Search Results

Author: Antwi, Yaa Akosa
Resulting in 2 citations.
1. Antwi, Yaa Akosa
Maclean, Johanna Catherine
State Health Insurance Mandates and Labor Market Outcomes
Presented: Washington DC, Association for Public Policy Analysis and Management (APPAM) Annual Fall Research Conference, November 2016
Cohort(s): NLSY79
Publisher: Association for Public Policy Analysis and Management (APPAM)
Keyword(s): Geocoded Data; Insurance, Health; Labor Market Outcomes; State-Level Data/Policy

Permission to reprint the abstract has not been received from the publisher.

In this study we re-visit the relationship between health insurance mandates and labor market outcomes. Our contributions are twofold. First, we focus on a sample of workers for whom employers can most easily adjust compensation (wage and non-wage) – new labor market entrants. For example, employers may find it more feasible to offer lower compensation to new hires rather than to reduce compensation for current employees. Second, we explore the dynamics of mandate effects across the lifecycle. Specifically, we model labor market outcomes (an offer of employer-sponsored health insurance, wages, and labor supply) as a function of the number of high cost mandates in place at labor market entrance. We draw data from the National Longitudinal Survey of Youth 1979 (NLSY79) and exploit variation in high cost state mandates (Gruber, 1994) between 1973 and 1989. A particular advantage of the NLSY79 is that we are able to examine health insurance offers, not health insurance source. The later outcome, although commonly studied in the mandates literature, confounds offers with endogenous take-up decision. Moreover, we are able to track workers from school-leaving through mid-career. We estimate differences-in-differences models that account for time-invariant and time-varying state-level factors that may be correlated with high cost mandates and our outcomes.
Bibliography Citation
Antwi, Yaa Akosa and Johanna Catherine Maclean. "State Health Insurance Mandates and Labor Market Outcomes." Presented: Washington DC, Association for Public Policy Analysis and Management (APPAM) Annual Fall Research Conference, November 2016.
2. Antwi, Yaa Akosa
Maclean, Johanna Catherine
State Health Insurance Mandates and Labor Market Outcomes: New Evidence on Old Questions
NBER Working Paper No. 23203, National Bureau of Economic Research, February 2017.
Also: http://www.nber.org/papers/w23203
Cohort(s): NLSY79
Publisher: National Bureau of Economic Research (NBER)
Keyword(s): Geocoded Data; Insurance, Health; Labor Market Outcomes; State-Level Data/Policy

In this study we re-visit the relationship between private health insurance mandates, access to employer-sponsored health insurance, and labor market outcomes. Specifically, we model employer-sponsored health insurance access and labor market outcomes across the lifecycle as a function of the number of high cost mandates in place at labor market entrance. Our analysis draws on a long panel of workers from the National Longitudinal Survey of Youth 1979 and exploits variation in five high cost state mandates between 1972 and 1989. Four principal findings emerge from our analysis. First, we find no strong evidence that high cost state health insurance mandates discourage employers from offering insurance to employees. Second, employers adjust both wages and labor demand to offset mandate costs, suggesting that employees place some value on the mandated benefits. Third, the effects are persistent, but not permanent. Fourth, the effects are heterogeneous across worker types. These findings have implications for thinking through the full labor market effects of health insurance expansions.
Bibliography Citation
Antwi, Yaa Akosa and Johanna Catherine Maclean. "State Health Insurance Mandates and Labor Market Outcomes: New Evidence on Old Questions." NBER Working Paper No. 23203, National Bureau of Economic Research, February 2017.