Differing Impacts Of Market Concentration On Affordable Care Act Marketplace Premiums.

Recent increases in market concentration among health plans, hospitals, and medical groups raise questions about what impact such mergers are having on costs to consumers. We examined the impact of market concentration on the growth of health insurance premiums between 2014 and 2015 in two Affordabl...

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Publicado en:Health Affairs Vol. 35; no. 5; pp. 880 - 889
Autores principales: Scheffler, Richard M., Arnold, Daniel R., Fulton, Brent D., Glied, Sherry A.
Formato: research tables/charts Journal Article
Publicado: Health Affairs Publishing, LLC May2016
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Differing Impacts Of Market Concentration On Affordable Care Act Marketplace Premiums.
      aug:
        au:
          Scheffler, Richard M.
          Arnold, Daniel R.
          Fulton, Brent D.
          Glied, Sherry A.
        affil: Distinguished professor, School of Public Health, University of California, Berkeley
      sug:
        subj:
          Patient Protection and Affordable Care Act
          Health Insurance Exchanges United States
          Health Care Costs United States
          Insurance, Health Economics
          California
          New York
          United States
          Scales
          Descriptive Statistics
          Mergers and Acquisitions
          Adult
          Human
          Multiple Regression
          Costs and Cost Analysis
          Funding Source
          Adult: 19-44 years
      ab: Recent increases in market concentration among health plans, hospitals, and medical groups raise questions about what impact such mergers are having on costs to consumers. We examined the impact of market concentration on the growth of health insurance premiums between 2014 and 2015 in two Affordable Care Act state-based Marketplaces: Covered California and NY State of Health. We measured health plan, hospital, and medical group market concentration using the well-known Herfindahl-Hirschman Index (HHI) and used a multivariate regression model to relate these measures to premium growth. Both states exhibited a positive association between hospital concentration and premium growth and a positive (but not statistically significant) association between medical group concentration and premium growth. Our results for health plan concentration differed between the two states: It was positively associated with premium growth in New York but negatively associated with premium growth in California. The health plan concentration finding in Covered California may be the result of its selectively contracting with health plans.
      pubtype: Academic Journal
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        research
        tables/charts
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    language: English
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