TY - JOUR AU - Buchmueller,Thomas C. TI - Health Insurance Reform and HMO Penetration in the Small Group Market JF - National Bureau of Economic Research Working Paper Series VL - No. 11446 PY - 2005 Y2 - June 2005 UR - http://www.nber.org/papers/w11446 L1 - http://www.nber.org/papers/w11446.pdf N1 - Author contact info: Thomas C. Buchmueller Stephen M. Ross School of Business University of Michigan 701 Tappan Ann Arbor, MI 48109 Tel: 734/764-5933 E-Mail: tbuch@bus.umich.edu M2 - featured in NBER digest on 2005-06-27 AB - We use data from several national employer surveys conducted between the late 1980s and the mid-1990s to investigate the effect of state-level underwriting reforms on HMO penetration in the small-group health insurance market. We identify reform effects by exploiting cross-state variation in the timing and content of reform legislation and by using mid-sized and large employers, which were not affected by the legislation, as within-state control groups. While it is difficult to disentangle the effect of state reforms from other factors affecting HMO penetration in the small group markets, the results suggest a positive relationship between insurance market regulations and HMO penetration. ER -