Table 4.
Predicted and Adjusted Medical Care Spending and Underinsurance, Small-Firm Households
| Predicted for Small-Firm HHs* | Adjusted for Moral Hazard Using Large- Firm Spending as the Baseline† | Percentage Difference between Small Firm Predicted and Adjusted | Predicted for Large-Firm HHs* | Difference between Predicted Underinsurance Rates between Small-Firm and Large-Firm Households | Difference in Underinsurance Rates between Small-Firm and Large-Firm Households Adjusting for Moral Hazard Using Large- Firm Spending as the Baseline (Adjusted Small- Firm versus Predicted Large-Firm) | Percentage Increase in Small-Firm versus Large-Firm Difference in Underinsurance Due to Adjustment for Moral Hazard | |
|---|---|---|---|---|---|---|---|
| Mean, total medical care spending (U.S.$) | 5,499 | 5,813 | 5.7 | 5,961 | |||
| Mean, out-of-pocket medical care spending (U.S.$) | 1,371 | 1,444 | 5.3 | 1,286 | |||
| Underinsurance rate (10% threshold) | 0.043 | 0.052 | 21 | 0.039 | 0.004 | 0.013 | 225 |
| Underinsurance rate (5% for <200% FPL; 10% others) | 0.059 | 0.068 | 15 | 0.055 | 0.004 | 0.013 | 225 |
Predicted values of total medical care spending from the quantile regression model of total spending. Predicted for small-firm households uses both small-firm characteristics and estimated coefficients from small-firm regressions. Predicted for large-firm households uses both large-firm characteristics and estimated coefficients from large-firm regressions. Predicted out-of-pocket spending uses predicted total spending multiplied by estimated cost-sharing. Estimated cost-sharing is the average fraction of out-of-pocket spending to total spending by households' reported total spending decile (separately for small-firm and large-firm households). Predicted underinsurance is based on the ratio of predicted out-of-pocket spending to actual income.
Adjusted values are predictions of total medical care spending using small-firm household characteristics and estimates from the large-firm quantile regression model.
HHs, households.