Jean Abraham - Shadac

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Behavior of FirmsCBOGMSIM(Gruber)RAND COMPAREHBSM(LEWIN)HIPSM(URBAN)Firm’sDecision toOfferCoveragePrice-sensitivityvaries by firm size(Gruber andLettau, 2004;Hadley andReschovsky, 2002,etc)Price-sensitivityvaries by firm size(Gruber andLettau, 2004)Includes “dampdown”factor tocapture relativeattractiveness ofnon-ESI optionsfor workers.Firm’s decision isa function of costof ESI to employerand workers, taxtreatment, admincosts, and value ofoutside options.Estimatereduced-formmodel using 1997RWJF Employersurvey. Generateoffer elasticitiesby firm size.Offer if workers’total willingnessto pay > totalcosts.Depends onpremiums,penalties, HRcosts, tax subsidy,tax credits.
Output of Microsimulation Models• Coverage– ESI, Non-group (Exchange), Medicaid, UninsuredCounts– Transitions from baseline scenario over time• Costs/Spending– Individuals– Employers– Government
Page 1 and 2: Developing Projections for HealthRe
Page 3 and 4: Welcome and Introductions• Lynn B
Page 5 and 6: Featured SpeakerDanielle HolahanPro
Page 7 and 8: Predicting the Effects of PPACA:A C
Page 9: Questions Addressed Today• What a
Page 12 and 13: Methodology• Conducted a comprehe
Page 14 and 15: Data Infrastructure: Individuals an
Page 16 and 17: Model Comparison: Population and Em
Page 18 and 19: Data Infrastructure: PremiumsESI Pr
Page 20 and 21: Non-Group Premium Data and Construc
Page 22 and 23: How are Policies Simulated?Establis
Page 24 and 25: Simple Example: Elasticity• Avail
Page 26 and 27: Approaches to Modeling Behavior•
Page 30 and 31: Comparing Estimates from Various Mo
Page 32 and 33: Potential Questions to Ask• Polic
Page 34 and 35: Concluding Remarks• Microsimulati
Page 36 and 37: New York State Exchange Planning:Us
Page 38 and 39: New York’s Use of Simulation Mode

Jean Abraham - Shadac

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