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Record W3121955402 · doi:10.1111/caje.12590

Horizon effects and adverse selection in health insurance markets

2022· article· en· W3121955402 on OpenAlexvenueno aff
Olivier Darmouni, Dan Zeltzer

Bibliographic record

VenueCanadian Journal of Economics/Revue canadienne d économique · 2022
Typearticle
Languageen
FieldEconomics, Econometrics and Finance
TopicHealthcare Policy and Management
Canadian institutionsnot available
Fundersnot available
KeywordsAdverse selectionPoolingEconomicsCounterfactual thinkingRisk poolActuarial scienceYield (engineering)Mean reversionWelfareHealth insuranceInsurance policyMicroeconomicsPublic economicsKey person insuranceFinancial economicsHealth care

Abstract

fetched live from OpenAlex

Abstract This paper highlights the idea that increasing the length of insurance contracts can reduce adverse selection in health insurance markets while preserving community rating. Private health insurance contracts in the United States have short, one‐year terms, even though health risks may be serially correlated. Intuitively, because risk is mean‐reverting, longer contracts allow for pooling of risk within individuals over time, as opposed to just across individuals with traditional short‐term contracts. In equilibrium, such horizon effects lead to lower premiums and greater coverage. The mechanism depends on two key conditions. First, the pooling of risk within individuals is the greatest when mean reversion in risk is intermediate. Second, two‐sided commitment is present to preserve community rating. Counterfactual analysis using administrative claims data illustrates that a simple reform that implements two‐year instead of one‐year contracts could increase equilibrium coverage and yield non‐trivial welfare gains on net, in spite of restricting consumer choice.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.009
metaresearch head score (Gemma)0.025
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: Theoretical or conceptual
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.016
Threshold uncertainty score0.053

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0090.025
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.001
Science and technology studies0.0010.003
Scholarly communication0.0030.004
Open science0.0010.002
Research integrity0.0020.002
Insufficient payload (model declined to judge)0.0160.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.084
GPT teacher head0.194
Teacher spread0.110 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designTheoretical or conceptual
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2022
Admission routes1
Has abstractyes

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