Marketplace Health Insurance Ratings: Most Potential Enrollees Have Access To Plans Of Medium Or High Quality.

The Affordable Care Act (ACA) Marketplace plays a critical role in providing affordable health insurance for the nongroup market, yet the accessibility of plans from insurers with high quality ratings has not been investigated. Our analysis of recently released insurer quality star ratings for plan...

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Bibliographic Details
Published in:Health Affairs Vol. 41; no. 3; pp. 390 - 398
Main Authors: Tsai, Thomas C., Jacobson, Benjamin H., Griggs, Dannie, Jha, Ashish K., Orav, E. John, Epstein, Arnold M.
Format: pictorial research tables/charts Journal Article
Published: Health Affairs Publishing, LLC Mar2022
Online Access:View this record in EBSCOhost
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      dt: Mar2022
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      pub: Health Affairs Publishing, LLC
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        atl: Marketplace Health Insurance Ratings: Most Potential Enrollees Have Access To Plans Of Medium Or High Quality.
      aug:
        au:
          Tsai, Thomas C.
          Jacobson, Benjamin H.
          Griggs, Dannie
          Jha, Ashish K.
          Orav, E. John
          Epstein, Arnold M.
        affil: Harvard University and Brigham and Women's Hospital, Boston, Massachusetts
      sug:
        subj:
          Health Insurance Exchanges
          Quality of Health Care
          Health Services Accessibility
          Human
          Patient Protection and Affordable Care Act
          Insurance Carriers
          Descriptive Statistics
          Linear Regression
          Confidence Intervals
          Odds Ratio
          Data Analysis Software
          Post Hoc Analysis
          Logistic Regression
      ab: The Affordable Care Act (ACA) Marketplace plays a critical role in providing affordable health insurance for the nongroup market, yet the accessibility of plans from insurers with high quality ratings has not been investigated. Our analysis of recently released insurer quality star ratings for plan year 2020 found substantial variation in access to high rated plans in the federally facilitated ACA Marketplace. In most participating counties (1,390 of 2,265, or 61.4 percent), the highest-rated ACA Marketplace insurer had a three-star rating. Fewer than one-third of counties (703, or 31.0 percent) had access to four- or five-star-rated insurers. Fewer than 10 percent (172, or 7.6 percent) had access to only one- or two-star-rated insurers. In plan-based analyses, each one-point increase in star rating was associated with a $28 increase in the average monthly plan premium. Counties with the highest proportion of residents obtaining individual coverage through the ACA Marketplace and counties with more insurers were the most likely to have access to plans from high-rated insurers. We found no systematic racial or ethnic disparities in access to plans from high-rated insurers. Policy makers should continue to monitor the quality of available health plans.
      pubtype: Academic Journal
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    language: English
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