The Role of Retiree Health Insurance in the Employment Behavior of Older Men

Using data from the Health and Retirement Survey, we estimate preference and expectations parameters of a structural model of the employment and medical care decisions of older men in order to evaluate the role of health insurance. The budget constraint incorporates detailed cost-sharing characteristics of private health insurance and Medicare as well as rules and requirements associated with Social Security and private pensions. Simulations imply that changes in health insurance, including access and restrictions to retiree health insurance and Medicare, have a modest impact on employment behavior among older males, with the greatest effect on men in bad health.

[1]  Eric French,et al.  The Effects of Health, Wealth, and Wages on Labour Supply and Retirement Behaviour , 2005 .

[2]  Alan L. Gustman,et al.  Employer-Provided Health Insurance and Retirement Behavior , 1993 .

[3]  D. Blau.  Labor force dynamics of older men. , 1994, Econometrica : journal of the Econometric Society.

[4]  Michael D. Hurd,et al.  Mortality Risk and Bequests , 1989 .

[5]  A. Deaton,et al.  Health, Income, and Inequality over the Life Cycle , 1998 .

[6]  E. Simantov,et al.  Market failure? Individual insurance markets for older Americans. , 2001, Health affairs.

[7]  P Oja,et al.  Self-rated health status as a health measure: the predictive value of self-reported health status on the use of physician services and on mortality in the working-age population. , 1997, Journal of clinical epidemiology.

[8]  Donna B. Gilleskie,et al.  A Dynamic Stochastic Model of Medical Care Use and Work Absence , 1998 .

[9]  Donna B. Gilleskie,et al.  Retiree Health Insurance and the Labor Force Behavior of Older Men in the 1990s , 1997, Review of Economics and Statistics.

[10]  R. Wallace,et al.  Overview of the Health Measures in the Health and Retirement Study , 1995 .

[11]  Donna B. Gilleskie,et al.  The Effect of Endogenous Health Inputs on the Relationship between Health and Education , 1998 .

[12]  Kenneth I. Wolpin,et al.  The Solution and Estimation of Discrete Choice Dynamic Programming Models by Simulation and Interpol , 1994 .

[13]  J. Stock,et al.  Pension Plan Provisions and Retirement: Men & Women, Medicare, and Models , 1992 .

[14]  John Rust,et al.  How Social Security and Medicare affect retirement behavior in a world of incomplete markets , 1994 .

[15]  A. Deaton,et al.  Aging and Inequality in Income and Health , 1998 .

[16]  M. Hurd.  The Effect of Labor Market Rigidities on the Labor Force Behavior of Older Workers , 1993 .

[17]  Donna B. Gilleskie,et al.  Economic Research Initiative on the Uninsured Working Paper Series AN EQUILIBRIUM MODEL OF HEALTH INSURANCE PROVISION AND WAGE DETERMINATION , 2003 .

[18]  Eric French,et al.  The Effects of Health Insurance and Self-Insurance on Retirement Behavior , 2007 .

[19]  John Rust.  Behavior of Male Workers at the End of the Life Cycle: An Empirical Analysis of States and Controls , 1990 .

[20]  Bridgitte C. Madrian.  The Effect of Health Insurance on Retirement , 1994 .

[21]  J. Rolph,et al.  The Demand for Episodes of Medical Treatment in the Health Insurance Experiment , 1988 .

[22]  Steven Stern,et al.  Job Exit Behavior of Older Men , 1991 .

[23]  The effect of health on employment transitions of older men , 2001 .

[24]  Brigitte C. Madrian,et al.  Health Insurance and Early Retirement: Evidence from the Availability of Continuation Coverage , 1993 .

[25]  S. Rendon.  Job Search and Asset Accumulation Under Borrowing Constraints , 2002 .

[26]  Lynn A. Karoly,et al.  The Effect of Access to Post-Retirement Health Insurance on the Decision to Retire Early , 1994 .

[27]  Brigitte C. Madrian,et al.  Health Insurance Availability and the Retirement Decision , 1993 .

[28]  J. Newhouse.  Free for All?: Lessons from the RAND Health Insurance Experiment , 1993 .