Designing and Regulating Health Insurance Exchanges: Lessons from Massachusetts.
The Massachusetts health care reform provides preliminary evidence on the function of health insurance exchanges and individual insurance markets. This paper describes the type of products consumers choose and the dynamics of consumer choice. Evidence shows that choice architecture, including produc...
| Publicado en: | Inquiry (00469580) Vol. 49; no. 4; pp. 327 - 339 |
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| Autores principales: | , |
| Formato: | tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Winter2012
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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=85646133&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 85646133 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00469580 INQ jtl: Inquiry (00469580) issn: 00469580 maglogo: Y pubinfo: dt: Winter2012 vid: 49 iid: 4 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 85646133 85646133 104237002 10.5034/inquiryjrnl_49.04.04 85646133 ppf: 327 ppct: 12 formats: fmt: @attributes: type: P tig: atl: Designing and Regulating Health Insurance Exchanges: Lessons from Massachusetts. aug: au: Ericson, Keith M. Marzilli Starc, Amanda affil: Assistant professor of markets, public policy, and law at Boston University School of Management sug: subj: Insurance, Health Standards Government Regulations Health Care Reform Massachusetts Marketing Methods Massachusetts Decision Making, Patient Insurance Benefits Health Services Needs and Demand Economic Competition Fees and Charges User-Computer Interface Eligibility Determination Time Factors Computer Simulation Selection Bias Age Factors ab: The Massachusetts health care reform provides preliminary evidence on the function of health insurance exchanges and individual insurance markets. This paper describes the type of products consumers choose and the dynamics of consumer choice. Evidence shows that choice architecture, including product standardization and the use of heuristics (rules of thumb), affects choice. In addition, while consumers often chooseless generous plans in the exchange than in traditional employer-sponsored insurance, there is considerable heterogeneity in consumer demand, as well as some evidence of adverse selection. We examine the role of imperfect competition between insurers, and document the impact of pricing and product regulation on the level and distribution of premiums. Given our extensive choice data, we synthesize the evidence of the Massachusetts exchange to inform the design and regulation on other exchanges. pubtype: Academic Journal doctype: tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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