Three Pertinent Inflation Observations

 | Aug 24, 2023 21:13

I have three items to discuss in this week’s post.

The first item is an announcement made by the BLS on Tuesday regarding upcoming changes to how the CPI for Health Insurance will be computed.

The backdrop for this change is that the CPI for Health Insurance is an imputed cost for the CPI. When a consumer buys health insurance, he/she is actually buying medical care, plus a suite of insurance products related to the actuarial benefits of pooling risks (that is, it’s much cheaper for people to buy a share of an option on the tail experience of a group of people, than it is for each person to buy a tail on their own experience – which is the main benefit/function of insurance). If all of the cost of health insurance was actually for health insurance, the weight of medical care itself (doctors’ services, e.g.) would be quite low because most of us pay for that care through the insurance company.

So the BLS needs to disentangle the cost of the medical care that we are buying indirectly from the cost of the embedded insurance products. The link above goes into more detail on all of this, but the bottom line is that once per year the BLS figures out what consumers paid for health insurance, how much of that was actually used by the insurance company to purchase health care, and therefore how much is attributable to the cost of the insurance product. Because they do this only once per year and smear the answer over 12 months, you get step-wise discontinuities in the monthly figures. For many years this was not a big problem, but since 2018 there have been several fairly significant swings. The chart below shows the m/m percent change in health insurance CPI. You can see it went from stable, to +1.5% per month or so in 2018-2020, to -1% for 2020-2021, to +2% for 2021-2022, to -4% in the most recent year.