State Health Insurance Regulations and the Price of High-Deductible Policies

Amanda E. Kowalski 1 , 1 , William J. Congdon 2 , 2  and Mark H. Showalter 3 , 3
  • 1 Massachusetts Institute of Technology, akowalsk@mit.edu
  • 2 Brookings Institution, wcongdon@brookings.edu
  • 3 Brigham Young University, Utah, mhs@byu.edu

This study examines the impact of state health insurance regulations on the price of high-deductible family and individual polices in the nongroup market. We use a unique and rich data set on actual insurance policies sold through a large Internet health insurance distributor to examine the impact of various regulations on policy prices, controlling for policy characteristics, demographic characteristics of the purchasers, and state-level demographics. We also use data from a single major insurance firm that provided offer prices for a family policy from a set of randomly selected zip codes. Both datasets suggest a strong statistical relationship between regulation and insurance prices.

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