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...

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Publicado en:Inquiry (00469580) Vol. 49; no. 4; pp. 327 - 339
Autores principales: Ericson, Keith M. Marzilli, Starc, Amanda
Formato: tables/charts Journal Article
Publicado: Sage Publications Inc. Winter2012
Acceso en línea:Ver este registro en EBSCOhost
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        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.
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      ougenre: Article
    language: English
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