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Author: Bundorf, M. Kate
Resulting in 2 citations.
1. Battacharya, Jay
Bundorf, M. Kate
The Incidence of the Healthcare Costs of Obesity
NBER Working Paper No. 11303, National Bureau of Economic Research, May 2005.
Also: http://www.nber.org/papers/w11303
Cohort(s): NLSY79
Publisher: National Bureau of Economic Research (NBER)
Keyword(s): Armed Forces Qualifications Test (AFQT); Body Mass Index (BMI); Insurance, Health; Obesity; Weight

The incidence of obesity has increased dramatically in the U.S. Obese individuals tend to be sicker and spend more on health care, raising the question of who bears the incidence of obesity-related health care costs. This question is particularly interesting among those with group coverage through an employer given the lack of explicit risk adjustment of individual health insurance premiums in the group market. In this paper, we examine the incidence of the healthcare costs of obesity among full time workers. We find that the incremental healthcare costs associated with obesity are passed on to obese workers with employer-sponsored health insurance in the form of lower cash wages. Obese workers in firms without employer-sponsored insurance do not have a wage offset relative to their non-obese counterparts. Our estimate of the wage offset exceeds estimates of the expected incremental health care costs of these individuals for obese women, but not for men. We find that a substantial part of the lower wages among obese women attributed to labor market discrimination can be explained by the higher health insurance premiums required to cover them.
Bibliography Citation
Battacharya, Jay and M. Kate Bundorf. "The Incidence of the Healthcare Costs of Obesity." NBER Working Paper No. 11303, National Bureau of Economic Research, May 2005.
2. Bhattacharya, Jay
Bundorf, M. Kate
The Incidence of the Healthcare Costs of Obesity
Journal of Health Economics 28,3 (May 2009): 649-658.
Also: http://www.sciencedirect.com/science/article/pii/S0167629609000113
Cohort(s): NLSY79
Publisher: Elsevier
Keyword(s): Discrimination, Employer; Discrimination, Sex; Gender Differences; Health Care; Insurance, Health; Obesity; Wage Levels

Who pays the healthcare costs associated with obesity? Among workers, this is largely a question of the incidence of the costs of employer-sponsored coverage. Using data from the National Longitudinal Survey of Youth and the Medical Expenditure Panel Survey, we find that the incremental healthcare costs associated with obesity are passed on to obese workers with employer-sponsored health insurance in the form of lower cash wages. Obese workers without employer-sponsored insurance do not have a wage offset relative to their non-obese counterparts. A substantial part of the lower wages among obese women attributed to labor market discrimination can be explained by their higher health insurance premiums. [Copyright 2009 Elsevier]

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Bibliography Citation
Bhattacharya, Jay and M. Kate Bundorf. "The Incidence of the Healthcare Costs of Obesity." Journal of Health Economics 28,3 (May 2009): 649-658.