Consumer Choice in Health Insurance Exchanges: Can We Make It Work?

Under the Patient Protection and Affordable Care Act (ACA), consumer choice plays a critical role: it drives the competitive market in health insurance plans that will operate through health insurance exchanges. As the 2014 deadline for establishing exchanges approaches, states face choices: they ca...

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Publicado en:Journal of Health Politics, Policy & Law Vol. 39; no. 1; pp. 209 - 236
Autores principales: Nadash, Pamela, Day, Rosemarie
Formato: Artículo
Publicado: Duke University Press Feb2014
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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          Nadash, Pamela
          Day, Rosemarie
        affil:
          University of Massachusetts
          Day Health Strategies
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        Netherlands
        Switzerland
        Consumer attitudes
        Decision making
        Insurance
        Health insurance
        Literacy
        Medicare
        State governments
        Human services programs
        Patient Protection & Affordable Care Act
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          Consumer attitudes
          Decision making
          Insurance
          Health insurance
          Literacy
          Medicare
          State governments
          Human services programs
          Netherlands
          Switzerland
          Third Party Administration of Insurance and Pension Funds
          All Other Insurance Related Activities
          Other Insurance Funds
          Direct individual life, health and medical insurance carriers
          Direct group life, health and medical insurance carriers
          Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs)
          Patient Protection & Affordable Care Act
      ab: Under the Patient Protection and Affordable Care Act (ACA), consumer choice plays a critical role: it drives the competitive market in health insurance plans that will operate through health insurance exchanges. As the 2014 deadline for establishing exchanges approaches, states face choices: they can either allow the federal government to manage an exchange on their behalf; take on a minimalist role by managing a state exchange or partnering with the federal exchange; or assume an activist role-by aiming to influence the price, design, and quality of the health insurance options available through exchanges and taking steps to support consumers' ability to choose among these options. This article discusses states' choices and the governance issues that they raise, first by describing the extent of discretion that states have in shaping the range of health plans on offer as well as the issues they will need to consider in choosing an exchange model. We then discuss the considerable body of evidence that addresses how people behave in individual insurance markets, concluding that it strongly supports the need for states to take an active role in shaping health insurance exchanges and ensuring that they support consumer choice.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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