skip to main content
US FlagAn official website of the United States government
dot gov icon
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
https lock icon
Secure .gov websites use HTTPS
A lock ( lock ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.


Title: Measuring Ex Ante Welfare in Insurance Markets
Abstract The willingness to pay for insurance captures the value of insurance against only the risk that remains when choices are observed. This article develops tools to measure the ex ante expected utility impact of insurance subsidies and mandates when choices are observed after some insurable information is revealed. The approach retains the transparency of using reduced-form willingness to pay and cost curves, but it adds one additional sufficient statistic: the percentage difference in marginal utilities between insured and uninsured. I provide an approach to estimate this additional statistic that uses only the reduced-form willingness to pay curve, combined with a measure of risk aversion. I compare the approach to structural approaches that require fully specifying the choice environment and information sets of individuals. I apply the approach using existing willingness to pay and cost curve estimates from the low-income health insurance exchange in Massachusetts. Ex ante optimal insurance prices are roughly 30% lower than prices that maximize observed market surplus. While mandates reduce market surplus, the results suggest they would actually increase ex ante expected utility.  more » « less
Award ID(s):
1653686
PAR ID:
10237587
Author(s) / Creator(s):
Date Published:
Journal Name:
The Review of Economic Studies
Volume:
88
Issue:
3
ISSN:
0034-6527
Page Range / eLocation ID:
1193 to 1223
Format(s):
Medium: X
Sponsoring Org:
National Science Foundation
More Like this
  1. We provide sufficient conditions for semi-nonparametric point identification of a mixture model of decision making under risk, when agents make choices in multiple lines of insurance coverage (contexts) by purchasing a bundle. As a first departure from the related literature, the model allows for two preference types. In the first one, agents behave according to standard expected utility theory with CARA Bernoulli utility function, with an agent-specific coefficient of absolute risk aversion whose distribution is left completely unspecified. In the other, agents behave according to the dual theory of choice under risk combined with a one-parameter family distortion function, where the parameter is agent-specific and is drawn from a distribution that is left completely unspecified. Within each preference type, the model allows for unobserved heterogeneity in consideration sets, where the latter form at the bundle level—a second departure from the related literature. Our point identification result rests on observing sufficient variation in covariates across contexts, without requiring any independent variation across alternatives within a single context. We estimate the model on data on households’ deductible choices in two lines of property insurance, and use the results to assess the welfare implications of a hypothetical market intervention where the two lines of insurance are combined into a single one. We study the role of limited consideration in mediating the welfare effects of such intervention. 
    more » « less
  2. We develop a new nonparametric approach for discrete choice and use it to analyze the demand for health insurance in the California Affordable Care Act marketplace. The model allows for endogenous prices and instrumental variables, while avoiding parametric functional form assumptions about the unobserved components of utility. We use the approach to estimate bounds on the effects of changing premiums or subsidies on coverage choices, consumer surplus, and government spending on subsidies. We find that a $10 decrease in monthly premium subsidies would cause a decline of between 1.8% and 6.7% in the proportion of subsidized adults with coverage. The reduction in total annual consumer surplus would be between $62 and $74 million, while the savings in yearly subsidy outlays would be between $207 and $602 million. We estimate the demand impacts of linking subsidies to age, finding that shifting subsidies from older to younger buyers would increase average consumer surplus, with potentially large impacts on enrollment. We also estimate the consumer surplus impact of removing the highly‐subsidized plans in the Silver metal tier, where we find that a nonparametric model is consistent with a wide range of possibilities. We find that comparable mixed logit models tend to yield price sensitivity estimates toward the lower end of the nonparametric bounds, while producing consumer surplus impacts that can be both higher and lower than the nonparametric bounds depending on the specification of random coefficients. 
    more » « less
  3. null (Ed.)
    Insurance premiums reflect expectations about the future losses of each insured. Given the dearth of cyber security loss data, market premiums could shed light on the true magnitude of cyber losses despite noise from factors unrelated to losses. To that end, we extract cyber insurance pricing information from the regulatory filings of 26 insurers. We provide empirical observations on how premiums vary by coverage type, amount, and policyholder type and over time. A method using particle swarm optimisation and the expected value premium principle is introduced to iterate through candidate parameterised distributions with the goal of reducing error in predicting observed prices. We then aggregate the inferred loss models across 6,828 observed prices from all 26 insurers to derive the County Fair Cyber Loss Distribution . We demonstrate its value in decision support by applying it to a theoretical retail firm with annual revenue of $50M. The results suggest that the expected cyber liability loss is $428K and that the firm faces a 2.3% chance of experiencing a cyber liability loss between $100K and $10M each year. The method and resulting estimates could help organisations better manage cyber risk, regardless of whether they purchase insurance. 
    more » « less
  4. The actuarially fair insurance premium reflects the expected loss for each insured. Given the dearth of cyber security loss data, market premiums could shed light on the true magnitude of cyber losses despite noise from factors unrelated to losses. To that end, we extract cyber insurance pricing information from the regulatory filings of 26 insurers. We provide empirical observations on how premiums vary by coverage type, amount, policyholder type, and over time. A method using Particle Swarm Optimization is introduced to iterate through candidate parameterized distributions with the goal of reducing error in predicting observed prices. We then aggregate the inferred loss models across 6,828 observed prices from all 26 insurers to derive the County Fair Cyber Loss Distribution. We demonstrate its value in decision support by applying it to a theoretical retail firm with annual revenue of $50M. The results suggest that the expected cyber liability loss is $428K, and that the firm faces a 2.3%chance of experiencing a cyber liability loss between $100K and $10M each year. The method could help organizations better manage cyber risk, regardless of whether they purchase insurance. 
    more » « less
  5. null (Ed.)
    Abstract We conduct a comparative welfare analysis of 133 historical policy changes over the past half-century in the United States, focusing on policies in social insurance, education and job training, taxes and cash transfers, and in-kind transfers. For each policy, we use existing causal estimates to calculate the benefit that each policy provides its recipients (measured as their willingness to pay) and the policy’s net cost, inclusive of long-term effects on the government’s budget. We divide the willingness to pay by the net cost to the government to form each policy’s Marginal Value of Public Funds, or its ``MVPF''. Comparing MVPFs across policies provides a unified method of assessing their effect on social welfare. Our results suggest that direct investments in low-income children’s health and education have historically had the highest MVPFs, on average exceeding 5. Many such policies have paid for themselves as the government recouped the cost of their initial expenditures through additional taxes collected and reduced transfers. We find large MVPFs for education and health policies among children of all ages, rather than observing diminishing marginal returns throughout childhood. We find smaller MVPFs for policies targeting adults, generally between 0.5 and 2. Expenditures on adults have exceeded this MVPF range in particular if they induced large spillovers on children. We relate our estimates to existing theories of optimal government policy, and we discuss how the MVPF provides lessons for the design of future research. 
    more » « less