Georgia's Reinsurance Waiver Associated With Decreased Premium Affordability And Enrollment.
Sixteen states have used Section 1332 waivers to implement reinsurance programs that aim to reduce premiums and increase enrollment in the Affordable Care Act's health insurance Marketplaces. Although reinsurance programs have successfully reduced premiums for unsubsidized enrollees, little is known...
| Publicado en: | Health Affairs Vol. 43; no. 3; pp. 398 - 408 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Health Affairs Publishing, LLC
Mar2024
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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=190593045&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190593045 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02782715 HAF jtl: Health Affairs issn: 02782715 maglogo: N pubinfo: dt: Mar2024 vid: 43 iid: 3 pid: 1453 pub: Health Affairs Publishing, LLC place: Washington, District of Columbia artinfo: ui: 190593045 190593045 190593045 10.1377/hlthaff.2023.00971 190593045 ppf: 398 ppct: 10 formats: tig: atl: Georgia's Reinsurance Waiver Associated With Decreased Premium Affordability And Enrollment. aug: au: Anderson, David M. Golberstein, Ezra Drake, Coleman affil: Duke University, Durham, North Carolina sug: subj: Insurance, Health Georgia Insurance Coverage Patient Protection and Affordable Care Act Health Insurance Exchanges Financial Support Health Care Costs Income Human Georgia Poverty Health Policy Secondary Analysis Analytic Research Descriptive Statistics Multiple Linear Regression Data Analysis Software Geographic Factors Funding Source ab: Sixteen states have used Section 1332 waivers to implement reinsurance programs that aim to reduce premiums and increase enrollment in the Affordable Care Act's health insurance Marketplaces. Although reinsurance programs have successfully reduced premiums for unsubsidized enrollees, little is known about how reinsurance affects Marketplace premiums, minimum cost of coverage, and enrollment for the large majority of Marketplace enrollees who receive premium subsidies. Using a difference-in-differences analysis of matched counties straddling Georgia's borders to examine Georgia's 2022 implementation of its reinsurance program, we found that reinsurance increased the minimum cost of enrolling in subsidized Marketplace coverage by approximately 30 percent and decreased enrollment by roughly a third for Marketplace enrollees with incomes of 251-400 percent of the federal poverty level. Marketplace reinsurance programs may have the unintended consequences of increasing the minimum cost of subsidized coverage and reducing enrollment. These outcomes are especially relevant in the present policy context of enhanced subsidies, which have substantially reduced the number of unsubsidized enrollees who would benefit most from reinsurance. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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