Rural-Urban Differences In Individual-Market Health Plan Affordability After Subsidy Payment Cuts.
This article investigates changes in the affordability of individual health plans (Marketplace plans) that were compliant with the Affordable Care Act following the termination of cost-sharing reduction subsidy payments in 2017. We examined how states' and insurers' responses to these cuts affected...
| Publicado en: | Health Affairs Vol. 38; no. 12; pp. 2032 - 2041 |
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| Autores principales: | , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Health Affairs Publishing, LLC
Dec2019
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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=140257418&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 140257418 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02782715 HAF jtl: Health Affairs issn: 02782715 maglogo: N pubinfo: dt: Dec2019 vid: 38 iid: 12 pid: 1453 pub: Health Affairs Publishing, LLC place: Washington, District of Columbia artinfo: ui: 140257418 140257418 140257418 10.1377/hlthaff.2019.00917 140257418 ppf: 2032 ppct: 9 formats: tig: atl: Rural-Urban Differences In Individual-Market Health Plan Affordability After Subsidy Payment Cuts. aug: au: Anderson, David Abraham, Jean M. Drake, Coleman affil: Research associate at the Duke-Margolis Center for Health Policy, Duke University, Durham, North Carolina sug: subj: Insurance, Health Economics Health Insurance Exchanges Financing, Government Geographic Factors Consumers Human United States Eligibility Determination Insurance Carriers Patient Protection and Affordable Care Act Insurance Coverage Bivariate Statistics Multiple Regression Income Medicaid ab: This article investigates changes in the affordability of individual health plans (Marketplace plans) that were compliant with the Affordable Care Act following the termination of cost-sharing reduction subsidy payments in 2017. We examined how states' and insurers' responses to these cuts affected enrollees differently depending on whether they lived in rural or urban geographic areas and were or were not eligible for Advance Premium Tax Credits. Using data for 2014-19 from the Health Insurance Exchange Compare database and other sources, we found that subsidy-eligible enrollees in rural markets gained access to Marketplace plans that were more affordable than those available to their urban counterparts, after the cuts affected premiums in 2018. Average minimum net monthly premiums for subsidized enrollees in majority-rural geographic rating areas decreased from $288 in 2017 to $162 in 2019, while those of their urban counterparts decreased from $275 to $180. In contrast, rural enrollees without subsidies faced the least affordable premiums for Marketplace plans. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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