"Invest & Harvest" or the "Winner's Curse"? Evidence from the Health Insurance Marketplace, 2014-2020 公开

Millender, Abigail (Spring 2023)

Permanent URL: https://etd.library.emory.edu/concern/etds/r494vm529?locale=zh
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Abstract

      The Health Insurance Marketplace, established by the Affordable Care Act, experienced a sizable decline in insurer participation between 2017 and 2018. This thesis utilizes public use files from the Robert Wood Johnson Foundation to assess how premiums and insurer type influenced the exodus of insurers from the market during this period. Specifically, this paper aims to uncover whether insurers who priced high or those who priced low had higher odds of remaining in the market from 2014 to 2020 in order to provide evidence for either an “Invest & Harvest” strategy or the “Winner’s Curse.”  Based on my analysis, I conclude that there is evidence for the “Invest & Harvest” strategy in this market, because low premiums were significantly correlated with an insurer remaining in the market in 2017 and 2018. Moreover, I  find that Non-Profit insurers were more likely to remain in the market during this period than For-Profit insurers.

Table of Contents

1 Introduction

1.1 Introduction and Motivation

1.2 Literature Review and Contribution

2 Methods

2.1 Overview of Data

2.2 Data Cleaning and Coding

3 Thesis Results

3.1 Descriptive Analysis

2.3 Analytic Models

4 Conclusion and Discussion

4.1 Conclusions

4.2 Limitations

3.2 Discussion

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