Marketplace Plans With Narrow Physician Networks Feature Lower Monthly Premiums Than Plans With Larger Networks.

The introduction of health insurance Marketplaces under the Affordable Care Act has been associated with growth of restricted provider networks. The value of this plan design strategy, including its association with lower premiums, is uncertain. We used data from all silver plans offered in the 2014...

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Publicado en:Health Affairs Vol. 35; no. 10; pp. 1842 - 1849
Autores principales: Polsky, Daniel, Cidav, Zuleyha, Swanson, Ashley
Formato: research tables/charts Journal Article
Publicado: Health Affairs Publishing, LLC Oct2016
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Health Affairs Publishing, LLC
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        atl: Marketplace Plans With Narrow Physician Networks Feature Lower Monthly Premiums Than Plans With Larger Networks.
      aug:
        au:
          Polsky, Daniel
          Cidav, Zuleyha
          Swanson, Ashley
        affil: Executive director of the Leonard Davis Institute of Health Economics, Robert D. Eilers Professor in Health Care Management and Economics, Wharton School, University of Pennsylvania, Philadelphia
      sug:
        subj:
          Health Insurance Exchanges Evaluation
          Physicians
          Fees and Charges
          Health Care Costs United States
          Insurance, Health Economics
          Insurance, Health Methods
          United States
          Descriptive Statistics
          Comparative Studies
          Patient Protection and Affordable Care Act
          P-Value
          Health Services Accessibility
          Managed Care Programs Methods
          Funding Source
      ab: The introduction of health insurance Marketplaces under the Affordable Care Act has been associated with growth of restricted provider networks. The value of this plan design strategy, including its association with lower premiums, is uncertain. We used data from all silver plans offered in the 2014 health insurance exchanges in the fifty states and the District of Columbia to estimate the association between the breadth of a provider network and plan premiums. We found that within a market, for plans of otherwise equivalent design and controlling for issuer-specific pricing strategy, a plan with an extra-small network had a monthly premium that was 6.7 percent less expensive than that of a plan with a large network. Because narrow networks remain an important strategy available to insurance companies to offer lower-cost plans on health insurance Marketplaces, the success of health insurance coverage expansions may be tied to the successful implementation of narrow networks.
      pubtype: Academic Journal
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        research
        tables/charts
        Journal Article
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    language: English
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