Are Integrated Plan Providers Associated With Lower Premiums on the Health Insurance Marketplaces?

As the health insurance industry becomes more consolidated, hospitals and health systems have started to enter the insurance business. Insurers are also rapidly acquiring providers. Although these "vertically" integrated plan providers are small players in the insurance market, they are becoming mor...

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Publicado en:Medical Care Research & Review Vol. 75; no. 2; pp. 232 - 260
Autores principales: La Forgia, Ambar, Maeda, Jared Lane K., Banthin, Jessica S.
Formato: research Journal Article
Publicado: Sage Publications Inc. Apr2018
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Are Integrated Plan Providers Associated With Lower Premiums on the Health Insurance Marketplaces?
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          La Forgia, Ambar
          Maeda, Jared Lane K.
          Banthin, Jessica S.
        affil: University of Pennsylvania, Philadelphia, PA, USA
      sug:
        subj:
          Health Insurance Exchanges Economics
          Patient Protection and Affordable Care Act Economics
          Insurance, Health Economics
          Insurance Coverage Economics
          Managed Care Programs Economics
          Human
          United States
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
      ab: As the health insurance industry becomes more consolidated, hospitals and health systems have started to enter the insurance business. Insurers are also rapidly acquiring providers. Although these "vertically" integrated plan providers are small players in the insurance market, they are becoming more numerous. The health insurance marketplaces (HIMs) offer a unique setting to study integrated plan providers relative to other insurer types because the HIMs were designed to promote competition. In this descriptive study, the authors compared the premiums of the lowest priced silver plans of integrated plan providers with other insurer types on the 2015 and 2016 HIMs. Integrated plan providers were associated with modestly lower premiums relative to most other insurer types. This study provides early insights into premium competition on the HIMs. Examining integrated plan providers as a separate insurer type has important policy implications because they are a growing segment of the marketplaces and their pricing behavior may influence future premium trends.
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    language: English
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