Welfare analysis in insurance markets

Casey Rothschild1
1Wellesley College, Wellesley, USA

Tóm tắt

“Efficiency” in economics can be employed in two distinct ways: as a statement about the class of policies that all policy advisors would agree to, regardless of their views about distributional preferences; or as something valuable that policy advisors potentially need to trade-off against equity goals. This distinction can be safely put to the side in some settings, for instance when information is symmetric, individuals have linear-in-consumption preferences, and the planner can implement person-specific taxes and transfers. In asymmetric information settings like insurance markets, it cannot. The efficiency notion employed by Einav and Finkelstein (J Econ Perspect 25(1):115–138, 2011) for studying competitive insurance markets (EF-efficiency) can therefore only be understood in the second way, and policy recommendations based on EF-efficiency alone thus amount to a tacit expression of indifference to distributional concerns.

Từ khóa


Tài liệu tham khảo

Akerlof, G.A. 1970. The market for “lemons": Quality uncertainty and the market mechanism. Quarterly Journal of Economics 84 (3): 488–500. Azevedo, E.M., and D. Gottlieb. 2017. Perfect competition in markets with adverse selection. Econometrica 85 (1): 67–105. Bergemann, D., B. Brooks, and S. Morris. 2015. The limits of price discrimination. American Economic Review 105 (3): 921–957. Bergemann, D., and S. Morris. 2019. Information design: A unified perspective. Journal of Economic Literature 57 (1): 44–95. Cabral, M., C. Cui, and M. Dworsky. 2022. The demand for insurance and rationale for a mandate: Evidence from workers’ compensation insurance. American Economic Review 112 (5): 1621–1668. Crocker, K.J. 2024. The Role of Normative Analysis in Markets with Hidden Knowledge and Hidden Actions. The Geneva Risk and Insurance Review 49. To appear. Crocker, K.J., and A. Snow. 1985. The efficiency of competitive equilibria in insurance markets with asymmetric information. Journal of Public Economics 26 (2): 207–219. Crocker, K.J., and A. Snow. 1986. The efficiency effects of categorical discrimination in the insurance industry. Journal of Political Economy 94 (2): 321–344. Dardanoni, V., and P. Li Donni. 2016. The welfare cost of unpriced heterogeneity in insurance markets. The RAND Journal of Economics 47 (4): 998–1028. Einav, L., and A. Finkelstein. 2011. Selection in insurance markets: Theory and empirics in pictures. Journal of Economic Perspectives 25 (1): 115–138. Einav, L., and A. Finkelstein. 2023. Empirical analyses of selection and welfare in insurance markets: a self-indulgent survey. The Geneva Risk and Insurance Review 48: 1–23. Einav, L., A. Finkelstein, and M.R. Cullen. 2010. Estimating welfare in insurance markets using variation in prices. The Quarterly Journal of Economics 125 (3): 877–921. Fleurbaey, M. 2018. Welfare economics, risk and uncertainty. Canadian Journal of Economics 51 (1): 5–40. Geruso, M., and T.J. Layton. 2017. Selection in health insurance markets and its policy remedies. Journal of Economic Perspectives 31 (4): 23–50. Hackmann, M.B., J.T. Kolstad, and A.E. Kowalski. 2015. Adverse selection and an individual mandate: When theory meets practice. American Economic Review 105 (3): 1030–1066. Handel, B., I. Hendel, and M.D. Whinston. 2015. Equilibria in health exchanges: Adverse selection versus reclassification risk. Econometrica 83 (4): 1261–1313. Handel, B.R., J.T. Kolstad, and J. Spinnewijn. 2019. Information frictions and adverse selection: Policy interventions in health insurance markets. Review of Economics and Statistics 101 (2): 326–340. Harsanyi, J.C. 1953. Cardinal utility in welfare economics and in the theory of risk-taking. Journal of Political Economy 61 (5): 434–435. Harsanyi, J.C. 1955. Cardinal welfare, individualistic ethics, and interpersonal comparisons of utility. Journal of Political Economy 63 (4): 309–321. Hendren, N., and B. Sprung-Keyser. 2020. A unified welfare analysis of government policies. The Quarterly Journal of Economics 135 (3): 1209–1318. Hicks, J.R. 1939. The foundations of welfare economics. The Economic Journal 49 (196): 696–712. Hoy, M. 2006. Risk classification and social welfare. The Geneva Papers on Risk and Insurance-Issues and Practice 31: 245–269. Kaldor, N. 1939. Welfare propositions of economics and interpersonal comparisons of utility. The Economic Journal 49 (195): 549–552. Kamenica, E., and M. Gentzkow. 2011. Bayesian persuasion. American Economic Review 101 (6): 2590–2615. Marone, V.R., and A. Sabety. 2022. When should there be vertical choice in health insurance markets? American Economic Review 112 (1): 304–342. Mirrlees, J.A. 1971. An exploration in the theory of optimum income taxation. The Review of Economic Studies 38 (2): 175–208. Ramsey, F.P. 1927. A contribution to the theory of taxation. The Economic Journal 37 (145): 47–61. Rawls, J. 1971. A Theory of Justice. Cambridge: Harvard University Press. Rothschild, C., and P.D. Thistle. 2022. Supply, demand, and selection in insurance markets: Theory and applications in pictures. Risk Management and Insurance Review 25 (4): 419–444. Rothschild, M., and J. Stiglitz. 1976. Equilbrium in competitive insurance markets: An essay on the economics of imperfect information. Quarterly Journal of Economics 90: 629–540. Scitovsky, T. 1941. A note on propositions in welfare economics. Review of Economic Studies 9: 89–110. Stiglitz, J.E. 1982. Self-selection and pareto efficient taxation. Journal of Public Economics 17 (2): 213–240. Veiga, A., and Y. Levy. 2022. Optimal contract regulation in selection markets. Available at SSRN 4029945. Weyl, E.G., and A. Veiga. 2017. Pricing institutions and the welfare cost of adverse selection. American Economic Journal 9 (2): 139–148.