Web First. State-Based Marketplaces Using ‘Clearinghouse’ Plan Management Models Are Associated With Lower Premiums.
The state-based and federally facilitated health insurance Marketplaces, or exchanges, enrolled more than eight million people during the first open enrollment period, which ended March 31, 2014. There is significant variation in how states have designed and implemented their Marketplaces. We ex...
| Publicado en: | Health Affairs Vol. 34; no. 1; pp. 160 - 170 |
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| Autores principales: | , , |
| Formato: | Journal Article |
| Publicado: |
Health Affairs Publishing, LLC
Jan2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=100345983&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 100345983 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02782715 HAF jtl: Health Affairs issn: 02782715 maglogo: N pubinfo: dt: Jan2015 vid: 34 iid: 1 pid: 1453 pub: Health Affairs Publishing, LLC place: Washington, District of Columbia artinfo: ui: 100345983 103873015 10.1377/hlthaff.2014.0627 100345983 ppf: 160 ppct: 10 formats: tig: atl: Web First. State-Based Marketplaces Using ‘Clearinghouse’ Plan Management Models Are Associated With Lower Premiums. aug: au: Krinn, Kelly Karaca-Mandic, Pinar Blewett, Lynn A. affil: Graduate, master of public policy program, Humphrey School of Public Affairs, University of Minnesota, Minneapolis sug: subj: Health Insurance Exchanges Administration State Government Variance Analysis Fees and Charges Program Evaluation Methods Human Comparative Studies United States United States Economic Competition Eligibility Determination Standards Insurance, Health Standards Benchmarking Government Regulations Standards Patient Protection and Affordable Care Act Administrative Research Organizational Structure Factor Analysis Models, Statistical Utilization Predictive Validity Funding Source ab: The state-based and federally facilitated health insurance Marketplaces, or exchanges, enrolled more than eight million people during the first open enrollment period, which ended March 31, 2014. There is significant variation in how states have designed and implemented their Marketplaces. We examined how premiums varied with states' involvement in the Marketplaces through governance, plan management authority, and strategy during the first year that the exchanges have been open. State-based Marketplaces using “clearinghouse” plan management models had significantly lower adjusted average premiums for all plans within each metal level compared to state-based Marketplaces using “active purchaser” models and the federally facilitated and partnership Marketplaces. Clearinghouse management models are those in which all health plans that meet published criteria are accepted. Active purchaser models are those in which states negotiate premiums, provider networks, number of plans, and benefits. Our baseline estimates provide valuable benchmarks for evaluating future performance of states' involvement in governance, plan management, and regulatory authority of the insurance Marketplaces. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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