Potential Effects Of Eliminating The Individual Mandate Penalty In California.

The tax penalty for noncompliance with the Affordable Care Act's individual mandate is to be eliminated starting in 2019. We investigated the potential impact of this change on enrollees' decisions to purchase insurance and on individual-market premiums. In a survey of enrollees in the individual ma...

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Publicado en:Health Affairs Vol. 38; no. 1; pp. 147 - 155
Autores principales: Fung, Vicki, Liang, Catherine Y., Shi, Julie, Seo, Veri, Overhage, Lindsay, Dow, William H., Zaslavsky, Alan M., Fireman, Bruce, Derose, Stephen F., Chernew, Michael E., Newhouse, Joseph R., Hsu, John
Formato: research tables/charts Journal Article
Publicado: Health Affairs Publishing, LLC Jan2019
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Potential Effects Of Eliminating The Individual Mandate Penalty In California.
      aug:
        au:
          Fung, Vicki
          Liang, Catherine Y.
          Shi, Julie
          Seo, Veri
          Overhage, Lindsay
          Dow, William H.
          Zaslavsky, Alan M.
          Fireman, Bruce
          Derose, Stephen F.
          Chernew, Michael E.
          Newhouse, Joseph R.
          Hsu, John
        affil: Senior scientist at the Mongan Institute Health Policy Center, Massachusetts General Hospital, Boston
      sug:
        subj:
          Health Care Costs Economics
          Patient Protection and Affordable Care Act California
          Medically Uninsured
          Health Insurance Exchanges
          Taxes
          Human
          Hispanic Americans
          California
          Health Services Accessibility
          Insurance Coverage
          Eligibility Determination
          Insurance Carriers
          Behavioral Research
          Survey Research
          Male
          Female
          Adolescence
          Adult
          Middle Age
          Aged
          Data Analysis
          Descriptive Statistics
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: The tax penalty for noncompliance with the Affordable Care Act's individual mandate is to be eliminated starting in 2019. We investigated the potential impact of this change on enrollees' decisions to purchase insurance and on individual-market premiums. In a survey of enrollees in the individual market in California in 2017, 19 percent reported that they would not have purchased insurance had there been no penalty. We estimated that premiums would increase by 4-7 percent if these enrollees were not in the risk pool. The percentages of enrollees who would forgo insurance were higher among those vdth lower income and education, Hispanics, and those who had been uninsured in the prior year, relative to the comparison groups. Compared to older enrollees and those with two or more chronic conditions, respectively, younger enrollees and those with no chronic conditions were also more likely to say that they would not have purchased insurance. Eliminating the mandate penalty alone is unlikely to destabilize the California individual market but could erode coverage gains, especially among groups whose members have historically been less likely to be insured.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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