In New England, Partisan Differences In ACA Marketplace Participation And Potential Financial Harm.
Political orientation can be a powerful motivator of certain health care decisions. This study examines how political orientation was associated with decisions to use the Affordable Care Act Marketplaces to enroll in nongroup health insurance plans and whether it was also associated with adverse fin...
| Publicado en: | Health Affairs Vol. 40; no. 9; pp. 1420 - 1430 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Health Affairs Publishing, LLC
Sep2021
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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=152406803&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 152406803 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02782715 HAF jtl: Health Affairs issn: 02782715 maglogo: N pubinfo: dt: Sep2021 vid: 40 iid: 9 pid: 1453 pub: Health Affairs Publishing, LLC place: Washington, District of Columbia artinfo: ui: 152406803 152406803 152406803 10.1377/hlthaff.2021.00624 152406803 ppf: 1420 ppct: 10 formats: tig: atl: In New England, Partisan Differences In ACA Marketplace Participation And Potential Financial Harm. aug: au: Hero, Joachim O. Sinaiko, Anna D. Peltz, Alon Kingsdale, Jon Galbraith, Alison A. affil: Associate policy researcher, Health Care, RAND Corporation, in Boston, Massachusetts sug: subj: Patient Protection and Affordable Care Act Health Insurance Exchanges Financial Stress Human Male Female Adolescence Adult Middle Age New England Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Political orientation can be a powerful motivator of certain health care decisions. This study examines how political orientation was associated with decisions to use the Affordable Care Act Marketplaces to enroll in nongroup health insurance plans and whether it was also associated with adverse financial consequences. We used administrative records and surveys of nongroup Marketplace enrollees from a large insurer in New England. Enrollees were categorized as Republican, Democrat, or independent through self-identification or were assigned to one of the political parties after responding to a political preference question. Republican enrollees were less likely than Democratic enrollees of comparable subsidy eligibility to enroll through the Marketplaces and receive subsidies. Among income-eligible enrollees, Republican subscribers received $66 per month less in premium subsidies than Democratic subscribers, equivalent to roughly $800 per year. However, this result varied by subgroups in the parties, and our results suggest that party effects on decision making may inversely relate to the magnitude of the financial consequence. Navigating the ongoing political polarization in the United States requires optimizing public policies, as well as the associated education and outreach, to ensure maximal efficacy regardless of political orientation. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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