The incidence of the healthcare costs of chronic conditions

Int J Health Econ Manag. 2021 Dec;21(4):473-493. doi: 10.1007/s10754-021-09305-6. Epub 2021 May 4.

Abstract

Who pays for the costs of chronic conditions? In this paper, we examine whether 50-64-year old workers covered by employer-sponsored insurance bear healthcare costs of chronic conditions in the form of lower wages. Using a difference-in-differences approach with data from the Health and Retirement Study, we find that workers with chronic diseases receive significantly lower wages than healthy workers when they are covered by employer-sponsored insurance. Our findings suggest that higher healthcare costs of chronic conditions can explain the substantial part of the wage gap between workers with and without chronic diseases.

Keywords: Chronic disease; Compensating wage differential; Employer-sponsored health insurance; Wage.

MeSH terms

  • Chronic Disease
  • Employer Health Costs
  • Humans
  • Incidence
  • Insurance*
  • Middle Aged
  • Salaries and Fringe Benefits*