Narrow Networks on the Health Insurance Exchanges: What Do They Look Like and How Do They Affect Pricing? A Case Study of Texas.

The Affordable Care Act has engendered significant changes in the design of health insurance products. We examine the 'narrowness' of hospital networks affiliated with plans offered in the first year of the marketplaces. Using data from Texas, we find limited evidence of a tight link between pricing...

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Publicado en:American Economic Review Vol. 105; no. 5; pp. 110 - 115
Autores principales: Dafny, Leemore, Hendel, Igal, Wilson, Nathan
Formato: Case Study
Publicado: American Economic Association May2015
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Narrow Networks on the Health Insurance Exchanges: What Do They Look Like and How Do They Affect Pricing? A Case Study of Texas.
      aug:
        au:
          Dafny, Leemore
          Hendel, Igal
          Wilson, Nathan
        affil:
          Kellogg School of Management, Northwestern University, Evanston, IL 60208 (e-mail: )
          Department of Economics, Northwestern University, Evanston, IL 60208 (e-mail: )
          Bureau of Economics, Federal Trade Commission, Washington, DC, 20580 (e-mail: )
      su:
        Texas
        Hospitals
        Medical care costs
        Health insurance exchanges
        Texas state politics & government
        Patient Protection & Affordable Care Act
        Mathematical models
        Logits
        Twenty-first century
      sug:
        subj:
          Hospitals
          Medical care costs
          Texas
          General Medical and Surgical Hospitals
          General (except paediatric) hospitals
          Health insurance exchanges
          Texas state politics & government
          Patient Protection & Affordable Care Act
          Mathematical models
          Logits
          Twenty-first century
      ab: The Affordable Care Act has engendered significant changes in the design of health insurance products. We examine the 'narrowness' of hospital networks affiliated with plans offered in the first year of the marketplaces. Using data from Texas, we find limited evidence of a tight link between pricing and a simple measure of network breadth, or a more complex measure of network value derived from a logit model of hospital choice. The state's largest insurer priced its narrow networks at a fairly constant discount relative to its broad networks, notwithstanding significant variation in its broad-narrow gap across geographic markets in Texas.
      pubtype: Academic Journal
      doctype: Case Study
      src: R
    language: English
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