Impacts of shifting responsibility for high-cost individuals on Health Insurance Exchange plan premiums and cost-sharing provisions.
Insurance companies can respond to increases in expected per-capita healthcare expenditures by adjusting premiums, cost-sharing requirements, and/or plan generosity. We use a Difference-in-Difference model with Plan-level Fixed Effects to estimate the impacts of increases in expected expenditures ge...
| Publicado en: | Journal of Health Economics Vol. 66; pp. 180 - 195 |
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| Autores principales: | , , |
| Formato: | Journal Article |
| Publicado: |
Elsevier B.V.
Jul2019
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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=137853108&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 137853108 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01676296 JOH jtl: Journal of Health Economics issn: 01676296 maglogo: N pubinfo: dt: Jul2019 vid: 66 pid: 1004 pub: Elsevier B.V. artinfo: ui: 137853108 137853108 NLM31202123 10.1016/j.jhealeco.2019.05.004 NLM31202123 137853108 ppf: 180 ppct: 15 formats: tig: atl: Impacts of shifting responsibility for high-cost individuals on Health Insurance Exchange plan premiums and cost-sharing provisions. aug: au: Mukhopadhyay, Sankar Wendel, Jeanne Zou, Miaomiao affil: Department of Economics, University of Nevada, Reno. 1664 N. Virginia St. Reno, NV, 89557, United States sug: subj: Insurance Methods Insurance Economics Health Insurance Exchanges Administration Insurance Statistics and Numerical Data Health Insurance Exchanges Economics United States Risk Management Methods Risk Management Economics Scales ab: Insurance companies can respond to increases in expected per-capita healthcare expenditures by adjusting premiums, cost-sharing requirements, and/or plan generosity. We use a Difference-in-Difference model with Plan-level Fixed Effects to estimate the impacts of increases in expected expenditures generated by closure of state-operated High Risk Pools (HRPs). For Silver plans, we find that issuers responded to HRP closures by increasing both premiums and deductibles, and by increasing the ratios of premiums to deductibles. This adjustment to the structure of plan prices is consistent with the hypothesis that issuers will be reluctant to adjust deductibles, because consumers tend to overweight changes in deductibles over changes in premiums. The increase in the ratio of premiums to deductibles indicates that the increase in expected expenditures triggered an increase in the share of total risk-pool healthcare expenditures paid by low healthcare utilizers, and a decrease in the share paid by high utilizers. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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