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Ben Handel

πŸ‘€ Speaker
188 total appearances
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Podcast Appearances

Freakonomics Radio
The World Is (Still) Drowning in Sludge

Exactly.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

Picking your plan.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

I was looking at the data, and I said, wow.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

Some of these consumers are making just terrible choices.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

What I showed there is that people were losing at least $1,000 by choosing one option versus the other.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

And these were often poorer people earning less than $40,000 a year.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

There's a combination of factors.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

The answer I usually give is that the firms don't know they're offering a dominated option.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

Since I wrote that paper, there have been a couple studies, one by Justin Sidnor, who's at the University of Wisconsin.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

And what he found was that this was happening because of the way firms update their premiums according to algorithms.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

But in a naive way.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

So they're not trying to offer these dominated plans.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

In fact, offering them often works against the goals of the firm.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

I think that's broadly accurate, yes.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

But the smaller the firm...

Freakonomics Radio
The World Is (Still) Drowning in Sludge

The smaller operation you have in HR, the more likely you are to be offering a menu like this.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

Yeah, that's a good question.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

I think it's typically more the fault of the employer.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

And the reason is that they're often bringing together plans from different insurers.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

And if they're bringing in plans from the same health care insurer, they're often giving differential subsidies to those plans based on how much of the premiums they want to cover for employees.