Search, Acute Illness, and Absenteeism

<h3>Abstract</h3> This paper examines the economic costs of absenteeism from acute illness, which reduces labor market participation and burdens workers and firms. I extend a search, matching, and bargaining framework to incorporate medical care use, illness dynamics, health capital, and employer-sponsored health insurance (ESHI). Using data from the Medical Expenditure Panel Survey (MEPS), I estimate the model and find that acute illness lowers productivity, raises medical expenditures, and reduces welfare. Counterfactual analyses show subsidizing health capital improves total welfare. Moreover, while both a universal ESHI mandate and a penaltybased policy expand coverage, the penalty-based approach yields greater welfare gains.

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Publication Details

Journal
The Journal of Human Resources
Published
2026-03-11
DOI
https://doi.org/10.3368/jhr.0923-13099r4
Primary Topic
Healthcare Policy and Management
Type
article
Field-Weighted Citation Impact
0.00
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article

Search, Acute Illness, and Absenteeism

Pyoungsik Kim
The Journal of Human Resources
Healthcare Policy and Management
article

Search, Acute Illness, and Absenteeism

Pyoungsik Kim
article en

Abstract

<h3>Abstract</h3> This paper examines the economic costs of absenteeism from acute illness, which reduces labor market participation and burdens workers and firms. I extend a search, matching, and bargaining framework to incorporate medical care use, illness dynamics, health capital, and employer-sponsored health insurance (ESHI). Using data from the Medical Expenditure Panel Survey (MEPS), I estimate the model and find that acute illness lowers productivity, raises medical expenditures, and reduces welfare. Counterfactual analyses show subsidizing health capital improves total welfare. Moreover, while both a universal ESHI mandate and a penaltybased policy expand coverage, the penalty-based approach yields greater welfare gains.

The Journal of Human Resources
Kim Chaek University of Technology (KP)
Decent work and economic growth
Openalex Percentile: Top 28%
Healthcare Policy and Management
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