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Health insurance and employee productivity: Findings from the 2007 Survey of Business Owners

Author

Listed:
  • Srikant Devaraj

    (Ball State University)

  • Pankaj C Patel

    (Villanova University)

Abstract

Do firms providing employee health insurance have a higher sales-revenue-per-employee than firms who do not? We attempt to address this question using 543,135 private US businesses from 2007 Survey of Business Owners. Among firms with fewer than 50 employees, those providing health insurance did not have a higher sales-revenue-per-employee, and among firms with 50 or more employees, those providing health insurance had a higher sales-revenue-per-employee. Oaxaca-Blinder decomposition shows that for firms below 50 employees or above 50 employees, gains in sales-revenue-per-employee are driven by differences in endowments and not based on differences in how similar endowments are leveraged. The results broadly suggest that there may not be a “business case†for providing health insurance in firms with fewer than 50 employees. The findings have implications for firm owners aiming to meet the health insurance mandates and for policy makers in understanding the impact of increases in sales-per-employee on the economy and in designing tax breaks and tax credits for business owners providing health insurance to employees.

Suggested Citation

  • Srikant Devaraj & Pankaj C Patel, 2017. "Health insurance and employee productivity: Findings from the 2007 Survey of Business Owners," Economics Bulletin, AccessEcon, vol. 37(2), pages 1351-1364.
  • Handle: RePEc:ebl:ecbull:eb-17-00260
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    References listed on IDEAS

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    1. Gulcin Gumus & Tracy Regan, 2007. "Self-Employment and the Role of Health Insurance," Working Papers 0910, University of Miami, Department of Economics.
    2. Wagner, Joachim, 2002. "The causal effects of exports on firm size and labor productivity: first evidence from a matching approach," Economics Letters, Elsevier, vol. 77(2), pages 287-292, October.
    3. Robert W. Fairlie & Alicia M. Robb, 2008. "Race and Entrepreneurial Success: Black-, Asian-, and White-Owned Businesses in the United States," MIT Press Books, The MIT Press, edition 1, volume 1, number 026206281x, December.
    4. Timothy Bates, 1985. "Entrepreneur Human Capital Endowments and Minority Business Viability," Journal of Human Resources, University of Wisconsin Press, vol. 20(4), pages 540-554.
    5. Robert W. Fairlie & Alicia M. Robb, 2007. "Why Are Black-Owned Businesses Less Successful than White-Owned Businesses? The Role of Families, Inheritances, and Business Human Capital," Journal of Labor Economics, University of Chicago Press, vol. 25(2), pages 289-323.
    6. Muravyev, Alexander & Talavera, Oleksandr & Schäfer, Dorothea, 2009. "Entrepreneurs' gender and financial constraints: Evidence from international data," Journal of Comparative Economics, Elsevier, vol. 37(2), pages 270-286, June.
    7. Kanika Kapur & Pinar Karaca‐Mandic & Susan M. Gates & Brent Fulton, 2012. "Do Small‐Group Health Insurance Regulations Influence Small Business Size?," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 79(1), pages 231-260, March.
    8. Sang Nguyen & Alice Zawacki, 2009. "Health Insurance and Productivity: Evidence from the Manufacturing Sector," Working Papers 09-27, Center for Economic Studies, U.S. Census Bureau.
    9. Zoltan J. Acs & David B. Audretsch, 2008. "Innovation, Market Structure, and Firm Size," Chapters, in: Entrepreneurship, Growth and Public Policy, chapter 2, pages 16-23, Edward Elgar Publishing.
    10. Phillip Kim & Howard Aldrich & Lisa Keister, 2006. "Access (Not) Denied: The Impact of Financial, Human, and Cultural Capital on Entrepreneurial Entryin the United States," Small Business Economics, Springer, vol. 27(1), pages 5-22, August.
    11. C. J. Krizan & Adela Luque & Alice Zawacki, 2014. "The Effect Of Employer Health Insurance Offering On The Growth And Survival Of Small Business Prior To The Affordable Care Act," Working Papers 14-22, Center for Economic Studies, U.S. Census Bureau.
    12. Douglas Staiger & James H. Stock, 1997. "Instrumental Variables Regression with Weak Instruments," Econometrica, Econometric Society, vol. 65(3), pages 557-586, May.
    13. Mathewson, G Frank & Winter, Ralph A, 1985. "The Economics of Franchise Contracts," Journal of Law and Economics, University of Chicago Press, vol. 28(3), pages 503-526, October.
    14. Morrison, C. J. & Berndt, E. R., 1981. "Short-run labor productivity in a dynamic model," Journal of Econometrics, Elsevier, vol. 16(3), pages 339-365, August.
    15. Catherine L. Wang & Levent Altinay, 2008. "International franchise partner selection and chain performance through the lens of organisational learning," The Service Industries Journal, Taylor & Francis Journals, vol. 28(2), pages 225-238, March.
    16. Anderson, Evan E., 1984. "The growth and performance of franchise systems: Company versus franchisee ownership," Journal of Economics and Business, Elsevier, vol. 36(4), pages 421-431, December.
    17. David Bernstein, 2002. "Fringe benefits and small businesses: evidence from the federal reserve board small business survey," Applied Economics, Taylor & Francis Journals, vol. 34(16), pages 2063-2067.
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    Cited by:

    1. Jonathan Edward Leightner, 2019. "Does health insurance decrease out-of-pocket health expenses?," Economics Bulletin, AccessEcon, vol. 39(4), pages 2589-2594.
    2. Darkwah, Frank, 2022. "Does free health insurance improve health care use and labour market outcomes of the elderly in Ghana?," The Journal of the Economics of Ageing, Elsevier, vol. 23(C).
    3. Sania Zafar & Danish Ahmed Siddiqui, 2019. "Factors Affecting Employees Performance and Retention: A Comparative Analysis of Banking and Educational Sector of Karachi," Business Management and Strategy, Macrothink Institute, vol. 10(1), pages 93-124, December.

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    More about this item

    Keywords

    health insurance; employee productivity; endogeneity;
    All these keywords.

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • J2 - Labor and Demographic Economics - - Demand and Supply of Labor

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