What has caused the rising gap in health insurance coverage by education in the U.S. over the last thirty years? How does the employment-based health insurance market interact with the labor market? What are the effects of social insurance such as Medicaid? By developing and structurally estimating an equilibrium model, I find that the interaction between labor market technological changes and the cost growth of medical services explains 60% to 70% of the gap. Using counterfactual experiments, I also evaluate the impact of further Medicaid eligibility expansion and employer mandates introduced in the Affordable Care Act on labor and health insurance markets.

More on this topic

BFI Working Paper·Jun 17, 2025

The Welfare Effect of Marginal and Nonmarginal Changes in Sales Taxes in the U.S.

Ingvil Gaarder and Lancelot Henry de Frahan
Topics: Economic Mobility & Poverty
BFI Working Paper·Jun 7, 2025

The Local Root of Wage Inequality

Hugo Lhuillier
Topics: Employment & Wages
BFI Working Paper·Jun 5, 2025

Administrative Fragmentation in Health Care

Riley League and Maggie Shi
Topics: Health care