Growth In ACA-Compliant Marketplace Enrollment And Spending Risk Changes During The COVID-19 Pandemic.
In 2020 the COVID-19 pandemic caused millions to lose their jobs and, consequently, their employer-sponsored health insurance. Enacted in 2010, the Affordable Care Act (ACA) created safeguards for such events by expanding Medicaid coverage and establishing Marketplaces through which people could pur...
| Published in: | Health Affairs Vol. 40; no. 11; pp. 1722 - 1731 |
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| Main Authors: | , , , , , , , |
| Format: | research tables/charts Journal Article |
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Health Affairs Publishing, LLC
Nov2021
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=153491891&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 153491891 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02782715 HAF jtl: Health Affairs issn: 02782715 maglogo: N pubinfo: dt: Nov2021 vid: 40 iid: 11 pid: 1453 pub: Health Affairs Publishing, LLC place: Washington, District of Columbia artinfo: ui: 153491891 153491891 153491891 10.1377/hlthaff.2021.00501 153491891 ppf: 1722 ppct: 9 formats: tig: atl: Growth In ACA-Compliant Marketplace Enrollment And Spending Risk Changes During The COVID-19 Pandemic. aug: au: Hsu, John Chia Yi Chin Weiss, Max Cohen, Michael Sastry, Jay Katz-Christy, Nina Bertko, John Newhouse, Joseph P. affil: Director of the Clinical Economics and Policy Analysis Program, Mongan Institute Health Policy Center, Massachusetts General Hospital sug: subj: Patient Protection and Affordable Care Act Health Insurance Exchanges COVID-19 Pandemic Medicaid Expansion Insurance Coverage Health Care Costs United States Centers for Medicare and Medicaid Services Unemployment Descriptive Statistics ab: In 2020 the COVID-19 pandemic caused millions to lose their jobs and, consequently, their employer-sponsored health insurance. Enacted in 2010, the Affordable Care Act (ACA) created safeguards for such events by expanding Medicaid coverage and establishing Marketplaces through which people could purchase health insurance. Using a novel national data set with information on ACA-compliant individual insurance plans, we found large increases in Marketplace enrollment in 2020 compared with 2019 but with varying percentage increases and spending risk implications across states. States that did not expand Medicaid had enrollment and spending risk increases. States that expanded Medicaid but did not relax 2020 Marketplace enrollment criteria also had spending risk increases. In contrast, states that expanded Medicaid and relaxed 2020 enrollment criteria experienced enrollment increases without spending risk changes. The findings are reassuring with respect to the ability of Marketplaces to buffer employment shocks, but they also provide cautionary signals that risks and premiums could begin to rise either in the absence of Medicaid expansion or when Marketplace enrollment is constrained. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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