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J. Human Resources 44(1):115-139 (2009);
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The Impact of Increased Tax Subsidies on the Insurance Coverage of Self-Employed Families

Evidence from the 1996–2004 Medical Expenditure Panel Survey

Thomas M. Selden


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The share of health insurance premiums that self-employed workers can deduct when computing federal income taxes rose from 30 percent in 1996 to 100 percent in 2003. Data from the 1996–2004 Medical Expenditure Panel Survey are used to show that the increased tax subsidy was associated with substantial increases in private coverage among self-employed workers and their spouses. Estimated effects on public coverage and the coverage of children were smaller in magnitude and less precisely estimated. Simulation results show that much of the post-1996 subsidy increase represented an inframarginal transfer to persons who would have had held private insurance anyway. Nevertheless, increased subsidization expanded private coverage by 1.1 to 1.7 million persons, at a cost per newly insured person less than $2,300 in all simulations—a cost below that found in simulations of more broadly based subsidies.


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 Abstract
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Ai, Chunrong, and Edward C. Norton 2003. "Interaction Terms in Logit and Probit Models." Economic Letters 80:123–29.

Anderson, Gerald F. 2007. "From ‘Soak the Rich’ to ‘Soak the Poor’: Recent Trends in Hospital Pricing." Health Affairs 26(3):780–89.[Abstract/Free Full Text]

Auerbach, David, and Ohri Sabina. 2006. "The Price Sensitivity of Demand for Nongroup Health Insurance." Inquiry 43(2):122–34.[Medline]

Bernard, Didem, and Thomas M. Selden 2003. "Employer Offers, Private Coverage, and the Tax Subsidy for Health Insurance: 1987 and 1996." International Journal of Health Care Finance and Economics 2(4):297–318.

Bernard, Didem, and Thomas M. Selden. 2006. "Workers Who Decline Employment-Related Health Insurance." Medical Care 44(5 Supplement):I-12–I-18.[Medline]

Blumberg, Linda, Len Nichols, and Jessica Banthin. 2001. "Worker Decisions to Purchase Health Insurance." International Journal of Health Care Finance and Economics 1(3/4): 305–25.[Medline]

Buchmueller, Thomas C., and Sabina Ohri. 2006. "Health Insurance Take-up by the Near Elderly." Health Services Research 41(6):2054–73.[Medline]

Bundorf, M. Kate, Bradley Herring, and Mark V. Pauly. 2005. "Health Risk, Income, and the Purchase of Private Health Insurance." NBER Working Paper, No. 11677. Cambridge, Mass.: National Bureau of Economic Research.

Bureau of Labor Statistics. 2004. Historical Data for the "A" Tables of the Employment Situation News Release, Table A-5, downloaded July 19, 2006 from http://www.bls.gov/cps/cpsatabs.htm.

Burman, Leonard E., Cori E. Uccello, Laura L. Wheaton, and Deborah Kobes. 2003. "Tax Incentives for Health Insurance." Urban Institute and Brookings Institution Tax Policy Center, Discussion Paper No. 12, downloaded September 24, 2007 from http://www.taxpolicycenter.org/publications/url.cfm?ID=310791.

Chernew, Michael, David M. Cutler, and Patricia S. Keenan 2005a. "Charity Care, Risk Pooling, and the Decline in Private Health Insurance." American Economic Review, Papers and Proceedings 95(2):209–13.

Chernew, Michael, David M. Cutler, and Patricia S. Keenan 2005b. "Increasing Health Insurance Costs and the Decline in Insurance Coverage." Health Services Research 40(4):1021–39.[Medline]

Chernew, Michael, Kevin Frick, and Catherine G. McLaughlin 1997. "The Demand for Health Insurance Coverage by Low-Income Workers: Can Reduced Premiums Achieve Full Coverage?" Health Services Research 32(4):453–70.[Medline]

Cohen, Joel W., Alan C. Monheit, Karen M. Beauregard, . 1996. "The Medical Expenditure Panel Survey: A National Health Information Resource." Inquiry 33(4):373–89.[Medline]

Cohen, Steven B. 1997. Sample Design of the 1996 Medical Expenditure Panel Survey Household Component . MEPS Methodology Report No. 2, Pub. No. 97-0027. Rockville, Md.: Agency for Health Care Policy and Research.

Cooper, Philip F., and Jessica Vistnes. 2003. "Workers’ Decisions to Take-Up Offered Health Insurance Coverage: Assessing the Importance of Out-of-Pocket Premium Costs." Medical Care 41(7 Supplement):III-35 - III-43.[Medline]

Cutler, David M. 2003. "Employee Costs and the Decline in Health Insurance Coverage," Frontiers in Health Policy Research 6. Downloaded August 25, 2006 from http://www.bepress.com/fhep/6/.

Feenberg, Daniel. 1989. "Are Tax Price Models Really Identified: The Case of Charitable Giving." National Tax Journal 40(4):629–33.

Feenberg, Daniel, and Elisabeth Coutts. 1993. "An Introduction to the TAXSIM Model." Journal of Policy Analysis and Management 12(1):189–94.

Feldman, Roger, Brian Dowd, Scott Leitz, and Lynn A. Blewett 1997. "The Effect of Premiums on the Small Firms Decision to Offer Health Insurance." Journal of Human Resources 32(4):635–58.

Gruber, Jonathan. 2002. "The Impact of the Tax System on Health Insurance Coverage." International Journal of Health Care Finance and Economics 1(3/4):293–304.

Gruber, Jonathan. 2005. "Tax Policy for Health Insurance." In Tax Policy and the Economy 19. Ed. James Poterba, 39–63, Cambridge, Mass.: MIT Press.

Gruber, Jonathan, and Michael Lettau. 2004. "How Elastic is the Firm’s Demand for Health Insurance?" Journal of Public Economics 88(7):1273–94.

Gruber, Jonathan, and Robin McKnight. 2003. "Why Did Employee Health Insurance Contributions Rise?" Journal of Health Economics 22(6):1085–1104.[Medline]

Gruber, Jonathan, and James Poterba. 1994. "Tax Incentives and the Decision to Purchase Health Insurance: Evidence from the Self-Employed." Quarterly Journal of Economics 109(3):701–34.

Gruber, Jonathan, and James Poterba. 1996a. "Tax Subsidies to Employer-Provided Health Insurance." In Empirical Foundations of Household Taxation . Ed. Martin Feldstein and James M. Poterba, 135–64, Chicago: The University of Chicago Press.

Gruber, Jonathan, and James Poterba. 1996b. "Fundamental Tax Reform and Employer-Provided Health Insurance." In Economic Effects of Fundamental Tax Reform , ed. Henry J. Aaron and William G. Gale, 125–62. Washington, D.C.: The Brookings Institution Press.

Holtz-Eakin, Douglas, John R. Penrod, and Harvey S. Rosen 1996. "Health Insurance and the Supply of Entrepreneurs." Journal of Public Economics 62(1/2):209–35.

Internal Revenue Service. 2001 and 2002. Earned Income Tax Credit. Publication 596, downloaded May 10, 2007 from http://www.irs.gov/formspubs/index.html.

Marquis, M. Susan, and Stephen H. Long 1995. "Worker Demand for Health Insurance in the Nongroup Market." Journal of Health Economics 14(1):47–63.[Medline]

Marquis, M. Susan, and Stephen H. Long 2001. "To Offer or Not to Offer: The Role of Price in Employers’ Health Insurance Decisions." Health Services Research 36(5):935–58.[Medline]

Marquis, M. Susan, Melinda Beeuwkes Buntin, José J. Escarce, Kanika Kapur, and Jill M. Yegian 2004. "Subsidies and the Demand for Individual Health Insurance in California." Health Services Research 39(5):1547–70.[Medline]

Meer, Jonathan, and Harvey S. Rosen 2004. "Insurance and the Utilization of Medical Services." Social Science and Medicine 58(9):1623–32.[Medline]

Monheit, Alan C., and P. Holly Harvey 1993. "Sources of Health Insurance for the Self-Employed: Does Differential Taxation Make a Difference?" Inquiry 30(3):293–305.[Medline]

Monheit, Alan C., and Jessica P. Vistnes. 1997. Health Insurance Status of Workers and Their Families: 1996 . MEPS Research Findings No. 2, Pub. No. 97-0065. Rockville, Md.: Agency for Health Care Policy and Research.

Monheit, Alan C., and Jessica P. Vistnes 2005. "The Demand for Dependent Health Insurance: How Important is the Marginal Cost of Family Coverage?" Journal of Health Economics 24(6):1108–31.[Medline]

Office of Management and Budget. 2006. Analytical Perspectives, Budget of the United States Government, 2006 . Washington, D.C.: GPO.

Pauly, Mark V. 1997. Health Benefits at Work: An Economic and Political Analysis of Employment-Based Health Insurance . Ann Arbor: University of Michigan Press.

Pauly, Mark V., and Bradley Herring. 1999. Pooling Health Insurance Risks . Washington, D.C.: AEI Press.

Pauly, Mark V., and Len Nichols. 2002. "The Nongroup Insurance Market: Short On Facts, Long On Opinions and Policy Disputes." Health Affairs, Web Exclusive, downloaded September 26, 2007 from www.healthaffairs.org.

Pauly, Mark, and Allison Percy. 2000. "Cost and Performance: A Comparison of the Individual and Group Health Insurance Markets." Journal of Health Politics, Policy and Law 25(1):9–26.[Medline]

Phelps, Charles E. 1992. Health Economics . New York: Harper Collins.

Reschovsky, James D., Bradley C. Strunk, and Paul Ginsburg. 2006. "Why Employer Sponsored Insurance Coverage Changed, 1997–2003." Health Affairs 25(3):774–82.[Abstract/Free Full Text]

Royalty, Anne Beeson. 2000. "Tax Preferences for Fringe Benefits and Worker’s Eligibility for Employer Health Insurance." Journal of Public Economics 75(2):209–27.

Selden, Thomas M., and Bradley M. Gray 2006. "Tax Subsidies for Employment-Related Health Insurance: Estimates for 2006." Health Affairs 25(6):1568–79.[Abstract/Free Full Text]

Selden, Thomas M., and John F. Moeller 2000. "Estimates of the Tax Subsidy for Employment-Related Health Insurance." National Tax Journal 53(4, Part 1):877–87.

Shen, Yu-Chu, and Stephen Zuckerman. 2005. "The Effect of Medicaid Payment Generosity on Access and Use among Beneficiaries." Health Services Research 40(3):723–44.[Medline]

Short, Pamela F., and Amy K. Taylor 1989. "Premiums, Benefits, and Employee Choice of Health Insurance Options." Journal of Health Economics 8(3):293–311.[Medline]

Thomasson, Melissa A. 2003. "The Importance of Group Coverage: How Tax Policy Shaped U.S. Health Insurance." American Economic Review 93(4):1373–84.





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