How does expansion of public health insurance affect risk pools and premiums in the market for private health insurance? Evidence from Medicaid and the Affordable Care Act Marketplaces.
Private insurance market risk pools are likely to be directly affected by expansions of public insurance, in turn affecting premiums. We investigate the effects of Medicaid expansion on private health insurance markets using data on the plans offered through the health insurance "Marketplaces" (also...
| Publicado en: | Health Economics Vol. 27; no. 12; pp. 1877 - 1904 |
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| Autores principales: | , |
| Formato: | Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2018
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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=132824846&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 132824846 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10579230 O82 jtl: Health Economics issn: 10579230 maglogo: Y pubinfo: dt: Dec2018 vid: 27 iid: 12 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 132824846 132824846 NLM30062792 10.1002/hec.3809 NLM30062792 132824846 ppf: 1877 ppct: 27 formats: tig: atl: How does expansion of public health insurance affect risk pools and premiums in the market for private health insurance? Evidence from Medicaid and the Affordable Care Act Marketplaces. aug: au: Sen, Aditi P. DeLeire, Thomas affil: Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore Maryland sug: subj: Insurance, Health Statistics and Numerical Data Private Sector Economics Public Sector Economics Medicaid Statistics and Numerical Data Health Insurance Exchanges Statistics and Numerical Data Insurance Coverage Statistics and Numerical Data Patient Protection and Affordable Care Act Legislation and Jurisprudence Insurance Carriers Economics Insurance Coverage Economics Economic Competition Insurance, Health Economics United States ab: Private insurance market risk pools are likely to be directly affected by expansions of public insurance, in turn affecting premiums. We investigate the effects of Medicaid expansion on private health insurance markets using data on the plans offered through the health insurance "Marketplaces" (also known as Exchanges) established by the Affordable Care Act. We employ geographic matching to compare premiums for private plans in neighboring counties that straddle expansion and nonexpansion states and find that premiums of Marketplace plans are 11% lower in Medicaid expansion states, controlling for demographic and health characteristics as well as measures of health care access. These results are consistent with evidence on the composition of the private insurance risk pool in expansion versus nonexpansion states and associated differences in expected health spending. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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