine adverse selection in the supplemental private insurance market. Logit models of supplemental insurance choices provided modest but mixed evidence of self-selection on the basis of observable health status. Wea...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/s0167-6296(97)00011-8
更新日期:1997-10-01 00:00:00
abstract::For decades, the US public and private sectors have committed substantial resources towards cancer research, but the societal payoff has not been well-understood. We quantify the value of recent gains in cancer survival, and analyze the distribution of value among various stakeholders. Between 1988 and 2000, life expe...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2010.02.006
更新日期:2010-05-01 00:00:00
abstract::Youth smoking is an important target for public policy. The implicit assumption behind targeting youth is that policies that reduce youth smoking initiation will reduce lifetime smoking propensities. This assumption has never been tested empirically. I use data from the National Longitudinal Survey of Youth (NLSY) to ...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/s0167-6296(01)00118-7
更新日期:2002-01-01 00:00:00
abstract::This paper performs new tests of the QALY model when health varies over time. Our tests do not involve confounding assumptions and are robust to violations of expected utility. The results support the use of QALYs at the aggregate level, i.e. in economic evaluations of health care. At the individual level, there is le...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2008.05.009
更新日期:2008-09-01 00:00:00
abstract::The relationship between retirement and mortality is studied with a unique administrative data set covering the full population of Norway. A series of retirement policy changes in Norway reduced the retirement age for a group of workers but not for others. Difference-in-differences estimation based on monthly birth co...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2013.03.001
更新日期:2013-05-01 00:00:00
abstract::This paper develops a neoclassical utility maximization model of physician behavior in which the physician determines the price of physician office and hospital visits, the utilization rates for physician office and hospital visits and hospital days, and the resources and physician time inputs in the production of vis...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/0167-6296(84)90004-3
更新日期:1984-08-01 00:00:00
abstract::This paper estimates the effect of US public health insurance programs for children on health. Previous work in this area has typically focused on the relationship between current program eligibility and current health. But because health is a stock variable which reflects the cumulative influence of health inputs, it...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2016.12.003
更新日期:2017-01-01 00:00:00
abstract::Criteria for initiation of highly active antiretroviral treatments (HAART) in HIV-infected patients remain a matter of debate world-wide because short-term benefits have to be balanced with costs of these therapies, and restrictions placed on future treatment options if resistant viral strains develop. On the other ha...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2005.09.006
更新日期:2006-05-01 00:00:00
abstract::This article reports a study that tests whether the internal consistency of the standard gamble can be improved upon by incorporating loss weighting and probability transformation parameters in the standard gamble valuation procedure. Five alternatives to the standard EU formulation are considered: (1) probability tra...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/S0167-6296(03)00023-7
更新日期:2003-07-01 00:00:00
abstract::Empirical studies of the diffusion of innovations have not addressed adequately econometric problems that are characteristic of such analyses. Reanalysis of data for five innovations using an estimator with desirable statistical properties results in a considerably revised estimate of the impact of prospective reimbur...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/0167-6296(85)90014-1
更新日期:1985-12-01 00:00:00
abstract::This article introduces a model in which individuals incur adjustment costs associated with adaptations made following changes in their health. With adjustment costs, patients' preferences for health states depend on their initial health in such a way that improvements have lower values than corresponding deterioratio...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2003.12.004
更新日期:2004-03-01 00:00:00
abstract::This study asks why hospitals provide direct financial support to nursing schools and faculty. This support is striking because nursing education is clearly general, clearly paid by the firm, and information asymmetries appear minimal. Using AHA and survey data, I find hospitals employing a greater share of their MSA'...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2012.09.002
更新日期:2013-01-01 00:00:00
abstract::Reform proposals of health care systems in several countries have advocated variations of a risk adjustment/capitation system. These proposals face a serious objection: incentives to risk selection are prevalent in the system. By now, considerable literature has been devoted to finding ways of mitigating, if not elimi...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/S0167-6296(02)00119-4
更新日期:2003-05-01 00:00:00
abstract::In this paper, we propose a flexible "two-part" random effects model (Olsen and Schafer, 2001; Tooze et al., 2002) for correlated medical cost data. Typically, medical cost data are right-skewed, involve a substantial proportion of zero values, and may exhibit heteroscedasticity. In many cases, such data are also obta...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2009.11.010
更新日期:2010-01-01 00:00:00
abstract::This paper considers the relationship between economic conditions and health with a focus on different approaches to geographic aggregation. After reviewing the tradeoffs associated with more- and less-disaggregated analyses, I update earlier state-level analyses of mortality and infant health and then consider how th...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2014.11.009
更新日期:2015-03-01 00:00:00
abstract::Most employees contribute towards the cost of employer-sponsored insurance, despite tax laws that favor zero contributions. Contribution levels vary markedly across firms, and the average contribution (as a percentage of the premium) has increased over time. We offer a novel explanation for these facts: employers rais...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/s0167-6296(99)00007-7
更新日期:2000-01-01 00:00:00