Financial Performance of Health Insurers: State-Run Versus Federal-Run Exchanges.
Many insurers incurred financial losses in individual markets for health insurance during 2014, the first year of Affordable Care Act mandated changes. This analysis looks at key financial ratios of insurers to compare profitability in 2014 and 2013, identify factors driving financial performance, a...
| Publicado en: | Medical Care Research & Review Vol. 75; no. 3; pp. 384 - 394 |
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| Autores principales: | , , |
| Formato: | research Journal Article |
| Publicado: |
Sage Publications Inc.
Jun2018
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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=129668433&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 129668433 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10775587 MDC jtl: Medical Care Research & Review issn: 10775587 maglogo: Y pubinfo: dt: Jun2018 vid: 75 iid: 3 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 129668433 129668433 NLM29148331 129668433 10.1177/1077558717697013 NLM29148331 129668433 ppf: 384 ppct: 10 formats: tig: atl: Financial Performance of Health Insurers: State-Run Versus Federal-Run Exchanges. aug: au: Hall, Mark A. McCue, Michael J. Palazzolo, Jennifer R. affil: Wake Forest University, Winston-Salem, NC, USA sug: subj: National Health Programs Statistics and Numerical Data State Health Plans Economics Health Insurance Exchanges Economics State Health Plans Statistics and Numerical Data Insurance Carriers Economics National Health Programs Economics Patient Protection and Affordable Care Act Economics Patient Protection and Affordable Care Act Statistics and Numerical Data Health Insurance Exchanges Statistics and Numerical Data United States Insurance Carriers Statistics and Numerical Data Human Validation Studies Comparative Studies Evaluation Research Multicenter Studies ab: Many insurers incurred financial losses in individual markets for health insurance during 2014, the first year of Affordable Care Act mandated changes. This analysis looks at key financial ratios of insurers to compare profitability in 2014 and 2013, identify factors driving financial performance, and contrast the financial performance of health insurers operating in state-run exchanges versus the federal exchange. Overall, the median loss of sampled insurers was -3.9%, no greater than their loss in 2013. Reduced administrative costs offset increases in medical losses. Insurers performed better in states with state-run exchanges than insurers in states using the federal exchange in 2014. Medical loss ratios are the underlying driver more than administrative costs in the difference in performance between states with federal versus state-run exchanges. Policy makers looking to improve the financial performance of the individual market should focus on features that differentiate the markets associated with state-run versus federal exchanges. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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