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Author:Jack, W.
Levinson, A.
Rahardja, S.
Title:Employee cost-sharing and the welfare effects of flexible spending accounts
Journal:Journal of Public Economics
2006 : DEC, VOL. 90:12, p. 2285-2301
Index terms:accounts
expenditure
health
moral hazard
subsidies
Language:eng
Abstract:This article is based on a claim that Flexible Spending Accounts (FSA) subsidize out-of-pocket health expenses not covered by employer-provided health insurance, making health care cheaper ex post, but also reducing the incentive to insure. This study uses a cross section of firm-level data to show that FSAs are indeed associated with reduced insurance coverage, and to estimate the welfare consequences of this shift. The findings also suggest that FSAs may explain a significant fraction of the shift in health care costs to employees that has occurred in recent years.
SCIMA record nr: 264451
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